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Approach to Delivery in the Patient with Neurologic Disease

This chapter focuses on delivery considerations for patients with intracranial masses, spinal cord injuries, CNS vascular abnormalities, and neuromuscular disorders. Special attention is paid to issues regarding pre-delivery planning, optimal timing of delivery, preferred mode of delivery, initial assessment on labor and delivery, and postpartum considerations. For patients with neurologic disorders in pregnancy data regarding optimal mode of delivery is often limited due to the rare nature of some conditions. This chapter highlights the most recent evidence and strongly emphasizes the need for a multidisciplinary approach with close collaboration between anesthesiology, neurology, and neurosurgery to achieve optimal pregnancy outcomes.