Most cherished Pregnancy may become life-threatening with neurological disorders. Sclerosis, epilepsy, myasthenia gravis, certain neuropathies and headache in pregnancy can lead to life-threatening conditions like stroke and eclampsia. Significant pregnancy management is required to understand the neurological disorders and the effects of it during pregnancy. The Easiest way to overcome the barriers of neurological disorders is pre-pregnancy counseling, effective communication, regular review and multidisciplinary management of neurological disorders.

Some common neurological complications 

Fortunately, there is an effective medicine for neurological disorders during pregnancy. The frequently occurring neurological disorders during pregnancy are,

1. Multiple Sclerosis

Multiple Sclerosis is known as MS and can be observed in women of childbearing age of 15 years to 45 years. It hardly affects pregnancy. Though in the first three months, the risk of relapse increases by 30 %. The risk normalizes after 10 months with no strong evidence. The high risk of relapse increases after delivery but effective social support is the best medication. During the third trimester, the immune system changes and there is increased production of tolerance –promoting signal molecules which help the patient to overcome Multiple Sclerosis.

2. Myasthenia Gravis

Myasthenia Gravis affects women between the ages of 20 to 45 years. It is caused by polyclonal immunoglobulin G (IgG) antibodies. It is associated with thyroid disease and thymoma. Women who are undergoing the treatment are given anticholinesterases which destroy neurotransmitters. The placenta is not affected by this medication. The women affected by Myasthenia Gravis are given broad immune system including IVIg, steroids, steroid-sparing agents like. azathioprine, methotrexate and mycophenolate. Methotrexate is absolutely contraindicated in pregnancy and should be avoided.

3. Epilepsy

Epilepsy is associated with maternal deaths via aspiration or the disorder itself. It is advisable to control epilepsy prior to pregnancy. Long episodes of epilepsy can be harmful to both the fetus and mother but it is relatively rare. Women who have significant seizures should deliver in a facility with on-site medical support but a history of epilepsy is not an indication for induction of labor or a caesarean section.

Medication for various neurological disorders in pregnancy

1. Multiple Sclerosis

There is a controversial opinion about pregnant women having Multiple Sclerosis. Suppression of the disease is more evident. The achieved therapies for the disease are yet to be more clarified to the masses.

2. Myasthenia Gravis

The disease becomes unpredictable during pregnancy and creates substantial risk for the mother and the unborn child. In a few cases, the condition of the mother deteriorates during puerperium. Majority of the women affected with the disease improve their condition during pregnancy with the help of proper medication. The condition of the women with Myasthenia Gravis deteriorates do not receive any treatment during the pregnancy period.

3. Epilepsy

The cesarean delivery or late pregnancy bleeding is not related to epilepsy and epilepsy medication pregnancy. However, women who are smoking and affected with epilepsy have a risk of premature labor. The women who are seizure-free for not less than nine months before pregnancy have a high chance of seizure-free pregnancy period.