Aim: To study the course of pregnancy and delivery in women with cerebral venous thrombosis. Materials and methods. We analyzed the course of pregnancy, childbirth and perinatal outcomes in 7 pregnant women with cerebral venous thrombosis. In 3 of them, sinus thrombosis developed during pregnancy. All patients underwent an examination, including neuroimaging methods (computed tomography, magnetic resonance imaging and magnetic resonance imaging with venography), ophthalmoscopy, electroencephalography, ultrasound and duplex scanning of extra- and intracranial vessels, as well as an assessment of the hemostatic system and detection of thrombophilia. Results. When choosing the way of delivery, cesarean section was performed in 3 pregnant women, vaginal delivery occurred in 4 patients, among them, obstetric forceps were used in one case and vacuum extraction — in 2 cases. Three children were born in good condition, 2 children were born after the midforceps delivery and vacuum extraction with Apgar score of 7 and 8; on day 2 the condition of these children was considered good. Two children were born after caesarian section in fair condition with Apgar score of 6 and 8. Children were transferred to the phased nursing. There were no cases of maternal or perinatal deaths. Conclusion. The necessary principles in the management of pregnant women with cerebral venous thrombosis should be early diagnosis, identification of thrombophilia, the prescription of anticoagulants. The success of pregnancy and delivery of patients with cerebral venous thrombosis is based on the mandatory application of an interdisciplinary approach and the development of unified algorithms for pregnant women with obstetrician-gynecologists, neurologists, neurosurgeons, and anesthetists.