ReviewAnesthesia and analgesia2020
Stroke in Pregnancy: A Focused Update.
Review in Anesthesia and analgesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.
- Association of infertility treatments and incidence of stroke among women: a systematic review.Reproduction & fertility · 2025Pooled it
- Efficacy and safety of esketamine for pain control after cesarean delivery: a systematic review and meta-analysis of randomized controlled trials.Frontiers in pharmacology · 2025Pooled it
- Anaesthetic Management of a Spontaneous Haemorrhagic Stroke Following Severe Preeclampsia: A Case Report.Cureus · 2026Article
- Obstetric and anesthetic management of parturients with intracranial neurovascular abnormalities.Journal of anesthesia · 2026Article
- Cerebrovascular Diagnoses During First Recorded Pregnancies in a 17-Year Period-A Nationwide Analysis of Healthcare Administrative Records Between 2004 and 2020 in a Central-Eastern European Population.Epidemiologia (Basel, Switzerland) · 2026Article
- Multidisciplinary Management of Emergency Neurosurgery for Intracerebral Hemorrhage During Pregnancy: A Case Report.Healthcare (Basel, Switzerland) · 2026Article
- Postpartum Ischemic Stroke As the First Manifestation of Late-Onset Preeclampsia: A Case Report.Cureus · 2026Article
- The impact of DRG payment reform on stroke inpatient costs: a propensity score matching and difference-in-differences analysis of a large public hospital in Northeast China.BMC public health · 2025Article
- Thrombolysis and thrombectomy in a first trimester stroke: expanding the evidence for acute ischemic stroke management in pregnancy. Illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Acute Intracerebral Hemorrhage in a Pregnant Woman in the Third Trimester: A Case Report.Cureus · 2025Article
- Demographic Disparities in Stroke Occurrence: Insights From an Integrative Review of Emerging Trends.Brain and behavior · 2025Review
- Global Temporal Trends and Projections of Stroke Among Women of Childbearing Age: An Age-Period-Cohort Analysis Based on the Global Burden of Disease Study 2021.European journal of neurology · 2025Article
- Neuraxial anaesthesia for the parturient with intracranial pathology.BJA education · 2025Review
- Impact of emergency nursing interventions on pre-hospital and in-hospital outcomes in acute ischemic stroke.Frontiers in neurology · 2025Article
- Preventability of stroke during pregnancy and postpartum.Obstetric medicine · 2024Article
- Ischemic Stroke in Women: Understanding Sex-Specific Risk Factors, Treatment Considerations, and Outcomes.Journal of cardiovascular development and disease · 2024Review
- Hypertensive Disorders and Cardiovascular Severe Maternal Morbidity in the US, 2015-2019.JAMA network open · 2024Article
- Pregnancy Risk Assessment, Management, and Delivery Plan for Pregnant Women with Moyamoya Disease Using a Multidisciplinary Collaborative Approach: A Case Series.International journal of women's health · 2024Article
- The role of telestroke among pregnant mothers: Ground-breaking innovations in maternal healthcare.Work (Reading, Mass.) · 2024Article
- Stroke vs. Preeclampsia: Dangerous Liaisons of Hypertension and Pregnancy.Medicina (Kaunas, Lithuania) · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
Ischemic stroke (IS) and hemorrhagic stroke (HS) can be devastating complications during pregnancy and the puerperium that are thought to occur in approximately 30 in 100,000 pregnancies. In high-risk groups, such as women with preeclampsia, the incidence of both stroke subtypes, combined, is up to 6-fold higher than in pregnant women without these disorders. IS or HS may present in young women with atypical symptoms including headache, seizure, extremity weakness, dizziness, nausea, behavioral changes, and visual symptoms. Obstetric anesthesiologists who recognize these signs and symptoms of pregnancy-related stroke are well positioned to facilitate timely care. Acute stroke of any type is an emergency that should prompt immediate coordination of care between obstetric anesthesiologists, stroke neurologists, high-risk obstetricians, nurses, and neonatologists. Historically, guidelines have not addressed the unique situation of maternal stroke, and pregnant women have been excluded from the large stroke trials. More recently, several publications and professional societies have highlighted that pregnant women suspected of having IS or HS should be evaluated for the same therapies as nonpregnant women. Vaginal delivery is generally preferred unless there are obstetric indications for cesarean delivery. Neuraxial analgesia and anesthesia are frequently safer than general anesthesia for cesarean delivery in the patient with a recent stroke. Potential exceptions include therapeutic anticoagulation or intracranial hypertension with risk of herniation. General anesthesia may be appropriate when cesarean delivery will be combined with intracranial neurosurgery.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.