Are There Maternal Deaths Related to Hemorrhagic Stroke Due to Hypertensive Disorder of Pregnancy That Could Be Potentially Preventable by Tight Hypertension Management in Antepartum? A Retrospective Study from the Maternal Death Exploratory Committee in Japan
Abstract
:1. Introduction
2. Materials and Methods
2.1. Diagnosis of Hemorrhagic Stroke and HDP
2.2. Patient Characteristics
2.3. Proportion of Maternal Deaths Caused by Hemorrhagic Stroke Due to CH and GH with and without Antihypertensive Medication
2.4. Time from BP Elevation (>140/90 mmHg) to Cerebral Hemorrhage
3. Results
3.1. Maternal Background
3.2. Proportion of Maternal Deaths Caused by Hemorrhagic Stroke Due to CH and GH with and without Antihypertensive Medication
3.3. Time from BP Elevation (>140/90 mmHg) to Cerebral Hemorrhage
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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n = 34 | |
---|---|
Age | 34 (23–45) |
Primipara | 17 (50%) |
BMI > 25 | 8 (24%) |
Timing of hemorrhagic stroke | |
Antepartum | 10 (29%) |
Intrapartum or during C-section | 16 (47%) |
Postpartum | 8 (24%) |
Gestational of weeks of delivery | |
<32 gestational weeks | 3 (9%) |
32–36 gestational weeks | 11 (32%) |
>36 gestational weeks | 20 (59%) |
Mode of delivery | |
C-section | 20 (59%) |
Vaginal delivery | 12 (35%) |
Undelivery | 2 (6%) |
Neurosurgery | 16 (47%) |
Maternal complication without hypertension | |
Hyperthyroidism | 1 (3%) |
Hypothyroidism | 1 (3%) |
Obstetrics complication without HDP | |
FGR | 2 (6%) |
Threatened premature labor | 1 (3%) |
GDM | 1 (3%) |
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Tanaka, H.; Hasegawa, J.; Katsuragi, S.; Tanaka, K.; Arakaki, T.; Nakamura, M.; Hayata, E.; Nakata, M.; Sekizawa, A.; Ishiwata, I.; et al. Are There Maternal Deaths Related to Hemorrhagic Stroke Due to Hypertensive Disorder of Pregnancy That Could Be Potentially Preventable by Tight Hypertension Management in Antepartum? A Retrospective Study from the Maternal Death Exploratory Committee in Japan. J. Clin. Med. 2023, 12, 2908. https://doi.org/10.3390/jcm12082908
Tanaka H, Hasegawa J, Katsuragi S, Tanaka K, Arakaki T, Nakamura M, Hayata E, Nakata M, Sekizawa A, Ishiwata I, et al. Are There Maternal Deaths Related to Hemorrhagic Stroke Due to Hypertensive Disorder of Pregnancy That Could Be Potentially Preventable by Tight Hypertension Management in Antepartum? A Retrospective Study from the Maternal Death Exploratory Committee in Japan. Journal of Clinical Medicine. 2023; 12(8):2908. https://doi.org/10.3390/jcm12082908
Chicago/Turabian StyleTanaka, Hiroaki, Junichi Hasegawa, Shinji Katsuragi, Kayo Tanaka, Tatsuya Arakaki, Masamitsu Nakamura, Eijiro Hayata, Masahiko Nakata, Akihiko Sekizawa, Isamu Ishiwata, and et al. 2023. "Are There Maternal Deaths Related to Hemorrhagic Stroke Due to Hypertensive Disorder of Pregnancy That Could Be Potentially Preventable by Tight Hypertension Management in Antepartum? A Retrospective Study from the Maternal Death Exploratory Committee in Japan" Journal of Clinical Medicine 12, no. 8: 2908. https://doi.org/10.3390/jcm12082908
APA StyleTanaka, H., Hasegawa, J., Katsuragi, S., Tanaka, K., Arakaki, T., Nakamura, M., Hayata, E., Nakata, M., Sekizawa, A., Ishiwata, I., & Ikeda, T. (2023). Are There Maternal Deaths Related to Hemorrhagic Stroke Due to Hypertensive Disorder of Pregnancy That Could Be Potentially Preventable by Tight Hypertension Management in Antepartum? A Retrospective Study from the Maternal Death Exploratory Committee in Japan. Journal of Clinical Medicine, 12(8), 2908. https://doi.org/10.3390/jcm12082908