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- W4385486629 abstract "Stroke is the seventh leading cause of death in pregnant women and requires a thoughtful approach when it occurs in order to optimize treatment for both the mother and the child. In this chapter, we aim to summarize the most up-to-date literature regarding the pathophysiology, workup, and treatment of maternal ischemic stroke. Maternal stroke, which is mostly likely to occur in the third trimester or postpartum period, may present with atypical symptoms that are important to recognize rapidly. The diagnostic imaging and lab tests that are conventionally ordered to determine the etiology of stroke are considered generally safe for the pregnant woman and the fetus, with the exception of post-gadolinium MRI. Acute treatment and secondary prevention should be chosen with the safety of both the mother and the fetus in mind. Although thrombolytic therapy is currently considered a contraindication in pregnant women, recent studies suggest that the complication rate is not greater than in other stroke patients. The use of invitro fertilization is growing, and future research should consider thrombotic risks surrounding this therapy. In summary, we demonstrate that informed approaches to the diagnosis and treatment of maternal ischemic stroke can help improve outcomes and decrease morbidity." @default.
- W4385486629 created "2023-08-03" @default.
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- W4385486629 date "2023-01-01" @default.
- W4385486629 modified "2023-09-23" @default.
- W4385486629 title "Maternal Stroke" @default.
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- W4385486629 doi "https://doi.org/10.1007/978-3-031-34103-8_11" @default.
- W4385486629 hasPublicationYear "2023" @default.
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