Pregnancy and delivery after myelomeningocele repair, ventriculoperitoneal shunt implantation, and augmentation cystoplasty

Masahiro Kameda, Etsuko Takahara, Motomu Kobayashi, Katsumi Sasaki, Ryuta Morihara, Isao Date

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Management of pregnancy and delivery of a patient with a history of myelomeningocele requires a multidisciplinary team approach. Case report: We report a case of pregnancy and delivery by a patient who had a history of myelomeningocele surgical repair, ventriculoperitoneal (VP) shunt, and bladder augmentation enterocystoplasty. Regarding types of delivery style, anesthesiologists recommended a Cesarean section under general anesthesia. However, urologists recommended a vaginal delivery because they were concerned that she would require a nephrostomy because of severe adhesion between her uterus and the neobladder if she had a Cesarean section. Discussion: In a pregnant myelomeningocele patient with a VP shunt, neurosurgeons are expected to manage the VP shunt during pregnancy and delivery. The possible types of delivery style and the best options based on the neurological deficit should be discussed together with a medical team.

Original languageEnglish
Pages (from-to)1015-1017
Number of pages3
JournalChild's Nervous System
Volume33
Issue number6
DOIs
Publication statusPublished - Jun 1 2017

Keywords

  • Augmentation cystoplasty
  • Spina bifida
  • Vaginal delivery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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