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Neurological disorders in pregnancy and puerperium

Authors:

L K Sarella ,

Rangaraya Medical College, Kakinada, Andhra Pradesh, IN
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D S Rao

Rangaraya Medical College, Kakinada, Andhra Pradesh, IN
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Abstract

Objectives: To study the clinical profile of the patients presenting with neurological disorders during pregnancy and puerperium.

Methods: The study was carried out at Government General Hospital, Kakinada, Andhra Pradesh, India between June 2006 and May 2007. Patients in pregnancy, postabortal and postpartum period evaluated in Neurology out-patient and in-patient departments and referred to Neurology department, Government General Hospital, Kakinada during this time were included in this study.

Results: A total of 55 patients presented during pregnancy and puerperium with neurological disorders. Age of the patients ranged from 17 to 31 years. The total number of deliveries in this hospital during this period was 9726. Out of 55 patients Epilepsy—27[49.09%], Eclampsia—11[20%], Cerebro vascular disorders—6[10.9%], Neuropathies —4[7.27%], Extrapyramidal disorders---2[3.64%], CNS infections—Tubercular meningitis –1[1.81%], Myelopathy—1[1.81%], Toxic/ metabolic encephalopathy—1[1.81%].

Conclusions: Epilepsy was the most common neurological condition followed by Eclampsia and Cerebrovascular diseases. Health education measures for prospective mothers regarding the appropriate, adequate and regular use of anti-epileptic drugs should be taken up. Diligent care is to be taken to watch for neurological deficit in cases of Pre-eclampsia/ Eclampsia to identify special investigation team—Obstetrician, Neurologist, Physicians and Neurologist. The treating team should have the complete knowledge of the effects of rare neurological disorders during pregnancy and puerperium.

DOI: http://dx.doi.org/10.4038/sljog.v36i3.7722

Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 74-78

DOI: http://doi.org/10.4038/sljog.v36i3.7722
How to Cite: Sarella, L.K. & Rao, D.S., (2014). Neurological disorders in pregnancy and puerperium. Sri Lanka Journal of Obstetrics and Gynaecology. 36(3), pp.74–78. DOI: http://doi.org/10.4038/sljog.v36i3.7722
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Published on 02 Dec 2014.
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