Sat27November0445PM 34

Which of the following is true and which false regarding stroke in pregnancy?

True / False

Is rarer in women with a history of migraine Correct

Is normally caused by intracerebral haemorrhage Incorrect answer selected

Has a mortality rate of 20% Correct

Occurs with an incidence of 150 per 100,000 maternities Correct

Is commoner in women with gestational diabetes Correct

Explanation

Stroke is an important cause of morbidity and mortality in pregnant women. Whilst the incidence is low, the high levels of mortality and morbidity are considerable and anaesthetists should be aware of incidence, risk factors and underlying pathology.

According to the UK Obstetric Surveillance System (UKOSS) between October 2007 and March 2010, 30 cases of antenatal stroke were reported giving an estimated incidence of 1.5 per 100,000 maternities. A non-haemorrhagic cause was commonest.

Migraine, gestational diabetes and pre-eclampsia were found to be risk factors for stroke in pregnancy.

Reference:

Scott CA, Bewley S, Rudd A, et al. Incidence, risk factors, management, and outcomes of stroke in pregnancy. Obstet Gynecol. 2012;120:318-24.

UK Obstetric Surveillance System (UKOSS). Stroke in Pregnancy: Incidence, Risk Factors, Management and Outcomes.

Answer Statistics

Not enough data to display the statistics

Average score: 66.06%

Times answered: 274