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Canadian Stroke Best Practice Consensus Statement: Acute Stroke Management during pregnancy.

Publication ,  Journal Article
Ladhani, NNN; Swartz, RH; Foley, N; Nerenberg, K; Smith, EE; Gubitz, G; Dowlatshahi, D; Potts, J; Ray, JG; Barrett, J; Bushnell, C; Bal, S ...
Published in: Int J Stroke
October 2018

The Canadian Stroke Best Practice Consensus Statement Acute Stroke Management during Pregnancy is the second of a two-part series devoted to stroke in pregnancy. The first part focused on the unique aspects of secondary stroke prevention in a woman with a prior history of stroke who is, or is planning to become, pregnant. This document focuses on the management of a woman who experiences an acute stroke during pregnancy. This consensus statement was developed in recognition of the need for a specifically tailored approach to the management of this group of patients in the absence of any broad-based, stroke-specific guidelines or consensus statements, which do not exist currently. The foundation for the development of this document was the concept that maternal health is vital for fetal well-being; therefore, management decisions should be based first on the confluence of two clinical considerations: (a) decisions that would be made if the patient wasn't pregnant and (b) decisions that would be made if the patient hadn't had a stroke, then nuanced as needed. While empirical research in this area is limited, this consensus document is based on the best available literature and guided by expert consensus. Issues addressed in this document include initial emergency management, diagnostic imaging, acute stroke treatment, the management of hemorrhagic stroke, anesthetic management, post stroke management for women with a stroke in pregnancy, intrapartum considerations, and postpartum management. These statements are appropriate for healthcare professionals across all disciplines and system planners to ensure pregnant women who experience a stroke have timely access to both expert neurological and obstetric care.

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Published In

Int J Stroke

DOI

EISSN

1747-4949

Publication Date

October 2018

Volume

13

Issue

7

Start / End Page

743 / 758

Location

United States

Related Subject Headings

  • Stroke
  • Pregnancy Complications, Cardiovascular
  • Pregnancy
  • Neurology & Neurosurgery
  • Humans
  • Female
  • Disease Management
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences
  • 3202 Clinical sciences
 

Citation

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Ladhani, N. N. N., Swartz, R. H., Foley, N., Nerenberg, K., Smith, E. E., Gubitz, G., … Lindsay, M. P. (2018). Canadian Stroke Best Practice Consensus Statement: Acute Stroke Management during pregnancy. Int J Stroke, 13(7), 743–758. https://doi.org/10.1177/1747493018786617
Ladhani, Noor Niyar N., Richard H. Swartz, Norine Foley, Kara Nerenberg, Eric E. Smith, Gord Gubitz, Dariush Dowlatshahi, et al. “Canadian Stroke Best Practice Consensus Statement: Acute Stroke Management during pregnancy.Int J Stroke 13, no. 7 (October 2018): 743–58. https://doi.org/10.1177/1747493018786617.
Ladhani NNN, Swartz RH, Foley N, Nerenberg K, Smith EE, Gubitz G, et al. Canadian Stroke Best Practice Consensus Statement: Acute Stroke Management during pregnancy. Int J Stroke. 2018 Oct;13(7):743–58.
Ladhani, Noor Niyar N., et al. “Canadian Stroke Best Practice Consensus Statement: Acute Stroke Management during pregnancy.Int J Stroke, vol. 13, no. 7, Oct. 2018, pp. 743–58. Pubmed, doi:10.1177/1747493018786617.
Ladhani NNN, Swartz RH, Foley N, Nerenberg K, Smith EE, Gubitz G, Dowlatshahi D, Potts J, Ray JG, Barrett J, Bushnell C, Bal S, Chan W-S, Chari R, El Amrani M, Gandhi S, Hill MD, James A, Jeerakathil T, Jin A, Kirton A, Lanthier S, Lausman A, Leffert LR, Mandzia J, Menon B, Pikula A, Poppe A, Saposnik G, Sharma M, Bhogal S, Smitko E, Lindsay MP. Canadian Stroke Best Practice Consensus Statement: Acute Stroke Management during pregnancy. Int J Stroke. 2018 Oct;13(7):743–758.
Journal cover image

Published In

Int J Stroke

DOI

EISSN

1747-4949

Publication Date

October 2018

Volume

13

Issue

7

Start / End Page

743 / 758

Location

United States

Related Subject Headings

  • Stroke
  • Pregnancy Complications, Cardiovascular
  • Pregnancy
  • Neurology & Neurosurgery
  • Humans
  • Female
  • Disease Management
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences
  • 3202 Clinical sciences