Hemorrhagic stroke and pregnancy


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Abstract

Objective. To study the course of pregnancy and to optimize delivery in women with hemorrhagic stroke. Subjects and methods. Forty-one pregnant women aged 20 to 40 years with hemorrhagic stroke were followed up. Seven of them developed the stroke during this pregnancy. All the women underwent clinical examination, hemostatic study, computed tomography (CT), magnetic resonance imaging, and consultations by a neurologist, a neurosurgeon, and an anesthesiologist. Results. After the examination, a delivery plan was consultatively elaborated: 22 (53.7%) pregnant women delivered a baby via cesarean delivery, 19 (46.3%) had vaginal deliveries, including those that occurred with obstetrical forceps and fetal vacuum extraction in 2 (4.9%) and 6 (14.6%) cases, respectively. Conclusion. Forty-two babies (one twin) were born; 39 (92.8%) infants were satisfactorily discharged together with their mothers; 3 (7.2%) (two of the twin and another baby after a premature birth) were transferred to the second nursing step. There were no maternal and perinatal deaths.

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About the authors

Vladislav I. Krasnopolsky

Moscow Regional Research Institute of Obstetrics and Gynecology

Member of RAS, Director

Lydia S. Logutova

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: lidia_logutova@mail.ru
Doctor of Medicine, Professor, Deputy Director for Science

Ketevan N. Akhvlediani

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: akhketi@mail.ru
PhD, senior researcher of physiological obstetric department

Arina A. Travkina

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: arinamamba@mail.ru
post-graduate, department of physiological obstetric

Andrey Yu. Lubnin

Academician N.N. Burdenko Research Institute of Neurosurgery

Email: lubnin@nsi.ru
doctor of medical sciences, professor, head of the intensive care unit

Vasily A. Petrukhin

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: lakmoniiag@mail.ru
MD, professor, head of the obstetrical department of physiological

Pavel N. Vlasov

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia

Email: vpn_neuro@mail.ru
Doctor of Medicine, Professor of Medical Faculty of Nervous Diseases

Andrey P. Melnikov

Moscow Regional Research Institute of Obstetrics and Gynecology

PhD, senior researcher of physiological obstetric department

Tatiana S. Budykina

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: budit@mail.ru
Doctor of Medicine, head of the clinical diagnostic laboratory

Tatyana Stanislavovna Kovalenko

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: zurik2668@yandex.ru
PhD, senior researcher of physiological obstetric department

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