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FAQ: Stroke Prevention and Treatment During Pregnancy and Postpartum
TL;DR
The American Heart Association's new guidelines offer healthcare providers a strategic advantage in preventing maternal strokes through early blood pressure control and risk assessment.
The statement details stroke prevention through lifestyle modifications, blood pressure management, and anti-clotting medications, with diagnosis via safe imaging and treatment including mechanical thrombectomy.
This research improves maternal and infant health outcomes by emphasizing coordinated care, emotional recovery support, and addressing racial disparities in pregnancy-related stroke risks.
Pregnancy-related strokes affect 20-40 per 100,000 pregnancies, with postpartum being the highest risk period, yet most are preventable through aggressive blood pressure management.
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The statement focuses on stroke prevention, rapid diagnosis, timely treatment, and recovery during pregnancy and postpartum, detailing risk factors and offering management suggestions for maternal stroke.
Stroke during pregnancy or shortly after delivery can be life-threatening and lead to serious complications including neurological deficits, long-term disability, increased risk of future strokes, and death for both mother and baby.
Stroke occurs in approximately 20 to 40 of every 100,000 pregnancies, and accounts for around 4-6% of pregnancy-related deaths annually in the U.S.
The two types are ischemic stroke (when a blood vessel supplying blood to the brain is blocked by a clot) and hemorrhagic stroke (when a blood vessel ruptures and bleeds into the brain).
Prevention strategies include risk factor modification through healthy lifestyle behaviors, managing high blood pressure, and using anti-clotting medications if needed.
The statement was developed by the American Heart Association and endorsed by the American College of Obstetricians & Gynecologists.
Pregnant and postpartum women have historically been excluded from clinical trials due to ethical concerns, resulting in limited evidence for healthcare professionals to manage stroke in these patients.
More research on maternal stroke, including clinical trials, is needed to refine stroke risk assessment, expand treatment options, and improve maternal and fetal health.
They should focus on controlling blood pressure and other stroke risks before and after delivery, responding immediately to stroke warning signs, and providing timely treatment.
Readers can visit the American Heart Association's website at http://www.heart.org/statistics or the stroke organization's website at https://www.stroke.org/en/about-stroke for more information.
Curated from NewMediaWire

