Currently Viewing:
Newsroom
Currently Reading
CRISPR-Gene Editing Technology Successfully Treated Lethal Lung Disease in Animal Models
April 20, 2019 – Samantha DiGrande
Study Finds Patients Misdiagnosed With MS Increases Morbidity, Healthcare Costs
April 19, 2019 – Samantha DiGrande
Sensor-based Algorithm Detects Patient Response to Parkinson Therapies
April 19, 2019 – Samantha DiGrande
Analyzing the Scent of Parkinson Disease Could Lead to Diagnostic Tool
April 19, 2019 – Wallace Stephens
This Week in Managed Care: April 19, 2019
April 19, 2019
ctDNA Can Detect MRD and Early Cancer Recurrence in Colorectal Cancer
April 19, 2019 – Laura Joszt
5 Findings From the April 2019 Issue of AJMC®
April 19, 2019 – Christina Mattina
What We're Reading: Long-Term Care Benefits; Predicting Obesity; Montana Reauthorizes Medicaid Expansion
April 19, 2019 – AJMC Staff
AJMC® in the Press, April 19, 2019
April 19, 2019 – AJMC Staff

Maternal Stroke Risks at Delivery Include Infections, Race, Preliminary Research Finds

Allison Inserro
Stroke-related health risks of giving birth are highlighted in 2 posters that will be presented at the American Stroke Association's International Stroke Conference 2019, being held February 6-9, 2019, in Honolulu, Hawaii.
Stroke-related health risks of giving birth are highlighted in 2 posters that will be presented at the American Stroke Association's International Stroke Conference 2019, being held February 6-9, 2019, in Honolulu, Hawaii.

According to 1 set of preliminary research, the risk of pregnancy-related stroke is much higher among black women than among white women. Stroke is the fifth-leading cause of death in the United States, and women are more likely than men to have a stroke and to die as a result, the organization said in a statement. In addition, blacks are at a greater risk of suffering a stroke than whites.

It is already known that pregnancy increases stroke risk. To discover if stroke risk differs by race during and after delivery, researchers studied records from the Nationwide Inpatient Sample from 1998 to 2014. These records comprised nearly 68 million delivery hospitalizations and 1.1 million postdelivery hospitalizations for women aged 15 to 54.

Of the nearly 68 million delivery hospitalizations, 8241 women were diagnosed with stroke during delivery. Of the 1.1 million hospitalizations after delivery, 11,073 women were readmitted for stroke. After studying the deliveries, they found:
  • Black women were at 64% higher risk for stroke during delivery and 66% higher risk for stroke during postpartum admissions than white women.
  • Black and Hispanic women with pregnancy-related complications, such as preeclampsia, were twice as likely as white women to have a stroke during delivery.
  • Postpartum stroke hospitalizations for Hispanic women did not differ from white women.
Another poster and presentation shows an association between women diagnosed with an infection during delivery and a much greater risk of stroke after delivery.

Researchers examined more than 3.5 million delivery hospitalizations from the 2013 Healthcare Cost and Utilization Project National Readmissions Database, which compiles information on US hospital care. Out of 79,656 women who were readmitted to the hospital within 1 month after delivery, 225 were readmitted for stroke.

Researchers found:
  • A strong relationship between infections, including bladder infections, pneumonia, and sepsis during hospitalization for delivery and stroke within the following month.
  • Women with an infection during delivery hospitalization were more than 5 times as likely to be readmitted to the hospital for stroke.
  • Women readmitted for stroke were more than 3 times as likely to have had an infection during their delivery hospitalization, compared with women readmitted for other reasons.
The increased stroke risk occurred regardless of whether women had pregnancy-related complications.

Related Articles

Cost of Treating Strokes in U.S. Could Soar to $180B Annually by 2030: Report
CDC: Progress in Reducing Stroke Deaths Has Stalled
Gestational Diabetes Raises Heart Attack, Stroke Risk, NIH Study Finds
Marital Status and SES Associated With Higher Risk of Second Heart Attack, Stroke
Women Twice as Likely as Men to Suffer Severe Depression After a Stroke, Data Show
 
Copyright AJMC 2006-2018 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up