Pregnancy in Women With Cerebral Palsy

Cerebral palsy is a permanent, non-progressive, irreversible, non-curable condition with high co-morbidities and lifelong complications. Brain lesions may be present at birth or shortly after that. It may be congenital or acquired, prenatal, or abnormal brain development. The damage to the brain is non-progressive. It mainly affects movement, coordination, strength, and posture. Cerebral palsy is believed to increase women's chance of unfavorable pregnancy outcomes. According to studies, the main outcome of cerebral palsy in pregnant women is premature birth. Secondary outcomes like LSCS, labor induction, low 5-minute APGAR, small for gestational age (SGA), large for gestational age (LGA), and stillbirth point to the necessity for increased surveillance during prenatal treatment. A 27-year-old primigravida with a known case of dystonic Cerebral palsy since childhood presented with a history of nine months of amenorrhea, pain in the abdomen, and backache for one day. Per abdominal examination, the uterus was 34 weeks in size with Breech presentation, mild contractions were present, and a fetal heart rate of 146 beats per minute, which was regular. On per-vaginal examination cervical os was one finger loose, the show was present. The patient underwent a planned Lower segment caesarean section after neuro physician and anesthesiologist clearance and delivered a healthy female baby of 2.4 kg. Both mother and baby were stable.