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- Title
Pregnancy complicated by neurological and neurosurgical conditions – The evidence regarding mode of delivery.
- Authors
Morton, Adam
- Abstract
Neurological and neurosurgical conditions complicating pregnancy may precipitate considerable concern regarding the risk of complications, and uncertainty regarding the preferred mode of delivery and anaesthesia. Caesarean section is known to be associated with significantly increased risk of adverse maternal outcomes compared with vaginal delivery in healthy pregnancy. Nevertheless, a common perception exists among the general population and some health professionals that caesarean section is safer for the mother and baby in high-risk pregnancies. This manuscript examines the literature regarding the risks and outcomes related to mode of delivery in pregnancy complicated by disorders of the central nervous system. With the exception of women with raised intracranial pressure, and some women with Von Hippel-Lindau syndrome, the available evidence suggests that the mode of delivery should be based upon obstetric indications.
- Subjects
CHILDBIRTH; ONLINE information services; NEUROLOGICAL disorders; MEDICAL information storage &; retrieval systems; SYSTEMATIC reviews; RISK assessment; VAGINA; PREGNANCY complications; MEDLINE; CESAREAN section; DELIVERY (Obstetrics)
- Publication
Obstetric Medicine (1753-495X), 2022, Vol 15, Issue 1, p11
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X211000176