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Indian Journal of Obstetrics and Gynecology

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Cerebrovascular Accidents in Pregnancy and Puerperium; Study of Epidemiology, Causative Factors, Diagnosis, Treatment and Prognosis in Tribal Population of South Rajasthan

Brig P.K. Bhatnagar, Associate Professor, Department of Obst and Gynae, Pacific Institute of Medical Sciences, Ambua Road, Village Umarda, Girva, Udaipur Rajasthan 313015, India. , Brigadier P.K. Bhatnagar

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Indian Journal of Obstetrics and Gynecology 5(3):p 395-399, Jul-Sep 2017. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5317.13

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Abstract

15% of maternal deaths in pregnancy and post natal period are due to cerebrovascular accidents (1). Severe pre eclamptic toxemia, eclampsia, genital tract infection and operative delivery are major contributors (2).The study has been undertaken to find potential risk factors for peripartum or postpartum stroke and intracranial venous thrombosis and prevention of catastrophe. All pregnant and puerpereal patients at Pacific Institute of Medical Sciences, Village Umarda, Ambua Road, Udaiur Rajasthan have been selected for the study for the duration of three years from 2014 to 2017. There were total 12 cases of cerebrovascular accident in pregnancy and puerperium. It is a retrospective study and risks were calculated on the basis of age, parity, mode of delivery, socio economic status, presence or absence of pre eclampsia. It has been observed that Stroke was more common in age more than 31 years (41.66%) para three and more (75%) post partum (41.66%) caesarean delivery (58.33%) severe pre eclampsia (58.33%). 33.33% were tobacco users and 66.66% were severely anemic and there were 16.66% maternal deaths. Regular antenatal checkup, prevention of preeclampsia and infection can bring down maternal mortality and morbidity to minimum.

Keywords: Cerebral Venous Thrombosis; Stroke; Ischemic Stroke; 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5317.13

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