Pregnancy‐Associated Stroke

Cerebrovascular accident, or stroke, is the fourth leading cause of death for all women and the eighth leading cause of pregnancy‐associated death. The physiologic changes of pregnancy increase the risk of cerebrovascular accident for women. With current incidence rates, a facility with 3300 births...

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Bibliographic Details
Published in:Journal of midwifery & women's health 2018-01, Vol.63 (1), p.23-32
Main Authors: Sanders, Bethany D., Davis, Melissa G., Holley, Sharon L., Phillippi, Julia C.
Format: Article
Language:English
Subjects:
Brain
cerebrovascular accident
Death & dying
Disease prevention
Female
gestational hypertension
Health risk assessment
hematologic changes of pregnancy
hemorrhagic stroke
Humans
Hypertension
Ischemia
ischemic stroke
Medical diagnosis
Morbidity
Mortality
Nursing
Pathophysiology
Patient assessment
Perinatal care
Postnatal Care
Postpartum Period
Postpartum women
Preeclampsia
Pregnancy
Primary care
Primary Health Care
Puerperal Disorders - therapy
Risk assessment
Risk Factors
Stroke
Stroke - etiology
Stroke - therapy
Thromboembolism
transient ischemic attack
venous thromboembolism
Womens health
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Summary:Cerebrovascular accident, or stroke, is the fourth leading cause of death for all women and the eighth leading cause of pregnancy‐associated death. The physiologic changes of pregnancy increase the risk of cerebrovascular accident for women. With current incidence rates, a facility with 3300 births per year can anticipate caring for one woman with a pregnancy‐related stroke at least every 2 years. All maternity care providers must be able to assess women experiencing stroke‐like symptoms and initiate timely care to mitigate brain tissue damage, decrease long‐term morbidity, and prevent mortality. The 2 main types of stroke, ischemic and hemorrhagic, have similar presenting symptoms but very different pathophysiology and treatment. This article reviews assessment and initial treatment of pregnant and postpartum women experiencing stroke and provides guidance for subsequent maternity and primary care to assist front‐line perinatal care providers who may be the first to treat affected women or may resume primary care after diagnosis.
ISSN:1526-9523
1542-2011
DOI:10.1111/jmwh.12720