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Prevention and Management of Stroke in Obstetrics and Gynecology


Clinical Obstetrics and Gynecology: June 2018 - Volume 61 - Issue 2 - p 235–242
doi: 10.1097/GRF.0000000000000367
The Prevention and Management of Thrombosis in Obstetrics and Gynecology

Stroke risk is 3 times higher in pregnancy than in the general young adult population and carries high morbidity and mortality risks. The recognition of signs and symptoms of stroke and other serious cerebrovascular disorders in pregnant and postpartum patients is important for the obstetrician to be able to initiate urgent evaluation and management. The objective of this review is to provide an evidence-based summary of stroke incidence, risk factors, prevention, and treatment of stroke in pregnancy. The impact of postpartum contraceptive use can on stroke risk is summarized.

Department of Neurology, Wake Forest School of Medicine, Winston Salem, North Carolina

Supported by the Department of Neurology, Wake Forest School of Medicine.

The authors declare that they have nothing to disclose.

Correspondence: Cheryl Bushnell, MD, MHS, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC. E-mail:

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