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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Stroke in Pregnancy: A Multidisciplinary Approach.
Erica C Camargo1, Aneesh B Singhal1
1Department of Neurology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, WACC 729-C, Boston, MA 02114, USA.
Obstetrics and Gynecology Clinics of North America
|February 12, 2021
Summary
Pregnancy significantly elevates stroke risk, particularly in late pregnancy and postpartum. Key factors include hypertensive disorders and blood clotting changes, with hemorrhagic stroke being most common.
Area of Science:
- Neurology
- Obstetrics
- Cardiovascular Medicine
Background:
- Pregnancy substantially increases stroke risk, peaking in the third trimester and up to six weeks postpartum.
- Hypertensive disorders of pregnancy and gestational hypercoagulability are significant contributors to obstetric stroke.
- Preeclampsia and eclampsia are linked to future cardiovascular disease risk.
Purpose of the Study:
- To review the risk factors and types of stroke during pregnancy.
- To highlight the common complications and underlying mechanisms of obstetric stroke.
Main Methods:
- Literature review of obstetric stroke.
- Analysis of stroke types, causes, and associated conditions during pregnancy.
Main Results:
- Hemorrhagic stroke is the most prevalent type of obstetric stroke.
- Ischemic stroke causes include cardiomyopathy, paradoxical embolism, posterior reversible encephalopathy, reversible cerebral vasoconstriction syndrome, and dissections.
- Cerebral venous sinus thrombosis is a frequent pregnancy complication.
Conclusions:
- Pregnancy-associated stroke is a serious concern with diverse etiologies.
- Understanding these risks is crucial for maternal and future cardiovascular health management.
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