O.A. SHAPOVALOVA¹, V.A. NOVIKOVA², A.S. OLENEV²

¹Kuban State Medical University, 4 Sedin Str., Krasnodar, Russian Federation, 4350063

²Peoples’ Friendship University of Russia (RUDN), 6 Miklukho-Maklay Str., Moscow, Russian Federation, 117198

  Shapovalova O.A. — postgraduate student of the Department of Obstetrics, Gynecology and Perinatology, Faculty of Advanced Studies and Professional Retraining of Specialists, tel. (861) 222-01-14, e-mail: shapovalova_25@mail.ru

Novikova V.A. — D. Sc. (medicine), Professor of the Department of Obstetrics, Gynecology with a course of perinatology, e-mail: vladislavan@mail.ru, ORCID ID: 0000-0002-6109-7331

Olenev A.S. — PhD (medicine), Associate Professor of the Department of Obstetrics, Gynecology with a course of perinatology, tel. (495) 613-45-09, e-mail: olenevAS@zdrav.mos.ru

Objective — to analyze current information about gestationally conditioned prerequisites for maternal cerebrovascular disorders.

Material and methods. The Russian and foreign literary sources, published in the literature databases ELibrary, PubMed, MEDLINE, Cochrane Library (Cochrane Review), reflecting modern achievements in the study of cerebral circulation disorders associated with pregnancy, are analyzed.

Results. The analysis of the Russian and foreign literary sources, reflecting world approaches in assessing the risks of acute violations of cerebral blood flow during pregnancy and after delivery, is presented. The clinical protocols, regulating the tactics of pregnancy management, the choice of the method and terms of delivery under acute disorders of cerebral blood circulation, associated with pregnancy, are presented.

Conclusion. To date, significant risks for gestationally caused acute and chronic cerebral circulatory disorders remain. The participants of the presented studies demonstrate controversy in terminology and diagnosis of cerebral blood circulation disorders based on its genesis. Modern clinical and scientific experience proves the relationship not only between pregnancy and stroke, but also between preeclampsia and the risks of acute or chronic disturbance of the maternal cerebral blood circulation.

Key words: stroke associated with pregnancy, preeclampsia, dyscirculatory encephalopathy, chronic cerebral ischemia, pregnancy, postpartum period.

(For citation: Shapovalova O.A., Novikova V.A., Olenev A.S. Gestationally conditioned presupposition for maternal cerebrovascular disorders (literature review). Practical Medicine. 2018)

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