Maternal mortality by stroke in France 2013-2015

被引：0

作者：

Rossignol, M. ^{[1
,2
]}

Jonard, M. ^{[3
]}

Cohen, H. ^{[4
]}

机构：

[1] Hop Lariboisiere, AP HP, Dept Anesthesie Reanimat, 2 Rue Ambroise Pare, F-75465 Paris, France

[2] Hop Lariboisiere, AP HP, SMUR, 2 Rue Ambroise Pare, F-75465 Paris, France

[3] Hop Lens, Pole Soins Crit, Serv Reanimat Polyvalente, 99 Route Bassee, F-62307 Lens, France

[4] Inst Mutualiste Montsouris, Serv Gynecol Obstet, 42 Blvd Jourdan, F-75674 Paris, France

来源：

GYNECOLOGIE OBSTETRIQUE FERTILITE & SENOLOGIE | 2021年 / 49卷 / 01期

关键词：

Hemorrhagic stroke; Ischemic stroke; Headache; Pregnancy; Maternal mortality; PREGNANCY;

D O I：

10.1016/j.gofs.2020.11.013

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Between 2013 and 2015, 20 maternal deaths were associated with stroke. Stroke was the main cause of death in 16 cases (12 hemorrhagic strokes [75%],1 ischemic stroke and three cerebral thrombophlebitis). In the four other cases, the stroke was a complication of another pathology. The 16 deaths directly related to stroke account for 5.7% of all maternal deaths (maternal mortality ratio of 0.7/100,000 live births vs. 0.9/100,000 over the period 2010-2012, NS). Stroke occurred during pregnancy in 8 cases (50%). Three patients died without giving birth and the 5 others gave birth by emergency caesarean section. In the remaining eight cases (50%), stroke occurred between day 0 and day 54 during the post-partum period. The mean age was 35.5 years, with 9 women being more than 35 years old (56%). One or more factors of sub-optimal care were present in 28% of the cases, and 8% of deaths were considered possibly or probably preventable. The last four strokes were associated with another pathology (eclampsia [n = 2], hepatic cirrhosis [n = 1], possible complication of spinal anesthesia [n = 1]). (C) 2020 Published by Elsevier Masson SAS.

引用

页码：73 / 78

页数：6