Pregnancy increases stroke risk up to 1 year postpartum and reduces long-term risk

Chun An Cheng, Jiunn Tay Lee, Hung Che Lin, Hui Chen Lin, Chi Hsiang Chung, Fu Huang Lin, Chang Huei Tsao, Yung Fu Wu, Wu Chien Chien, Hung Wen Chiu

研究成果: 雜誌貢獻文章同行評審

7 引文 斯高帕斯(Scopus)

摘要

Background: The incidence of stroke in pregnant women is low but trending upward. There are few studies of the topic in women of Asian ethnicity. Aim: We aim to evaluate stroke risk in Asian women during and after pregnancy. Design: Using the Taiwan National Health Insurance database, we designed a retrospective study that included 18-45-yearold pregnant women between the years 2000 and 2010. We selected a 1:1 age-matched control group of non-pregnant women. The endpoint was any type of stroke during pregnancy or the postpartumperiod; otherwise, the patients were tracked until 31 December 2010. Methods: The risk factors for stroke were found using Cox proportional regression to calculate the hazard ratio (HR) with a 95% CI compared with the control group. Results: The incidence of stroke within 1 year postpartumwas 71/100,000. The risk of postpartum stroke within 1 year was an HR of 1.208 (95% CI: 1.001-5.129). The occurrence of stroke was associated with hypertension, diabetes mellitus, coagulation disorders, migraine, obesity, cerebrovascular malformation and parity. Women with third and fourth parity carried increased risks of 13.3% and 2.5%, respectively, compared with first parity women. In long-term follow-ups, stroke risk was significantly lower, with an adjusted HR of 0.362 (95% CI: 0.269-0.489). Conclusion: The risk of stroke was elevated during the first year postpartum, but lower in subsequent years. Stroke risk increased in multiparous (≥ 3) women. Physicians should be on alert for pregnancy complications and ensure appropriate management to prevent postpartum stroke.
原文英語
頁(從 - 到)355-360
頁數6
期刊QJM
110
發行號6
DOIs
出版狀態已發佈 - 2017

ASJC Scopus subject areas

  • Medicine(all)

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