Hemorrhagic Stroke in Pregnancy

Amanda Wang, Antonio F. Saad

Research output: Contribution to journalArticlepeer-review


Hemorrhagic stroke carries a high risk of disability and mortality. The obstetrical population is at increased risk. Prompt diagnosis and maternal stabilization with a multidisciplinary approach are the mainstays in management. Computed tomography head is the diagnostic imaging of choice and is considered safe in pregnancy. Fetal status optimization before neurosurgery and delivery should be considered if the fetus is viable or if worsening maternal condition. Obstetric indications guide the mode of delivery. Cesarean delivery may be indicated to reduce increasing intracranial pressure. Neuraxial anesthesia should be considered to minimize catecholamine surges, reduce sedation, and control blood pressures.

Original languageEnglish (US)
Pages (from-to)223-230
Number of pages8
JournalClinical Obstetrics and Gynecology
Issue number1
StatePublished - Mar 1 2023


  • hemorrhagic stroke
  • intracranial hemorrhage
  • postpartum
  • pregnancy
  • stroke
  • subarachnoid hemorrhage

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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