Background In recent years, as a one of the major obstetric complications, many stroke cases are occurred among women of the reproductive age groups associated with pregnancy and birth rates.… Click to show full abstract
Background In recent years, as a one of the major obstetric complications, many stroke cases are occurred among women of the reproductive age groups associated with pregnancy and birth rates. Method Total of 5272 stroke patients were admitted in the Stroke Department of the Third State Central Hospital from 1 November 2013 to 01 December 2018. From them, 35 women, who were admitted due to pregnancy and postpartum period, were selected. Results During the five years of the study, a total of 35 maternal stroke cases were analyzed. In all cases, women aged 16–49 are dominated and average age was 31.4 ± 6.8. Early pregnancy (16–19 age) were 3 (8.6%), late pregnancy (above 35 age) were 9 (25.7%). Types of stroke were determined in all cases, hemorrhagic 12 (34.3%) ischemic 12 (34.3%), subarachnoid hemorrhage 7 (19.9%). Two cases of them located in spinal cord and four cases (11.4%) were cerebral venous sinus thrombosis. Evaluation of risk factors revealed that 12 cases were caused by high blood pressure associated with pregnancy, 15 cases were associated with preeclampsia, 10 cases were associated cerebrovascular anomaly. Our this study was no maternal mortality. Conclusion According to the results of the study, women aged above 35 years old, are commonly affected by stroke due to complication of pregnancy. The main risk factors are high blood pressure, cerebrovascular disorder, and coagulopathy such as venous stasis.
               
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