Pregnancy complicated by neurological disorders is a challenging area for both obstetricians and neurologists. Treatment of the maternal condition often needs to be adjusted because of concerns for the fetus, and some conditions have a major impact on the method, mode, and timing of delivery. Many of the clinical problems that arise in pregnant women with a neurological disease have not been the subject of clinical trials, so management must often be based on what published evidence is available and a good understanding of the likely interactions between the condition and pregnancy and vice versa. The editors and contributors represent a team with considerable experience in this area. They offer their qbest practiceq advice as how to treat the mother effectively, ensuring fetal safety, as well as embracing a philosophy that the pregnancy of a woman with a neurological disease should be made as enjoyable and rewarding for her as is possible.Treatment of babies at birth with penicillin is recommended following maternal treatment with macrolides. ... Group B Streptococcus Group B streptococcus is the most common cause of severe early-onset neonatal infection in the developed world. ... is found incidentally in the vagina or in the urine in the current pregnancy and in women with a previous affected child (23). ... Absence of abnormality on ultrasound does not reliably predict whether an infected fetus will be unaffected.
|Title||:||Neurology and Pregnancy|
|Author||:||Michael S. Marsh, Lina Nashef, Peter Brex|
|Publisher||:||CRC Press - 2012-03-23|