Clinical features and management of ischemic stroke during pregnancy and puerperium
10.3760/cma.j.cn113903-20220923-00845
- VernacularTitle:妊娠及产褥期缺血性脑卒中的临床特点和治疗策略
- Author:
Guiguo ZHANG
1
;
Yao ZHOU
;
Guanghai LIU
;
Hongzhen LIU
;
Hao LIU
Author Information
1. 山东第一医科大学第二附属医院妇产科，泰安 271000
- Keywords:
Pregnancy complications;
Postpartum period;
Brain ischemia;
Ischemic stroke;
Thrombolytic therapy
- From:
Chinese Journal of Perinatal Medicine
2023;26(9):754-759
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical features and treatment strategies of ischemic stroke during pregnancy and puerperium.Methods:This study retrospectively analyzed the clinical data of six women diagnosed with ischemic stroke during pregnancy and puerperium by cranial CT or MRI at the Second Affiliated Hospital of Shandong First Medical University from January 2013 to December 2021. Descriptive data analysis was performed.Results:There were 31 082 deliveries at the hospital in this period. The incidence of ischemic stroke during pregnancy and puerperium was 0.019% (6/31 082) during the study period. Among the six patients, three occurred in early pregnancy, one in late pregnancy, and two in the puerperium. The most common symptoms included headache, nausea, vomiting, blurred vision, convulsions, and limb movement disorders. All six patients received conservative treatment. Two term neonates were born vaginally, and one preterm infant was delivered by cesarean section. None of the three babies had any significant malformations or abnormalities in growth and development. Two pregnancies were terminated, and one received a medical abortion due to a missed abortion after embryo arrest.Conclusions:Symptoms of ischemic stroke during pregnancy and puerperium are atypical. The treatment should be individualized based on a comprehensive assessment of the etiology, severity, and maternal and fetal conditions. Maternal and fetal conditions and gestational weeks should be considered in obstetric management.
