Naslov
Pregnancy and vaginal delivery in epidural analgesia in woman with cerebrospinal fluid shunt

Autori
Bursać, Danijel ; Peršec, Jasminka ; Peršec, Zoran ; Duić, Željko ; Zmijanac Partl, Jasenka ; Glavić, Željko ; Hrgović, Zlatko ; Bojanić, Katarina

Izvornik
Collegium antropologicum (0350-6134) 37 (2013), 4; 1343-1345

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, stručni

Ključne riječi
regional anesthesia ; vaginal delivery ; ventriculoperitoneal shunt ; cesarean section

Sažetak
Hydrocephalus is a medical condition characterised by enlargement of cerebral ventricles due to abnormal cerebrospinal fluid accumulation. Hydrocephalic women with cerebrospinal fluid (CSF) shunts are now surviving to reproductive age, but still there are doubts regarding the mode of delivery, analgesia and anaesthesia. Postpartal complications are more frequently described in deliveries ended by cesarean section than in spontaneous vaginal deliveries. We present a case of labor in the 32-year old woman, with congenital hydrocephalus and a preexisting ventriculoperitoneal (VP) shunt. After thorough review of current literature, we came to conclusion that without absolute neurosurgical indication or acute development of listed symptoms (headaches, irritability, light sensitivity, hyperesthesia nausea, vomiting, vertigo, migraines, seizures, weakness in the arms or legs, strabismus and double vision) the best way to finish the pregnancy of woman with VP shunt is spontaneous vaginal delivery with the use of epidural analgesia, mediolateral episiotomy and vacuum extraction.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA