The establishment of cooperative system between departments for pregnant women of cerebrovascular disorder

DOI Web Site
  • Miyazaki Nodoka
    Department of Obstetrics, Perinatal Medical Center, Toyota Memorial Hospital
  • Kondo Shinya
    Department of Obstetrics, Perinatal Medical Center, Toyota Memorial Hospital
  • Kokabu Tetsuya
    Department of Obstetrics, Perinatal Medical Center, Toyota Memorial Hospital
  • Murase Tomohiko
    Department of Obstetrics, Perinatal Medical Center, Toyota Memorial Hospital
  • Kishigami Yasuyuki
    Department of Obstetrics, Perinatal Medical Center, Toyota Memorial Hospital
  • Oguchi Hidenori
    Department of Obstetrics, Perinatal Medical Center, Toyota Memorial Hospital

Bibliographic Information

Other Title
  • 妊産婦の脳血管障害における院内連携システムの確立
  • ニンサンプ ノ ノウ ケッカン ショウガイ ニ オケル インナイ レンケイ システム ノ カクリツ

Search this article

Abstract

<p>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.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top