J Neurointensive Care.  2023 Apr;6(1):15-19. 10.32587/jnic.2022.00577.

Neurocritical Care Perspective of Traumatic Brain Injury During Pregnancy

Affiliations
  • 1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Saket Nagar, Bhopal, Madhya, Pradesh, India
  • 2Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
  • 3Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Saket Nagar, Bhopal, India
  • 4Department of Neurosurgery, Institute of Medical Sciences, Trauma Centre and Mahamana Centenary Superspeciality Hospital, Banaras Hindu University, Varanasi, India
  • 5Department of Neurosurgery, All India Institute of Medical Sciences, Saket Nagar, Bhopal, India

Abstract

Trauma is a leading cause of morbidity and mortality amongst females of childbearing age, and traumatic brain injury (TBI) carries a significant proportion of share amongst trauma of all kinds. Trauma during pregnancy has a twofold impact on the patient and the foetus, who, most of the time, remains unnoticed. Understanding and managing altered maternal physiology in the background of TBI is a challenge and requires close monitoring to avoid any unwanted outcome. The challenges initiate right from the resuscitation following trauma to the rehabilitation of these patients with TBI during pregnancy. Good collaboration with the interdisciplinary departments is the backbone to avoid teratogenicity, a better pregnancy outcome and prevention of expected complications in these complex clinical scenarios.

Keyword

Traumatic brain injury; Pregnancy; Neurocritical Care; Outcome; Rehabilitation
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