{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T04:21:00Z","timestamp":1774326060786,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,10,27]],"date-time":"2014-10-27T00:00:00Z","timestamp":1414368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Cesarean section is commonly selected in pregnancy with <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>oyamoya disease. We consider vaginal delivery with epidural anesthesia a viable alternative in such cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Mode of delivery and outcomes were examined in 27 pregnancies in 19 women with <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>oyamoya disease treated at the Department of Perinatology, National Cardiovascular Center, <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>apan, from 1983 to 2013. Of these 27 pregnancies, 20 were delivered vaginally with epidural anesthesia. The cerebral circulation, mode of delivery, maternal outcome (presence of symptoms due to <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>oyamoya disease intrapartum) and neonatal outcome (gestational week, birthweight, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pgar score at 5\u2009min and <jats:styled-content style=\"fixed-case\">pH<\/jats:styled-content> of umbilical artery) were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The cerebral circulation was judged to be good in all pregnancies. No symptoms due to <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>oyamoya disease intrapartum were seen in the vaginal delivery cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings indicate that vaginal delivery is viable in pregnancy with <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>oyamoya disease and that unnecessary cesarean section may be avoided. These findings are limited by the retrospective nature of the study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12557","type":"journal-article","created":{"date-parts":[[2014,10,27]],"date-time":"2014-10-27T05:55:45Z","timestamp":1414389345000},"page":"517-522","source":"Crossref","is-referenced-by-count":21,"title":["Vaginal delivery in pregnancy with <scp>M<\/scp>oyamoya disease: Experience at a single institute"],"prefix":"10.1111","volume":"41","author":[{"given":"Hiroaki","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Perinatology National Cerebral and Cardiovascular Center  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinji","family":"Katsuragi","sequence":"additional","affiliation":[{"name":"Department of Perinatology National Cerebral and Cardiovascular Center  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayo","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department 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