Aneurysmal subarachnoid hemorrhage (aSAH) is an emergent condition requiring rapid intervention and prolonged monitoring. There are few recommendations regarding the management of aSAH in pregnancy. We identified all available literature and compiled management decisions as well as reported outcomes through a systematic literature review without meta-analysis to provide recommendations for management of aSAH during pregnancy. We included a total of 23 articles containing 54 cases of pregnancy-related aSAH in our review. From these reports and other literature, we evaluated information on aSAH pathophysiology, diagnosis, and management with respect to pregnancy. Early transfer to an appropriate facility with neurocritical care, a high-risk obstetric service, and a neurosurgery team available is crucial for the management of aSAH in pregnancy. Intensive monitoring and a multidisciplinary approach remain fundamental to ensure maternal and fetal health.

动脉瘤性蛛网膜下腔出血 (aSAH) 是一种紧急情况，需要快速干预和长时间监测。关于妊娠期 aSAH 管理的建议很少。我们通过没有荟萃分析的系统文献综述确定了所有可用的文献并汇编了管理决策以及报告的结果，为妊娠期 aSAH 的管理提供了建议。在我们的综述中，我们总共纳入了 23 篇文章，其中包含 54 例与妊娠相关的 aSAH。从这些报告和其他文献中，我们评估了与妊娠相关的 aSAH 病理生理学、诊断和管理信息。早期转移到具有神经重症监护、高风险产科服务和可用神经外科团队的适当机构对于妊娠期 aSAH 的管理至关重要。