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WSC 2022 | Key guidelines for stroke management in pregnancy and postpartum

Christine Kremer, MD, Skåne University Hospital, Lund University, Malmö, Sweden, summarizes the European Stroke Organization (ESO) guidelines for stroke management and treatment in women during pregnancy and postpartum. During these periods, women are more vulnerable to ischemic events. Given the extremely limited data available to guide acute stroke treatment during these periods, treatment has often been withheld. These new guidelines, based on a meta-analysis of the available literature and expert consensus boards, suggest treatment by intravenous thrombolysis (IVT) and/or mechanical thrombectomy (MT) in eligible cases of acute ischemic stroke, but that this should be considered on an individual basis. Regarding postpartum and menstruation, all board members suggested treatment with IVT. However, these suggestions are not based on randomized controlled trials and more evidence is required in order to develop further guidelines. This interview took place at the World Stroke Congress 2022 in Singapore.

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