Strokes during pregnancy and after childbirth have increased at what one CDC researcher calls an alarming rate. The rate of stroke climbed about 47 percent in women before giving birth and about 83 percent in new moms in the postpartum period, 12 weeks after giving birth.
Elena V. Kuklina, MD, PhD, a CDC epidemiologist, and colleagues compared stroke rates during pregnancy, during childbirth, and after childbirth. They used a national database that included discharge information from 1,000 hospitals.
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The researchers compared the pregnancy-related stroke rates in the years 1994-1995 and 2006-2007.
“What we found was there was approximately a 50% increase in all stroke,” she says. Pregnancy-related strokes totaled about 4,000 in 1994-1995, or about 2,000 each year. In 2006-2007, they totaled about 6,000, or 3,000 annually. The number of deliveries in the two periods was comparable, she says
Each year in the U.S., about 795,000 people suffer a new or recurrent stroke, according to the American Heart Association.
The researchers looked at all types of strokes, including those caused by clots and by reduced blood flow. They also looked at so-called mini-strokes or transient ischemic attacks (TIAs), which are considered a warning sign of stroke.
More women hospitalized for stroke had high blood pressure in 2006-2007 than in the first period studied. For instance, nearly 41% of those who had a stroke after delivery had high blood pressure. Having high blood pressure increased the risk of pregnancy-related stroke up to about six times, Kuklina says. Having heart disease boosted the risk of stroke by as much as about 10 times.
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The study is published in Stroke: Journal of the American Heart Association.
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