Executive summary of the joint consensus statement from the European association of neurosurgical societies (EANS) and the world society of emergency surgery (WSES) on the management of the pregnant women with severe isolated traumatic brain injury

Scarce evidence is available regarding the management of severe traumatic brain injury (TBI) during pregnancy. The World Society of Emergency Surgery and the European Association of Neurosurgical Societies performed a multidisciplinary consensus conference involving 115 physicians with expertise in the management of severe TBI, including cases of pregnant women. A modified Delphi approach, including two online questionnaires were conducted between February and June 2025, was utilized. The list of statements (36) was distributed to the panelists to allow voting and to propose any comments and/or changes. The analysis of results was performed by an experienced non-voting methodologist. Statements were classified as strong suggestion, weak suggestion or no suggestion when > 85%, 75–85% and < 75% of votes were in favor, respectively. In this article we present the executive summary. A consensus was reached, generating 36 strong suggestions. This consensus provides practical suggestions for the management of severe isolated TBI during pregnancy in high-income countries. More research is required in this field.