Background: Though Pregnancy is physiological; it remains as a risk factor for stroke, and hemorrhagic stroke accounting for 60% of the strokes. It may occur during of 6 weeks postpartum period. Intra Cranial Haemorrhage (ICH) has a high case-fatality rate. Women experiencing ICH are at much higher risk for preterm birth. Aim of the Study: to elucidate pregnancy-associated stroke using the Inpatient Sample by estimating the changes in overall pregnancy associated stroke as well as stroke with and without hypertensive disorders of pregnancy; identifying the stroke risk factors play a role in these hypertensive disorders of pregnancy and stroke. Materials: A cross sectional study undertaken with 41 pregnant women who developed spontaneous stroke. Demographic data collected, ICD9 classification used for strokes, investigations done, neurosurgical measures undertaken in all. The course of stay, prognostic data was analysed using standard statistical methods. Results: 41 pregnant women with Spontaneous stroke were included; the mean age was 21.35±2.40 years. 16 (39.02%) women developed IHC due to SAH. Intra-parenchymal Hemorrhage (IPH) was noted in 12 (29.26%), Sub Dural hemorrhage was noted in 09 (21.95%) of the total women. Extra Dural hemorrhage was noted in 04 (09.75%) women. There was no significant relationship between ages, gestational age, status of their gravida, and status of their Para, mode of delivery or admission week after delivery. (P > 0.05). Conclusions: Spontaneous hemorrhagic stroke is a therapeutic emergency. During pregnancy the maternal and fetal prognosis are involved. The multidisciplinary management allows one to find the best compromise between the requirements imposed by the state of the mother and those related to the presence of fetus.

Background: Though Pregnancy is physiological; it remains as a risk factor for stroke, and hemorrhagic stroke accounting for 60% of the strokes. It may occur during of 6 weeks postpartum period. Intra Cranial Haemorrhage (ICH) has a high case-fatality rate. Women experiencing ICH are at much higher risk for preterm birth. Aim of the Study: to elucidate pregnancy-associated stroke using the Inpatient Sample by estimating the changes in overall pregnancy associated stroke as well as stroke with and without hypertensive disorders of pregnancy; identifying the stroke risk factors play a role in these hypertensive disorders of pregnancy and stroke. Materials: A cross sectional study undertaken with 41 pregnant women who developed spontaneous stroke. Demographic data collected, ICD9 classification used for strokes, investigations done, neurosurgical measures undertaken in all. The course of stay, prognostic data was analysed using standard statistical methods. Results: 41 pregnant women with Spontaneous stroke were included; the mean age was 21.35±2.40 years. 16 (39.02%) women developed IHC due to SAH. Intra-parenchymal Hemorrhage (IPH) was noted in 12 (29.26%), Sub Dural hemorrhage was noted in 09 (21.95%) of the total women. Extra Dural hemorrhage was noted in 04 (09.75%) women. There was no significant relationship between ages, gestational age, status of their gravida, and status of their Para, mode of delivery or admission week after delivery. (P > 0.05). Conclusions: Spontaneous hemorrhagic stroke is a therapeutic emergency. During pregnancy the maternal and fetal prognosis are involved. The multidisciplinary management allows one to find the best compromise between the requirements imposed by the state of the mother and those related to the presence of fetus.