Hemorrhagic Stroke in Pregnancy. Issue 1 (15th March 2023)

• Record Type: Journal Article
• Authors: Wang, Amanda; Saad, Antonio F.
• Is Part Of: Clinical obstetrics and gynecology. Volume 66:Issue 1(2023)
• Page Start: 223
• Page End: 230
• Publication Date: 2023-03-15
• Subjects: stroke -- hemorrhagic stroke -- intracranial hemorrhage -- pregnancy -- subarachnoid hemorrhage -- postpartum; Obstetrics -- Periodicals; Gynecology -- Periodicals; Obstétrique -- Périodiques; Gynécologie -- Périodiques; 618.05
• DOI: 10.1097/GRF.0000000000000739
• Languages: English
• ISSNs: 0009-9201

Abstract

Abstract : Hemorrhagic stroke carries a high risk of disability and mortality. The obstetrical population is at increased risk. Prompt diagnosis and maternal stabilization with a multidisciplinary approach are the mainstays in management. Computed tomography head is the diagnostic imaging of choice and is considered safe in pregnancy. Fetal status optimization before neurosurgery and delivery should be considered if the fetus is viable or if worsening maternal condition. Obstetric indications guide the mode of delivery. Cesarean delivery may be indicated to reduce increasing intracranial pressure. Neuraxial anesthesia should be considered to minimize catecholamine surges, reduce sedation, and control blood pressures.