Hypertension Research in Pregnancy
Online ISSN : 2187-9931
Print ISSN : 2187-5987
ISSN-L : 2187-5987
Original Articles
Maternal blood pressure before the onset of eclampsia and stroke during labor at term
Shunji Suzuki
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2016 Volume 4 Issue 2 Pages 65-67

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Abstract

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.

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© 2016 Japan Society for the Study of Hypertension in Pregnancy
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