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Vaginal delivery in pregnancy with M oyamoya disease: Experience at a single institute
Author(s) -
Tanaka Hiroaki,
Katsuragi Shinji,
Tanaka Kayo,
Miyoshi Takekazu,
Kamiya Chizuko,
Iwanaga Naoko,
Neki Reiko,
Takahashi Jun C.,
Ikeda Tomoaki,
Yoshimatsu Jun
Publication year - 2015
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12557
Subject(s) - medicine , vaginal delivery , moyamoya disease , pregnancy , obstetrics , apgar score , retrospective cohort study , gestational age , umbilical artery , disease , cesarean delivery , gestation , surgery , genetics , biology
Aim Cesarean section is commonly selected in pregnancy with M oyamoya disease. We consider vaginal delivery with epidural anesthesia a viable alternative in such cases. Methods Mode of delivery and outcomes were examined in 27 pregnancies in 19 women with M oyamoya disease treated at the Department of Perinatology, National Cardiovascular Center, J apan, from 1983 to 2013. Of these 27 pregnancies, 20 were delivered vaginally with epidural anesthesia. The cerebral circulation, mode of delivery, maternal outcome (presence of symptoms due to M oyamoya disease intrapartum) and neonatal outcome (gestational week, birthweight, A pgar score at 5 min and pH of umbilical artery) were investigated. Results The cerebral circulation was judged to be good in all pregnancies. No symptoms due to M oyamoya disease intrapartum were seen in the vaginal delivery cases. Conclusion Our findings indicate that vaginal delivery is viable in pregnancy with M oyamoya disease and that unnecessary cesarean section may be avoided. These findings are limited by the retrospective nature of the study.