[Peculiarities of labor in the apallic syndrome]

Pregnancy and delivery in neuropsychiatrically ill patients demand a special and individual procedure of Obstetrician. There ist reported about particularities in management of delivery a seventeen-year-old primipara, who catched a bad necritizing encephalomeningitis and a following rare apallic syndrome after 37 weeks of pregnancy. Beside bad disturbance of consciousness the missing registration of labour pains was striking above all. After a very short duration of delivery process there was an easy outsliding of the child from the complete relaxed birth canal. Pains as a cortical phenomenon depends on functionary condition of higher nervous centres and therefore it is subject of psychic control. In recent literature there were no sufficient clues to, that pregnancy and delivery are unfavourably influenced by encephalitic infection. Therefore we considered right an individual procedure of spontaneous management of delivery and worth to inform about the associated peculiarities.