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Total 345 results found since Jan 2013.

Pregnancy-Associated Stroke and Outcomes Related to Timing and Hypertensive Disorders
CONCLUSION: A nationally representative sample of hospitalizations in the United States indicates an increasing trend in the rate of postpartum stroke. Almost half of hospitalizations with pregnancy-associated stroke have concomitant hypertensive disorders. Risk of adverse outcomes, but not mortality, is elevated in patients with stroke occurring in the postpartum period and stroke associated with hypertensive disorders.PMID:37411017 | DOI:10.1097/AOG.0000000000005249
Source: Obstetrics and Gynecology - July 6, 2023 Category: OBGYN Authors: Ghamar Bitar Baha M Sibai Han-Yang Chen Natalie Neff Sean Blackwell Suneet P Chauhan Michal Fishel Bartal Source Type: research

Hypertensive disorders and pregnancy-related stroke: frequency, trends, risk factors, and outcomes.
CONCLUSION: Having traditional stroke risk factors substantially increased the stroke risk among hypertensive disorders of pregnancy hospitalizations. Stroke with hypertensive disorders in pregnancy had two distinctive characteristics: a greater increase in frequency since the mid-1990s and significantly higher stroke-related complication rates. LEVEL OF EVIDENCE: : III. PMID: 25560114 [PubMed - in process]
Source: Obstetrics and Gynecology - January 1, 2015 Category: OBGYN Authors: Leffert LR, Clancy CR, Bateman BT, Bryant AS, Kuklina EV Tags: Obstet Gynecol Source Type: research

Stroke recurrence in pregnancy: Experience at a regional referral center
ConclusionThere was no stroke recurrence during pregnancy or the postpartum period for the three groups of stroke.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - March 13, 2019 Category: OBGYN Source Type: research

A review of stroke in pregnancy: incidence, investigations and management
AbstractKey contentThe incidence of stroke in young and middle ‐aged adults is increasing, with pregnancy‐related strokes occurring in 30 in 100 000 pregnancies; strokes are three times more common among pregnant than among nonpregnant individuals aged 15–44 years.The investigation and management of stroke is changing because of the time ‐sensitive benefits of thrombolysis and thrombectomy in the acute management of ischaemic stroke.The approach to clinical assessment and investigation of a pregnant woman presenting with suspected stroke is not different from that of a non ‐pregnant patient:; timely brain imagi...
Source: The Obstetrician and Gynaecologist - November 13, 2019 Category: OBGYN Authors: Azy Khalid, Adriana Hadbavna, David Williams, Bridgette Byrne Tags: Reviews Source Type: research

Maternal death from stroke: a thirty year national retrospective review
Conclusion: This is the largest UK study examining the incidence of fatal maternal stroke in pregnancy and the puerperium. Our results highlight the high proportion of women who die from stroke in the puerperium. Sub-standard care featured especially in regard to management of dangerously high systolic blood pressure levels. These deaths highlight the importance of education in managing rapid-onset hypertension and superimposed coagulopathies.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - October 7, 2013 Category: OBGYN Authors: Lin Foo, Susan Bewley, Anthony Rudd Tags: Obstetrics and Maternal-Fetal Medicine Source Type: research

O68. Management of eclampsia and stroke during pregnancy
Conclusion These findings might aid the development of therapeutic strategies for pregnant women with eclampsia or stroke.
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - August 31, 2015 Category: OBGYN Source Type: research

Pregnancy-Related Stroke: A Review
Conclusions and Relevance Early recognition and management are integral in decreasing the morbidity and mortality associated with a stroke in pregnancy. Relevance Statement This study was an evidence-based review of stroke in pregnancy and how to diagnose and mange a pregnancy complicated by a stroke. Target Audience Obstetricians and gynecologist, family physicians Learning Objectives After completing this learning activity, the participant should be better able to identify the pregnancy-related risk factors for a stroke; explain the presenting signs and symptoms of a stroke in pregnancy; describe...
Source: Obstetrical and Gynecological Survey - June 1, 2022 Category: OBGYN Tags: CME ARTICLES Source Type: research

Stroke in Pregnancy
This article will review current information about the epidemiology, risk factors, pathophysiology, management, and outcomes of conditions associated with maternal stroke.Recent FindingsPregnancy confers a substantially increased risk of stroke in women. The period of highest risk of stroke is the peripartum and 6-week post-partum period, coinciding with the highest risk for hypertensive disorders of pregnancy and peak gestational hypercoagulability. Physiological changes of pregnancy, including hypercoagulable states, venous stasis, and hemodynamic changes, are significant contributors to maternal stroke. However, hyperte...
Source: Current Obstetrics and Gynecology Reports - February 22, 2023 Category: OBGYN Source Type: research

Distinguishing Arterial Ischemic Stroke From Hypoxic-Ischemic Encephalopathy in the Neonate at Birth.
CONCLUSION: Stroke is associated with increased initial platelet counts and is not associated with cesarean delivery for nonreassuring fetal heart rate tracings, sentinel events, or perinatal metabolic acidosis. Stroke is a form of neonatal brain injury not associated with perinatal risk factors that allow early identification. PMID: 27607878 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - September 4, 2016 Category: OBGYN Authors: Adami RR, Grundy ME, Poretti A, Felling RJ, Lemmon M, Graham EM Tags: Obstet Gynecol Source Type: research

Timing and Risk Factors of Postpartum Stroke.
CONCLUSION: Although patients with chronic hypertension and hypertensive diseases of pregnancy are at higher risk of postpartum stroke, they account for a minority of such strokes. The majority of readmissions for postpartum stroke occur within 10 days of discharge; optimal blood pressure management may be particularly important during this period. PMID: 29215510 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - December 4, 2017 Category: OBGYN Authors: Too G, Wen T, Boehme AK, Miller EC, Leffert LR, Attenello FJ, Mack WJ, DʼAlton ME, Friedman AM Tags: Obstet Gynecol Source Type: research

Risk of stroke in healthy postmenopausal women during and after hormone therapy: a meta-analysis
ConclusionsThese findings suggest that HT may increase the risk of stroke during, but not after, HT in healthy postmenopausal women.
Source: Menopause - October 30, 2014 Category: OBGYN Tags: Original Articles Source Type: research

Systolic Hypertension, Preeclampsia-Related Mortality, and Stroke in California.
CONCLUSION: Stroke is the major cause of maternal mortality associated with preeclampsia or eclampsia. All but one patient in this series of strokes demonstrated severe elevation of systolic blood pressure, whereas other variables were less consistently observed. Antihypertensive treatment was not implemented in the majority of cases. Opportunities for care improvement exist and may significantly affect maternal mortality. PMID: 31083120 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - May 8, 2019 Category: OBGYN Authors: Judy AE, McCain CL, Lawton ES, Morton CH, Main EK, Druzin ML Tags: Obstet Gynecol Source Type: research