Incidence, predictors, types and outcome of Post-Partum stroke: A population based study

Area of Science:

• Neurology
• Obstetrics
• Public Health

Background:

• Postpartum stroke incidence is increasing worldwide.
• Understanding risk factors and outcomes is crucial for timely intervention.

Purpose of the Study:

• To determine the incidence rate of postpartum stroke.
• To identify predicting factors for postpartum stroke.
• To evaluate the functional outcomes of postpartum stroke.

Main Methods:

• A one-year bidirectional study comparing postpartum stroke cases with a matched control group.
• Analysis of exposure variables including BMI, anemia, parity, smoking, medical history, and proteinuria.
• Assessment of incidence and functional outcomes using modified Rankin Score.

Main Results:

• The incidence rate was 112 new strokes per 100,000 deliveries.
• Significant risk factors identified: overweight, anemia, grandmultiparity, smoking, prior stroke, migraine, infection, and heavy proteinuria.
• 79% of patients had good functional outcomes, but 21% had poor outcomes, with 11% mortality.

Conclusions:

• Postpartum stroke incidence is a growing concern, especially in lower-income settings.
• Prompt identification and management of risk factors are essential.
• Effective interventions can improve patient outcomes and reduce mortality.