Intracranial haemorrhage (ICH) is a rare, yet potentially devastating event in pregnancy. There is a risk of maternal mortality or morbidity and a significant risk to the unborn child. The risk of haemorrhage increases during the third trimester and is greatest during parturition and the puerperium. ICH can be extradural, subdural, subarachnoid or intraparenchymal. Causes of bleeding include trauma, arteriovenous malformations, aneurysms, preeclampsia/eclampsia and venous thrombosis. Urgent neurosurgical conditions generally outweigh obstetric considerations in management decisions, although anaesthetic and surgical modifications can be made to minimize adverse effects to the fetus.
Cite this article:
Sneha R. Dubey. Intracranial Haemorrhage in Pregnancy. Int. J. Nur. Edu. and Research. 2020; 8(4):559-563. doi: 10.5958/2454-2660.2020.00123.4
Sneha R. Dubey. Intracranial Haemorrhage in Pregnancy. Int. J. Nur. Edu. and Research. 2020; 8(4):559-563. doi: 10.5958/2454-2660.2020.00123.4 Available on: https://ijneronline.com/AbstractView.aspx?PID=2020-8-4-31
1. Fairhall JM, Stoodley MA. Intracranial haemorrhage in pregnancy. Obstet Med. 2009
2. James AH, Bushnell CD, Jamison MG, Myers ER. Incidence and risk factors for stroke in pregnancy and the puerperium. Obstet Gynecol.
3. Moatti Z, Gupta M, Yadava R, Thamban S. A review of stroke and pregnancy: incidence, management and prevention. Eur J Obstet Gynecol Reprod Biol. Liang CC, Chang SD, Lai SL, Hsieh CC, Chueh HY, Lee TH. Stroke complicating pregnancy and the puerperium. Eur J Neurol.
4. Algra AM, Klijn CJ Cipolla MJ. Cerebrovascular function in pregnancy and eclampsia. Hypertension
5. Zeeman GG, Hatab M, Twickler DM. Maternal cerebral blood flow changes in pregnancy. Am J Obstet Gynecol
6. Brenner B. Haemostatic changes in pregnancy.
7. Mashour GA, Schwamm LH, Leffert L. Intracranial subdural hematomas and cerebral herniation after labor epidural with no evidence of dural puncture. Anesthesiology 2006;
8. Zeidan A, Farhat O, Maaliki H, Baraka A. Does postdural puncture headache left untreated lead to subdural hematoma? Case report and review of the literature. Int J Obstet Anesthesia 2006;
9. Lazard EM. A case of cerebral hemorrhage following labor. Philadelphia Med J Stoodley MA, Weir BKA. Pregnancy and Aneurysms. In: Management of Cerebral Aneurysms.
10. Stoodley MA, Macdonald RL, Weir BK. Pregnancy and intracranial aneurysms. Neurosurg Clin N Am 1998;9:
11. Marshman LA, Aspoas AR, Rai MS, Chawda SJ. The implications of ISAT and ISUIA for the management of cerebral aneurysms during pregnancy. Neurosurg Rev 2007
12. Giannotta SL, Daniels J, Golde SH, Zelman V, Bayat A. Ruptured intracranial aneurysms during pregnancy. A report of four cases. J Reprod
13. Al-Shahi R, Fang JSY, Lewis SC, Warlow CP. Prevalence of adults with brain arteriovenous malformations: a Community based study in Scotland using capture-recapture analysis. J Neurol Neurosurg Psychiatry 2002;
14. Sadasivan B, Malik GM, Lee C, Ausman JI. Vascular malformations and pregnancy. Surg Neurol 1990