Perinatal outcome in case of maternal death for cerebrovascular acute disorders: a nationwide study in Japan

Autor: Isamu Ishiwata, Naohiro Kanayama, Eijiro Hayata, Kayo Tanaka, Hiroaki Tanaka, Akiko Kurasaki, Jun Yoshimatsu, Takako Shimaoka, Tomoaki Ikeda, Tomoaki Oda, Takeshi Murakoshi, Masahiko Nakata, Kazuhiro Osato, Junichi Hasegawa, Jun Takahashi, Masamitsu Nakamura, Shinji Katsuragi, Akihiko Sekizawa
Rok vydání: 2020
Předmět:
Zdroj: The Journal of Maternal-Fetal & Neonatal Medicine. 35:2429-2434
ISSN: 1476-4954
1476-7058
DOI: 10.1080/14767058.2020.1786511
Popis: The goal of this study is to find clues to improve perinatal outcomes in the case of cerebrovascular acute disorders during pregnancy.We analyzed 35 cases of cerebrovascular diseases related to maternal deaths in Japan those that occurred during pregnancy and reported to the Committee of the Ministry of Health, Labor, and Welfare from 2010 to 2018.Cerebrovascular acute disorders occurred at 34.6 ± 6.6 gestational weeks. There were seven intrauterine fetal deaths (IUFD), and eight cases showed neonatal asphyxia with umbilical arterial pH between 6.7 and 7.0 (asphyxia cases,More than 40% of cases experienced fetal asphyxia, and 20% ended in IUFD in maternal deaths related to cerebrovascular acute disorders. Maternal respiratory support and rapid delivery would be the keys to improve perinatal outcomes in case of cerebrovascular acute disorders during pregnancy.
Databáze: OpenAIRE