Parkinson’s disease (PD) requires maintained medication, but the effects of PD and medication on maternal and fetal outcomes have not been well studied. The mode of delivery should be based on obstetric indications. Regional anesthesia is preferred, though positioning and tremor may make placement challenging. General anesthesia carries added risk to the already increased problems encountered during pregnancy. If general anesthesia is required, levodopa or apomorphine can be administered intraoperatively. Attentions should be paid to the selection of anesthetics regarding potential dopaminergic and/or extrapyramidal effects and conditions during emergence.
KeywordsParkinson’s disease Degenerative neurologic disorder Bradykinesia Muscular rigidity Dopamine agonists