抄録
Aim: Our aim was to establish a therapeutic strategy for eclampsia, stroke, and hypertension during pregnancy in Japan.
Methods: A questionnaire survey was sent to all obstetric institutions in Aichi Prefecture in order to collect information on characteristics of eclampsia and stroke during pregnancy as well as management of hypertension during labor and puerperium from 2005 to 2012.
Results: Of 518,024 deliveries, 203 cases of eclampsia (0.04%) and 51 cases of stroke (0.01%) were reported. Roughly 40% of eclampsia and stroke occurred at primary medical institutions, while 26% of strokes occurred at home. Most were managed at intensive medical institutions and 7 stroke patients died. Strokes occurred antepartum (41%), during labor (18%), and postpartum (41%). Most medical institutions measured blood pressure (BP) during labor and puerperium. During labor and puerperium, 15% of institutions allowed the supporting medical staff to decide whether or not the BP values should be reported.
Conclusions: This unique, long-term survey to address eclampsia and pregnancy-associated stroke enabled us to obtain detailed information and assess several issues regarding the maternal transport system, collaboration with neurosurgeons and ambulance services, and BP management during labor and puerperium in Japan.
