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Stroke risk in pregnancy, delivery is adjusted upward.(Obstetrics)

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| April 01, 2005 | Zoler, Mitchel L. | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

NEW ORLEANS -- The risk of stroke among more than 8 million American women during the pre-, peri-, and postpartum periods was 34/100,000, a higher rate than previously calculated.

In addition, the risk of stroke rises with age. Women who were at least 40 years old had a 3.3-fold increased risk of stroke during pregnancy, delivery, and immediately after delivery, compared with women 15-19 years old, Cheryl D. Bushnell, M.D., reported at the 30th International Stroke Conference.

Women 35-39 years old had a 90% increased risk, compared with women younger than 20, said Dr. Bushnell, a neurologist at Duke University in Durham, N.C.

Although the stroke risk during pregnancy and delivery was higher than previous estimates of 4-26/100,000, there are currently no clear implications of what this finding means for monitoring and managing women during pregnancy and delivery, commented Andra H. James, M.D., an obstetrician at Duke and a coinvestigator on this study. Dr. James had no recommendations for changing current obstetric practice based on the new finding.

The researchers used data collected in the Nationwide ...

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