Emergency Department Management of Stroke in Pregnant and Postpartum Patients - Stroke EXTRA Supplement (Stroke CME) | Points & Pearls
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Emergency Department Management of Stroke in Pregnant and Postpartum Patients - Stroke EXTRA Supplement (Stroke CME)

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Points and Pearls Excerpt

  • Risk factors for maternal stroke include the physiological changes of pregnancy and the potential for pathophysiological sequelae from these changes, as well as non–pregnancy-related stroke risk factors. (See Table 1.)
  • The risk of maternal stroke peaks in the peripartum and immediate postpartum periods, when patients have likely been discharged home after delivery.
  • Hypertensive disorders of pregnancy (ie, pre-eclampsia, eclampsia, and HELLP syndrome) should be highest on the differential for pregnant and postpartum patients who present to the ED with a headache. These are “can’t-miss” diagnoses. (See Table 2.)
  • The NIHSS or other standardized stroke scale should be used in the assessment of pregnant and postpartum patients with stroke. The score will help guide treatment decisions and risk/benefit considerations for intervention.
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Publication Information
Authors

Amy Emily Steinberg, MD; Vasisht Srinivasan, MD, FACEP

Peer Reviewed By

Christa O'Hana S. Nobleza, MD, MSCI, FNCS; Alexandra S. Reynolds, MD

Publication Date

December 15, 2023

CME Expiration Date

December 15, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 AOA Category 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Stroke and 1 Pharmacology CME credits, subject to your state and institutional approval.

Pub Med ID: 38085603

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