Neurological Disorders Complicating Pregnancy and its Obstetric Outcomes

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.