MANAGEMENT OF PREGNANT-WOMEN WITH CEREBROSPINAL-FLUID SHUNTS
MANAGEMENT OF PREGNANT-WOMEN WITH CEREBROSPINAL-FLUID SHUNTS
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DOI：
10.1159/000120558
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发表时间：
1992-01-01
影响因子：
0.7
通讯作者：
SERMER, M
中科院分区：
文献类型：
--
作者：
CUSIMANO, MD;MEFFE, FM;SERMER, M
随着越来越多患有脑脊液分流术的妇女达到生育年龄，一旦她们怀孕，神经外科医生、产科医生和其他保健提供者将越来越多地被要求照顾她们。文献综述显示，这些患者可能会出现分流功能障碍的症状，子宫大小的增加。在大多数情况下，症状可以在怀孕期间保守治疗，通常在分娩后解决。CSF分流本身的存在并不是妊娠的禁忌症，在大多数病例中，最终的胎儿和母体结局都很好。应允许分娩和分娩自然进行，干预措施仅限于仅因产科原因而指示的干预措施。围产期预防性使用抗生素可能是指，如果硬膜外镇痛或剖腹产被认为是必要的，应特别小心。遗传调查和咨询可能表明在选定的患者。
As more women with cerebrospinal fluid shunts reach child-bearing age, neurosurgeons, obstetricians and other health care providers will increasingly be called upon to care for them once they become pregnant. A review of the literature reveals that these patients may develop symptoms of shunt malfunction as uterine size increases. In most cases, symptoms can be managed conservatively during pregnancy and usually resolve following delivery. The presence of a CSF shunt per se, is not a contraindication to pregnancy and eventual fetal and maternal outcome has been excellent in the majority of cases. Labor and delivery should be allowed to progress naturally and interventions limited to those indicated for obstetrical reasons alone. Peripartum prophylactic antibiotics may be indicated and special care ought to be exercised if epidural analgesia or cesarian section is deemed necessary. Genetic investigations and counselling may be indicated in selected patients.