Pregnancy with Stroke

Abstract

AbstractBackground: Pregnancy related stroke is a vital health problem that needs to be studied thoroughly in order to reach the point of well understand to the puthophysiologie basis and the role of preventive measures in management. Objectives: this study had been designed to find the frequency of stroke in relation to different periods of pregnancy and puerperium, to assess the affect of variable risk factors and their association with stroke is more frequent among pregnant ladies.Methods: this is a cross sectional study that enrolled 30 pregnant patients who had stroke either or puerperium and being admitted to Al- Yarmouk. Baghdad and Al-Kadhemia Teaching Hospitals during the period from the 1 st of January, 2001, to the 31 st of December, 2002. All of the patients, who had been included in this study, had been subjected to detailed history, physical and neurological examinations and investigations. Results: 63.3% of ladies included in this study acquired stroke during pregnancy, 80% of them had stroke during the third trimester and early weeks of puerperium. 2/3 rd of the sample had ischemic stroke. Impaired consciousness was the commonest presenting symptom with a frequency of 50 % of the sample. 53.3% of the sample was hypertensive, while 36.7% of them had no significant past medical history. Oral contraceptive pills had been used by 50% of the sample, 2/3 rd of those using oral contraceptive pills had ischemic stroke. 63.3%of the sample had cesarean delivery. 50%of the sample had history of abortion. 60% of who had positive history of recurrent abortion. Cerebellar signs were the least observed signs on the other hand; all of the patients included in this study had more dysfunction during the disease course. Conclusions: this study revealed that most of stroke happened during the 3 rd trimester and early weeks of puerperium .being hypertensive, whether pregnancy related or not, is the most important risk factor. In addition, other recognized risk factors included diabetes mellitus and use of oral contraceptive pills.