Publication: Stroke in Pregnancy: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Reported here is a rare near-miss case of stroke in pregnancy presented to the Department of Obstetrics and Gynaecology. A 38 years gravida 8 was referred from a private hospital on 18 November 2022 with hemorrhagic stroke, a known case of chronic hypertension at 37 weeks of gestation with previous cesarean section and acute kidney injury. At a private hospital computed tomography head was done it showed intracerebral haemorrhage. On cesarean, intraoperatively it was a live
female with thick meconium. The patient was kept in intensive care with a mechanical ventilator, antihypertensives, antibiotics, and analgesics. Serum creatinine was increasing daily. Suture was cut on the 7th postoperative and two times dialysis was done on the 8th and 9th postoperative days. Stroke
in pregnancy is a rare diagnosis and it could have been prevented by regular antenatal visits and early referral antenatally along with a multidisciplinary approach.
Description
Ravi Kumar Shah
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Arushi Jaiswal
Department of Anaesthesia, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Rehana Mushtaq
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Sana Ansari
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Jagat Prasad Deep
Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
Keywords
Case reports, Hypertension, Intracerebral haemorrhage, Pregnancy, Stroke