Volume 2, Issue 1 And Supplement (Winter 2021)
J Vessel Circ 2021, 2(1 And Supplement): 30-30 |
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Zafarmand S, Javanmardi H, Amiri M, Maneshi M, Afshin Borhani-Haghighi A. Evaluation of the Cerebrovascular Diseases during Pregnancy and Postpartum. J Vessel Circ 2021; 2 (1) :30-30
URL: http://jvessels.muq.ac.ir/article-1-113-en.html
URL: http://jvessels.muq.ac.ir/article-1-113-en.html
Shaghayegh Zafarmand * 
1, Haniyeh Javanmardi1 , Maryam Amiri1 , Masoud Maneshi1 , Afshin Afshin Borhani-Haghighi2
1, Haniyeh Javanmardi1 , Maryam Amiri1 , Masoud Maneshi1 , Afshin Afshin Borhani-Haghighi2
1- Clinical Neurology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2- Department of Neurology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
2- Department of Neurology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract: (710 Views)
Background and Aim: Pregnancy and postpartum are critical periods for patients with neurological complications. In this study, we aimed to evaluate the clinical characteristics and outcome of pregnant women with cerebrovascular disorders.
Materials and Methods: This cross-sectional study reviewed pregnant women with cerebrovascular signs and symptoms, who were registered in the Medical Care Monitoring Center (MCMC) database of Shiraz University of Medical Sciences 2013-15. A questionnaire was designed to record each patient’s information including demographic variables, past medical history, clinical presentation, obstetric profile, and fetal/maternal outcomes.
Results: Totally 29 mother with cerebral venous sinus thrombosis (CVST), 3 mother with ischemic stroke and 8 mother with cerebral hemorrhage were registered in the database. 50% of Unilateral neurological symptoms were initiated in the third postpartum period. Gestational hypertensive disorders and diabetes were observed in 15% and 7.5% of the patients. About 73% of neonates were born healthy at term. Twenty-one percent of neonates were born by NVD and 79% via C/S. Abortion, preterm delivery, and stillbirth occurred in 2.5%, 5%, and 7.5% of our patients, respectively.
Conclusion: Unilateral neurological symptoms were more common in the third trimester and postpartum period. Consequently, observation and follow-up of mothers during postpartum, period has important role in reducing the risk of cerebrovascular diseases.
Materials and Methods: This cross-sectional study reviewed pregnant women with cerebrovascular signs and symptoms, who were registered in the Medical Care Monitoring Center (MCMC) database of Shiraz University of Medical Sciences 2013-15. A questionnaire was designed to record each patient’s information including demographic variables, past medical history, clinical presentation, obstetric profile, and fetal/maternal outcomes.
Results: Totally 29 mother with cerebral venous sinus thrombosis (CVST), 3 mother with ischemic stroke and 8 mother with cerebral hemorrhage were registered in the database. 50% of Unilateral neurological symptoms were initiated in the third postpartum period. Gestational hypertensive disorders and diabetes were observed in 15% and 7.5% of the patients. About 73% of neonates were born healthy at term. Twenty-one percent of neonates were born by NVD and 79% via C/S. Abortion, preterm delivery, and stillbirth occurred in 2.5%, 5%, and 7.5% of our patients, respectively.
Conclusion: Unilateral neurological symptoms were more common in the third trimester and postpartum period. Consequently, observation and follow-up of mothers during postpartum, period has important role in reducing the risk of cerebrovascular diseases.
Type of Study: Research |
Subject:
stroke
Received: 2021/08/1 | Accepted: 2021/02/28 | Published: 2021/02/28
Received: 2021/08/1 | Accepted: 2021/02/28 | Published: 2021/02/28
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