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Introduction to neurological disorders

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Neurological conditions can pre-date or occur for the first time in pregnancy. Whilst epilepsy is not uncommon, many neurological conditions are relatively rare and most obstetricians will have limited experience in this area. Furthermore, there are few randomised clinical trials to guide evidence-based practice in this area.

Learning objectives

When you have completed this tutorial you will:

  • be aware of the neurological disorders most likely to present in a pregnant woman
  • recognise the role of prenatal counselling, particularly with regard to epilepsy
  • understand the risk of teratogenicity, with particular reference to anticonvulsants
  • appreciate the maternal effects of neurological disorders in pregnancy
  • appreciate the fetal/neonatal effects of neurological disorders in pregnancy
  • be able to manage a pregnancy complicated by neurological disease
  • be able to give advice on contraception to women with neurological disease

Last updated: 24/03/2011 (tutorial updated in line with CMACE guidelines)

01/02/11 (eight new images were added)

26/01/11 (tutorial was reviewed and updated by Dr Fiona Fairlie)

05/05/10 (the section on Epilepsy in pregnancy was reviewed and updated by Dr Fiona Fairlie)

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