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      Neurological Disorders Complicating Pregnancy and its Obstetric Outcomes

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          ABSTRACT

          Objective

          To find the common neurological disorders complicating pregnancy and their obstetric outcome.

          Materials and methods

          This was a retrospective study conducted over a period of 3 years and included all pregnant women with a diagnosis of neurologic disorders who were admitted to the Obstetrics and Gynecology Department at St John's Medical College, St John's National Academy of Health Sciences (SJNAHS), Bengaluru, Karnataka, India. The study was carried out from January 2016 to December 2018.

          Results

          A total of 60 patients with neurologic disorders were identified during the study period of 3 years. In our study, 57 (95%) women were in the 20–35-year age-group, and the majority were primigravida 38 (63.3%). A total of 56 women (93.3%) delivered at term. A total of 28 (46.6%) women had a cesarean section, and 27 (45%) had a vaginal delivery. Among the neurologic disorders in pregnancy, 36 (60%) women had epilepsy, seven (11.6%) cerebrovascular diseases, six (10%) polio survivors, and four (6.6%) central nervous system (CNS) infections. A total of 16 (44.4%) women with epilepsy (WWE) were seizure-free in index pregnancy, 15 (41.6%) had relapse of seizures during present pregnancy, and five (13.8%) had been newly diagnosed with epilepsy in the index pregnancy. There were no maternal or perinatal deaths.

          Conclusion

          Multidisciplinary approach in a tertiary care center improves both maternal and fetal outcomes.

          How to cite this article

          Giliyar S, Kanavi JV, Thomas A. Neurological Disorders Complicating Pregnancy and its Obstetric Outcomes. Int J Infertil Fetal Med 2023;14(2):59-64.

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          Most cited references29

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          Synopsis of Guidelines for the Clinical Management of Cerebral Cavernous Malformations: Consensus Recommendations Based on Systematic Literature Review by the Angioma Alliance Scientific Advisory Board Clinical Experts Panel

          Amy Akers, Rustam Al-Shahi Salman, Issam A. Awad … (2017)
          Abstract BACKGROUND: Despite many publications about cerebral cavernous malformations (CCMs), controversy remains regarding diagnostic and management strategies. OBJECTIVE: To develop guidelines for CCM management. METHODS: The Angioma Alliance (www.angioma.org), the patient support group in the United States advocating on behalf of patients and research in CCM, convened a multidisciplinary writing group comprising expert CCM clinicians to help summarize the existing literature related to the clinical care of CCM, focusing on 5 topics: (1) epidemiology and natural history, (2) genetic testing and counseling, (3) diagnostic criteria and radiology standards, (4) neurosurgical considerations, and (5) neurological considerations. The group reviewed literature, rated evidence, developed recommendations, and established consensus, controversies, and knowledge gaps according to a prespecified protocol. RESULTS: Of 1270 publications published between January 1, 1983 and September 31, 2014, we selected 98 based on methodological criteria, and identified 38 additional recent or relevant publications. Topic authors used these publications to summarize current knowledge and arrive at 23 consensus management recommendations, which we rated by class (size of effect) and level (estimate of certainty) according to the American Heart Association/American Stroke Association criteria. No recommendation was level A (because of the absence of randomized controlled trials), 11 (48%) were level B, and 12 (52%) were level C. Recommendations were class I in 8 (35%), class II in 10 (43%), and class III in 5 (22%). CONCLUSION: Current evidence supports recommendations for the management of CCM, but their generally low levels and classes mandate further research to better inform clinical practice and update these recommendations. The complete recommendations document, including the criteria for selecting reference citations, a more detailed justification of the respective recommendations, and a summary of controversies and knowledge gaps, was similarly peer reviewed and is available on line www.angioma.org/CCMGuidelines.
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            Viral meningitis.

            E MacMahon, Sarah Logan (2008)
            Article 0 comments Cited 65 times – based on 0 reviews     Review now
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              Epilepsy in pregnancy and reproductive outcomes: a systematic review and meta-analysis.

              Luz Viale, John Allotey, Fiona Cheong-See … (2015)
              Antenatal care of women with epilepsy is varied. The association of epilepsy and antiepileptic drug exposure with pregnancy outcomes needs to be quantified to guide management. We did a systematic review and meta-analysis to investigate the association between epilepsy and reproductive outcomes, with or without exposure to antiepileptic drugs.
              Article 0 comments Cited 56 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (publisher-id): IJIFM
                Title: International Journal of Infertility and Fetal Medicine
                Abbreviated Title: IJIFM
                Publisher: Jaypee Brothers Medical Publishers
                ISSN (Print): 2229-3817
                ISSN (Electronic): 2229-3833
                Publication date (Print): May-August 2023
                Volume: 14
                Issue: 2
                Pages: 59-64
                Affiliations
                [1-3 ]Department of Obstetrics and Gynaecology, St John's Medical College, St John's National Academy of Health Sciences (SJNAHS), Bengaluru, Karnataka, India
                Author notes
                Shobha Giliyar, Department of Obstetrics and Gynaecology, St John's Medical College, St John's National Academy of Health Sciences (SJNAHS), Bengaluru, Karnataka, India, Phone: +91 9448568979, e-mail: shobhag76@ 123456yahoo.com
                Article
                DOI: 10.5005/jp-journals-10016-1308
                SO-VID: cecd797e-a6aa-49f3-912f-325114867074
                Copyright © Copyright © 2023; The Author(s).
                License:

                © The Author(s). 2023 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                Date received : 03 February 2022
                Date accepted : 08 February 2023
                Date: 12 May 2023
                Categories
                Subject: RESEARCH ARTICLE
                Custom metadata
                file-pdf ijifm-14-059.pdf

                ScienceOpen disciplines: Obstetrics & Gynecology
                Keywords: Cesarean section,Antiepileptic drugs,Seizures,Pregnancy,Neurological disorders,Epilepsy
                Data availability:
                ScienceOpen disciplines: Obstetrics & Gynecology
                Keywords: Cesarean section, Antiepileptic drugs, Seizures, Pregnancy, Neurological disorders, Epilepsy

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