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Caesarean section is known to be associated with significantly increased risk of adverse maternal outcomes compared with vaginal delivery in healthy pregnancy. Nevertheless, a common perception exists among the general population and some health professionals that caesarean section is safer for the mother and baby in high-risk pregnancies. This manuscript examines the literature regarding the risks and outcomes related to mode of delivery in pregnancy complicated by disorders of the central nervous system. With the exception of women with raised intracranial pressure, and some women with Von Hippel-Lindau syndrome, the available evidence suggests that the mode of delivery should be based upon obstetric indications. <\/jats:p>","DOI":"10.1177\/1753495x211000176","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T05:12:45Z","timestamp":1617858765000},"page":"11-18","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Pregnancy complicated by neurological and neurosurgical conditions \u2013 The evidence regarding mode of delivery"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9887-714X","authenticated-orcid":false,"given":"Adam","family":"Morton","sequence":"first","affiliation":[{"name":"Obstetric Medicine Department, Mater Hospital, South Brisbane, Australia"},{"name":"Faculty of Medicine, University of Queensland, St Lucia, 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