Pregnancy-associated hemorrhagic stroke: A nationwide survey in Japan.
hemorrhage
hypertension, pregnancy
stroke
survey
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
revised:
10
02
2021
received:
16
11
2020
accepted:
09
03
2021
pubmed:
7
4
2021
medline:
22
6
2021
entrez:
6
4
2021
Statut:
ppublish
Résumé
The number of maternal deaths due to pregnancy-associated hemorrhagic stroke has not decreased despite a gradual decrease of maternal death in Japan. This study aimed to clarify the risk factors of hypertensive disorders of pregnancy-associated hemorrhagic stroke. This retrospective study analyzed pregnancy-associated hemorrhagic stroke patients with hypertensive disorders of pregnancy between 2013 and 2017 among 407 Japanese maternal and perinatal centers. Patients were divided into good or poor outcome groups and their maternal backgrounds and neonatal prognoses were compared. We analyzed 61 cases, including 41 survival and 20 death cases, obtained from a secondary survey. Among the 61 hemorrhagic stroke cases, 62% were related to hypertensive disorders. Hypertensive disorders of pregnancy were observed in 75% of death cases. Use of MgSO Pregnant women who present with a hypertensive disorder at an outpatient clinic probably need to undergo blood tests and careful observation. Delayed systemic evaluation and intensive care for only a few days may result in the development of hemorrhage.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2066-2075Subventions
Organisme : Health and Labor Sciences Research Grant
ID : H30-healthcare-general-014
Informations de copyright
© 2021 Japan Society of Obstetrics and Gynecology.
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