Maternal Stroke Associated With Pregnancy

Miller, Eliza C.

doi:10.1212/con.0000000000001078

Cited by 11 publications

(8 citation statements)

References 130 publications

(280 reference statements)

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“…Ischemia of the retina is the equivalent of cerebral stroke and should be managed similarly. For more information on stroke in pregnancy, refer to the article “Maternal Stroke Associated With Pregnancy” by Eliza C. Miller, MD, MS, 27 in this issue of Continuum .…”

Section: Blurry Vision In One Eye (Can Impact Both Eyes)mentioning

confidence: 99%

Neuro-ophthalmology and Pregnancy

Moss¹

2022

CONTINUUM: Lifelong Learning in Neurology

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PURPOSE OF REVIEWThis article summarizes the impact of pregnancy on neuro-ophthalmic pathways and presents an approach to the evaluation of pregnant women who have neuro-ophthalmic symptoms or signs.RECENT FINDINGSAdvances in noninvasive ophthalmic imaging have increased knowledge of the impact of pregnancy on ocular blood flow, which may have relevance for understanding the impact of preeclampsia and eclampsia on the eye.SUMMARYThe framework for approaching neuro-ophthalmic symptoms and signs in pregnant women is similar to the general approach for people who are not pregnant. Visual symptoms are common in preeclampsia and eclampsia. Some diseases that impact the neuro-ophthalmic pathways are more common in pregnant women. Pregnancy should be considered when recommending the workup and treatment for neuro-ophthalmic symptoms and signs.

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Section: Blurry Vision In One Eye (Can Impact Both Eyes)mentioning

confidence: 99%

Neuro-ophthalmology and Pregnancy

Moss¹

2022

CONTINUUM: Lifelong Learning in Neurology

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“…However, this number might be as high as 20%. 8 Preeclampsia was also shown to have an incidence of 7% to 9% [11][12][13]. Preeclampsia was shown to affect 5.80 percent of pregnant women in a study by Prakash et al A total of 142 pregnant women participated in the current research, with 45.80% experiencing mild preeclampsia, 22.50% experiencing moderate preeclampsia, and 31.70% experiencing eclampsia.…”

Section: Discussionmentioning

confidence: 99%

Fundoscopic Findings in Pregnancy Related Hypertensive Disorders and Its Association with Maternal and Fetal Outcomes

Fakhir¹,

Shamsher²,

Anbreen³

et al. 2022

PJMHS

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Objectives: To determine the prevalence of retinal changes in pregnancy-related hypertensive disorders and their association with maternal and fetal outcomes. Introduction: There is a grave risk to both mother and child when hypertensive problems complicate pregnancy. However, hypertensive sort of disorders during pregnancy have been allied to poor maternal and also neonatal outcomes. This research aimed to evaluate effects of hypertensive sort of disorders of pregnancy on both mothers and their unborn children by analyzing the prevalence, causes, and treatment of these conditions. Subjects and methods: BBH Rawalpindi, Inpatient Department of Gynecology and Obstetrics conducted the case-control research during the period from January 2021 to June 2021. In all, 149 patients participated in the research. Because seven patients could not be located, 142 cases were analyzed. Mild class preeclampsia (65.0 instances), severe class preeclampsia (32.0 hot cases), and also eclampsia (one case) were the subcategories used to categorize patients further, according to research. Thirty-one women who were not hypertensive throughout pregnancy were enlisted as controls. Results: Ninety percent of cases manifested with some edema. About a quarter basically patients had proteinuria above 300.0 mg/24 hours (26.76%), nearly half had proteinuria over two g/24 hours (47.18%), and about a quarter had urine protein based excretion of 3.0-5.0 g/24 hours (25.35%). Usually, incidence of specially HELLP (normally hemolysis, increased liver based special enzymes, and also squat platelet tot up) set of symptoms was 2.80%, raised bilirubin levels were seen in 47%, illustration symptoms occurred in 6.4%, vaginal based hemorrhage occurred in 11.30%, in addition to 42.2% of cases involved the central nervous system. It was shown that eclampsia was the cause of mortality in 2.8% of all maternal deaths. 16.9 percent of births were stillbirths, while 4.23 percent of newborns died. Conclusion: Compared to pregnant women with normal blood pressure, those who suffer from hypertensive disorders of pregnancy have a higher risk of having a baby born with complications. Our research did find a declining trend, although it was less than those seen in other studies; this may be because more of our study's births occurred in hospitals. Keywords: Neonatal outcome, maternal outcome, acute renal failure, and the HELLP syndrome

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“…In addition, pregnancy-associated stroke is the most common cause of serious long-term disability after pregnancy [17]. Onethird of pregnant or postpartum patients with ischemic strokes and half of those with hemorrhagic strokes will have residual deficits [18]. In particular, 50 % of pregnancy-associated hemorrhagic strokes are fatal [18].…”

Section: Consequences For Mother and Childmentioning

confidence: 99%

“…Onethird of pregnant or postpartum patients with ischemic strokes and half of those with hemorrhagic strokes will have residual deficits [18]. In particular, 50 % of pregnancy-associated hemorrhagic strokes are fatal [18]. Fatality in hemorrhagic SiPP is reported to be 13.9 %, compared with 3.4 % in ischemic SiPP [13].…”

Section: Consequences For Mother and Childmentioning

confidence: 99%

Stroke in Pregnancy and Puerperium - Current Knowledge, Questions and Controversies

Pavlović¹

2023

Arch. Psychiatry Res.

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Stroke associated with pregnancy and the postpartum period (SiPP) is not common but its consequences can be devastating both for the mother and the child. Pregnancy confers a substantially increased risk of stroke, especially during the third trimester and until 6 weeks postpartum. SiPP is heterogeneous both in aetiology and presentation as it includes both ischemic and haemorrhagic events as well as cerebral venous thrombosis. Specific risk factors for SiPP have been identified and well described, such as hypertensive disorders of pregnancy and a prothrombotic state. However, it is still a controversial issue if pregnancy should be considered a risk factor for stroke, although pregnancy and postpartum period clearly increase the stroke risk compared to non-pregnant time. Recent European Stroke Organization [ESO] guidelines addressed the management of acute SiPP while other issues, particularly primary and secondary prevention are still under investigated. There is also a lack of research and knowledge regarding long-term mother and foetus/child outcomes post-SiPP. This paper addresses current knowledge on SiPP management and prognosis and discusses new challenging clinical scenarios including the relationship between COVID-19 infection and SiPP.

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Maternal Stroke Associated With Pregnancy

Cited by 11 publications

References 130 publications

Neuro-ophthalmology and Pregnancy

Neuro-ophthalmology and Pregnancy

Fundoscopic Findings in Pregnancy Related Hypertensive Disorders and Its Association with Maternal and Fetal Outcomes

Stroke in Pregnancy and Puerperium - Current Knowledge, Questions and Controversies

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