Document Detail


Maternal neurosurgical shunts and pregnancy outcome.
MedLine Citation:
PMID:  8272295     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess pregnancy outcome in women with ventriculoperitoneal or lumboperitoneal shunts. METHODS: Charts were reviewed retrospectively for mothers with ventriculoperitoneal or lumboperitoneal shunts delivered at Hutzel Hospital from 1976-1992. Patients were identified by cross-referencing medical records from Children's Hospital Neurosurgical Division and medical records at Hutzel Hospital during this period. RESULTS: Eight patients with 25 pregnancies were identified from 1976-1992. Indications for shunt placement were pseudotumor cerebri (four with lumboperitoneal shunts) and congenital hydrocephalus (four with ventriculoperitoneal shunts). Pregnancy outcomes were two elective abortions, five spontaneous abortions, two preterm vaginal deliveries, one mid-forceps rotation, two primary low transverse cesareans, two repeat low transverse cesareans, and 11 spontaneous vaginal deliveries. No patient received prophylactic antibiotics during labor and vaginal delivery because of the shunt. There were no shunt-related complications. CONCLUSIONS: This series doubles the number of previously reported pregnancy outcomes in women with neurosurgical shunts. Contrary to the literature suggesting cesarean delivery and prophylactic antibiotics for all patients, our experience suggests that vaginal delivery can be considered and that prophylactic antibiotics are not an absolute necessity in uncomplicated vaginal deliveries.
Authors:
J B Landwehr; N B Isada; P G Pryde; M P Johnson; M I Evans; A I Canady
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  83     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-01-28     Completed Date:  1994-01-28     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  134-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Wayne State University/Hutzel Hospital, Detroit, MI.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cerebrospinal Fluid Shunts*
Delivery, Obstetric
Female
Humans
Pregnancy
Pregnancy Outcome*
Retrospective Studies
Comments/Corrections
Comment In:
Obstet Gynecol. 1994 Jun;83(6):1069-70   [PMID:  8190427 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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