Indian Journal of Public Health Research & Development

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Acute Head Injury with Pregnancy


Affiliations
1 Assistant Professor, Department of Neurosurgery, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, India
2 Assistant Professor, Department of Anaesthesia, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, India
3 Professor, Department of Department of Obstetrics & Gynaecology, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, India
     

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Introduction: Trauma affects 7-8 % of all pregnancies. A multidisciplinary management of pregnant patients with traumatic brain injury is required, The efforts of the Neurosurgeon, Gynaecologist and Anaesthetist/Intensivist is mandatory. The management is individualized as per the foetal status, gestational age, and maternal injury score.

Materials and Method: We studied 8 patients who were operated for severe head injuries with pregnancy. The main aim of the study was to know the outcome of pregnant females and the neonate in head injury.

Results: The maternal outcome depends solely on the grade and type of the head injury, the fetal outcome depends upon the age of the pregnancy and maternal GCS.

Conclusion: Best management of the maternal and the foetus is achieved with multidisciplinary approach of team. The utmost important is the decision which needs to be taken as early for the low to moderate GCS patients.


Keywords

Caesarean Section, Craniotomy, Pregnancy, Traumatic Brain Injury.
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  • Acute Head Injury with Pregnancy

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Authors

Ajaydeep Singh
Assistant Professor, Department of Neurosurgery, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, India
Arvinpreet Kour
Assistant Professor, Department of Anaesthesia, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, India
Unmesh S. Santpur
Professor, Department of Department of Obstetrics & Gynaecology, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, India

Abstract


Introduction: Trauma affects 7-8 % of all pregnancies. A multidisciplinary management of pregnant patients with traumatic brain injury is required, The efforts of the Neurosurgeon, Gynaecologist and Anaesthetist/Intensivist is mandatory. The management is individualized as per the foetal status, gestational age, and maternal injury score.

Materials and Method: We studied 8 patients who were operated for severe head injuries with pregnancy. The main aim of the study was to know the outcome of pregnant females and the neonate in head injury.

Results: The maternal outcome depends solely on the grade and type of the head injury, the fetal outcome depends upon the age of the pregnancy and maternal GCS.

Conclusion: Best management of the maternal and the foetus is achieved with multidisciplinary approach of team. The utmost important is the decision which needs to be taken as early for the low to moderate GCS patients.


Keywords


Caesarean Section, Craniotomy, Pregnancy, Traumatic Brain Injury.



DOI: https://doi.org/10.37506/v11%2Fi1%2F2020%2Fijphrd%2F194096