Abstract
In recent years, the number of the cases of late child-bearing is showing sharp increase. Accordingly, the indirect obstetric death caused by accidental complications such as malignant tumor and cerebrovascular disorder, accounts for 30 to 50 percent of the total maternal death which accounted only 10 percent before. Although the incidence of cerebrovascular disorder in pregnant women is low, immediate treatments are required after the onset, since maternal mortality is quite high and even if they survive, the rate of neurological sequellae is similarly high. In addition to that, pregnant women are at higher risk for complications of pregnancy induced hypertension, HELLP syndrome, and disseminated intravascular coagulation. The promotion of maintenance and management of these patients in collaboration with other departments (not only with department of obstetrics and department of neonatology but also with department of neurology, department of intensive care, department of anesthesia, and department of neurosurgery) is of great significance. In our hospital, we have experienced the case of intractable and recurrent convulsions after the occurrence of eclampsia, and asymptomatic cerebral infarction had remained post-incident. Consultation was held with the department of neonatology and other related departments and the criteria were created for management of eclampsia and a flow chart for management of convulsion. There were two cases of eclampsia after introducing those systems, and in both cases, patients recovered without sequellae. Therefore, for pregnant women of cerebrovascular disorder to survive without sequellae, immediate response is essential and prior establishment of the system for cooperation and strengthened team medicine is critical.
