STROKE-FERTILITY

SUMMARY

Factors determining conception, pregnancy and childbirth in young stroke patients:

1. Conception: no significant issues other than problems of sexuality.

2. Pregnancy: hypercoagulable state, high risk of thrombosis. Patients will require lifelong anticoagulation with Warfarin. However, during pregnancy, this is not possible as Warfarin is teratogenic and may cause fetal bleeding. Low-molecular weight heparin is effective. Unfractionated heparin is an alternative, however it will require increased doses and constant monitoring during pregnancy.

3. Childbirth: patient and partner will require education and patient will require therapy. There are no contraindications to normal delivery from the stroke. However, the patient will require assistance and therapy in caring for her child due to deficits resulting from her infarction.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
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Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].