A case of management of pregnancy in maternal ICH / 대한산부인과학회잡지

ABSTRACT

A 26-year-old woman presented at 28 weeks' gestation with intracranial hemorrhage, stuporous mentalilty. The pregnancy was maintained with supportive care. At 35+1 weeks' gestation, a 2560 gm, healthy male baby was delivered by means of cesarean section. Maintaining adequate nutritional status is vital in achieving appropriate fetal growth and development. Maternal malnutrition may have an adverse effect on the fetus and neonate, with deleterious effect on birth weight and brain development. When the mother is unconcious, fetal well-being should be assessed by serial biophysical profile scoring. There is no neurosurgical contraindication to vaginal delivery if patient is of good neurologic grade. Nevertheless, cesarean section may be preferable if the patient is in poor neurologic condition.