A woman may be at increased risk for stroke related to pregnancy if certain risk factors are present.

Risk factors for pregnancy-related stroke include:

age > 35 years

African American

amniotic fluid embolism

chronic hypertension

diabetes mellitus

electrolyte and acid-base disorders

hypercoagulable state/thrombophilia

hyperemesis gravidarum


migraine headache

postpartum angiopathy

postpartum cardiomyopathy

postpartum hemorrhage (with hypotension and risk of ischemia at watershed areas)

preeclampsia or eclampsia

sickle cell disease


substance abuse including smoking, cocaine and methamphetamine

valvular heart disease


venous sinus thrombosis



• Preeclampsia may appear up to 6 weeks postpartum.

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