Evidence map›Paper›PMID 39640951›Full record

ArticleObstetric medicine2024

Preventability of stroke during pregnancy and postpartum.

Jia Jennifer Ding, Srilakshmi Mitta, Martha Kole-White, Julie Roth, Isabelle Malhamé

Abstract read
In one paragraph

Article in Obstetric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jia Jennifer DingDepartment of Obstetrics and Gynecology, Brown/Women and Infants Hospital, Providence, RI, USA.ORCID https://orcid.org/0000-0002-2308-5591
Srilakshmi MittaDepartment of Obstetric and Consultative Medicine, Brown/Women and Infants Hospital of Rhode Island, Providence, RI, USA.
Martha Kole-WhiteDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brown/Women and Infants Hospital of Rhode Island, Providence, RI, USA.
Julie RothDepartment of Neurology, Rhode Island Hospital, Providence, RI, USA.
Isabelle MalhaméDepartment of Obstetric and Consultative Medicine, Brown/Women and Infants Hospital, Providence, RI, USA.ORCID https://orcid.org/0000-0002-9140-8735

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The preventability of strokes during pregnancy and postpartum is understudied. Methods: We identified patients with ischemic and hemorrhagic strokes in pregnancy or within 12 weeks postpartum between 2009 and 2020 at an obstetric teaching hospital. We described the clinical course of the included cases. A multi-disciplinary panel adjudicated each occurrence of stroke according to a modified classification system for preventability. Results: Fifteen patients experienced a stroke during pregnancy or postpartum. Precisely, 60% presented with a headache, and 47% of events were complicated by severe obstetrical hypertension. Two cases were thought to be "possibly preventable" due to delays in presentation to care and miscommunication regarding hypertension management goals. Conclusion: In a cohort of pregnant and postpartum patients with stroke at a tertiary-care center, strokes may be prevented by future initiatives focusing on patient and provider education regarding early warning signs of pregnancy-associated stroke and hypertension thresholds and management specific to pregnancy.

Indexed as

cardio-obstetricsMaternal strokepostpartumpregnancypreventabilitysevere maternal morbidity

Identifiers

PMID39640951
PMCPMC11615985

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.