Dataset Information
Preventability of stroke during pregnancy and postpartum.
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ABSTRACT: Background
The preventability of strokes during pregnancy and postpartum is understudied.Methods
We identified patients with ischemic and hemorrhagic strokes in pregnancy or within 12 weeks postpartum between 2009 and 2020 at an obstetric teaching hospital. We described the clinical course of the included cases. A multi-disciplinary panel adjudicated each occurrence of stroke according to a modified classification system for preventability.Results
Fifteen patients experienced a stroke during pregnancy or postpartum. Precisely, 60% presented with a headache, and 47% of events were complicated by severe obstetrical hypertension. Two cases were thought to be "possibly preventable" due to delays in presentation to care and miscommunication regarding hypertension management goals.Conclusion
In a cohort of pregnant and postpartum patients with stroke at a tertiary-care center, strokes may be prevented by future initiatives focusing on patient and provider education regarding early warning signs of pregnancy-associated stroke and hypertension thresholds and management specific to pregnancy.
SUBMITTER: Ding JJ
PROVIDER: S-EPMC11615985 | biostudies-literature | 2024 Dec
REPOSITORIES: biostudies-literature
Publications
Preventability of stroke during pregnancy and postpartum.
Obstetric medicine 20231117 4
<h4>Background</h4>The preventability of strokes during pregnancy and postpartum is understudied.<h4>Methods</h4>We identified patients with ischemic and hemorrhagic strokes in pregnancy or within 12 weeks postpartum between 2009 and 2020 at an obstetric teaching hospital. We described the clinical course of the included cases. A multi-disciplinary panel adjudicated each occurrence of stroke according to a modified classification system for preventability.<h4>Results</h4>Fifteen patients experie ...[more]
