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Maternal neurological conditions 

Maternal neurological conditions
Chapter:
Maternal neurological conditions
Author(s):

Harini Narayan

DOI:
10.1093/med/9780199673643.003.0010
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date: 30 October 2020

A wide range of neurological disorders including epilepsy, Bell’s palsy, idiopathic intracranial hypertension, multiple sclerosis, strokes, myasthenia gravis, Charcot-Marie-Tooth disease, myotonic and muscular dystrophy are covered here. The multidisciplinary management required in each high-risk pregnancy is presented in practical terms based on national guidelines, best practice evidence, and up-to-date literature. Information regarding epidemiology, risk factors, inheritance, pathophysiology, symptomatology, impact of pregnancy on the neurological condition and vice versa, is presented in a format suitable for use in busy clinical settings. Multidisciplinary integrated antenatal management embracing both primary care and hospital settings and essential investigations and assessments are incorporated in individualized care pathways, ranging from pre-pregnancy to post-delivery, including contraception. Medications and supplements are discussed. Essential documentation and communication of the key information for intrapartum and postnatal care, as well as the need to avoid unnecessary interventions, are highlighted. Patient information is provided for each condition.

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