2016 Volume 4 Issue 2 Pages 65-67
Aim: We examined women complicated by stroke or eclampsia occurring in our institute during labor at term, with particular attention to changes in their blood pressure.
Methods: We identified all pregnant women who were hospitalized for labor and delivery between April 1, 2002, and November 30, 2015.
Results: During this period, there were 14 cases of eclampsia and 3 cases of stroke associated with hypertensive disorders of pregnancy. In 16 (94%) of these cases, systolic blood pressure was normal (<140 mmHg) at 3–7 days before admission for delivery at term. In 6 of these cases (35%), systolic blood pressure was normal (<140 mmHg) at admission. Severe hypertension (systolic blood pressure ≥160 mmHg) was observed immediately after the onset of eclampsia or stroke in all cases.
Conclusions: Regular measurement of blood pressure in all women during labor is important.