Pregnancy-Related Strokes Increasing

The percentage of pregnant women hospitalized for stroke has climbed in recent years at the same time that postpartum strokes have climbed markedly, researchers found.

Among hospitalizations in the prenatal period, the rate of any type of stroke increased by a relative 47% -- from 0.15 to 0.22 per 1,000 deliveries -- from 1994 to 2007, according to Elena Kuklina, MD, PhD, of the CDC's Division of Heart Disease and Stroke Prevention in Atlanta, and colleagues.

An even more striking trend was observed among postpartum hospitalizations, as the rate of any type of stroke increased by a relative 83% -- from 0.12 to 0.22 per 1,000 deliveries, the researchers reported online in Stroke: Journal of the American Heart Association .

The rate of stroke during hospitalizations related to delivery, however, remained steady during the study period at 0.27 per 1,000 deliveries.

"In addition to the issues of the benefits, safety, and efficacy of anticoagulation and thrombolytic therapy in pregnancy, our results indicating a growing number of pregnancy hospitalizations with stroke highlighted other areas that demand attention of the clinical and research communities," Kuklina and colleagues wrote.

"They include monitoring the prevalence of pregnant women with indications for anticoagulation therapy; estimating physicians' compliance with and patients' adherence to current evidence-based recommendations for prevention and treatment of stroke and their effects on fetal, neonatal, and maternal outcomes; and identifying new, emerging risk factors for stroke among pregnant women," they wrote.

Previous studies have shown that rates of risk factors for stroke -- including heart disease, hypertensive disorders, diabetes, and postpartum hemorrhage -- have been increasing among pregnant women, which led the researcher to investigate stroke in this population.

They examined hospital discharge data from the Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project for pregnancy-related hospitalizations that involved a stroke during the antenatal, delivery, and postpartum periods from 1994 to 1995 and 2006 to 2007.

Six types of stroke were considered -- subarachnoid hemorrhage, intracerebral hemorrhage, ischemic stroke, transient ischemic attack, cerebral venous thrombosis, and unspecified stroke.

During the study period, the total number of pregnancy-related hospitalizations that involved a stroke increased by a relative 54% -- from 4,085 to 6,293.

Types Of Stroke - News


Pregnancy-Related Strokes Increasing
Pregnancy-Related Strokes Increasing

The percentage of pregnant women hospitalized for stroke has climbed in recent years at the same time that postpartum strokes have climbed markedly, researchers found. Among hospitalizations in the prenatal period, the rate of any type of stroke



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The Different Stroke Types | Health | Health News Articles

The ischemic stroke is the most common type of stroke. Almost 80% of all stroke cases are of ischemic stroke. The ischemic stroke occurs when a blood vessel in the brain is blocked. Regular supply of fresh blood is vital to brains health. If a blood vessel is blocked, the brain cells cannot receive blood rich of oxygen and nutrients and they stop working. If the blood supply is stopped for more than a few minutes the brain cells start dying. The ischemic stroke may be caused by many reasons but the most common one is narrowing the arteries of the neck and the head. If the blood vessels become too narrow blood cells start to collect and form blood clogs. These clogs may block the blood vessel or dislodge and get closer to the brain and again clog the blood vessel. An ischemic stroke may be also caused by drug abuse, injury, or disorders of blood clotting.

Intracerebral Haemorrhage The intracerebral haemorrhage stroke occurs when a blood vessel inside the brain bursts. In this case blood just leaks out causing high pressure to the cells that surround the leak. If the blood leaks out rapidly there might be a severe brain damage and even death. The intracerebral haemorrhage usually occurs in selected parts of the brain and that is why the damages may be to selected functions of the body. The intracerebral haemorrhage stroke is caused by high blood pressure and it may occur in people of all ages including children. Overall around 12% of all strokes are of this type.

Subarachnoid Haemorrhage The subarachnoid haemorrhage occurs when a blood vessel just outside the brain bursts causing blood to leak out. The area of the skull surrounding the brain fills with blood and that is why people experiencing subarachnoid haemorrhage may feel sudden severe headache, neck pain, and nausea or vomiting. This kind of stoke is typical for people of all ages, especially for young adults and teenagers. It is more common for women than for men and is caused by a disease of the arteries. It may develop from birth or in childhood and grow very slowly.

Keith Londrie II is the Webmaster of http://life-after-strokes.


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Types Of Stroke - Bookshelf

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