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. Author manuscript; available in PMC: 2022 Mar 1.
Published in final edited form as: Obstet Gynecol Clin North Am. 2021 Mar;48(1):75–96. doi: 10.1016/j.ogc.2020.11.004

Table 1.

Key treatment points for stroke in pregnancy and puerperium.

Pregnancy-Associated Disease T reatment
Gestational Hypertension Blood pressure control to <140/85 mmHg, preferably with oral or intravenous labetalol, hydralazine, and nicardipine.
Preeclampsia/Eclampsia Prevention of pre-term preeclampsia: aspirin 150 mg daily from weeks 11–14 to week 36 of gestation.
Definitive treatment: delivery of the fetus and diseased placenta.
Arterial Ischemic Stroke Intravenous tissue plasminogen activator should be considered within 4.5 hours after symptom onset.
Mechanical thrombectomy should be offered to patients with large-vessel occlusion strokes.
Hemorrhagic Stroke Treatment involves blood pressure control. Treatment of the underlying vascular lesion as appropriate.
Cerebral Venous Sinus Thrombosis Treatment: unfractionated or low molecular weight heparin.