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New moms, new risk

Strokes have spiked in the U.S. among pregnant women and new mothers, probably because more of them are obese and suffering from high blood pressure and heart disease, researchers report.

Hospitalizations for pregnancy-related strokes and "mini strokes" jumped from about 4,100 in 1994-95 to around 6,300 in 2006-07, a 54 percent increase, researchers said, extrapolating from figures in a large federal database.

"That is a very, very alarm-raising statistic that we need to take extremely seriously," said Dr. Olajide Williams, a neurologist at Columbia University and Harlem Hospital and an American Stroke Association spokesman. "We need to be more aggressive in screening these women for these risk factors."

The number of strokes is small, considering that around 4 million babies are born each year in the U.S. But pregnancy raises a woman's risk of a stroke because of all the hormone and blood changes that occur. If she starts out unhealthy, with a problem like diabetes or high blood pressure, she doubles her risk of suffering a stroke during or right after pregnancy, said Dr. Elena Kuklina, a stroke prevention expert at the Centers for Disease Control and Prevention.

She led the study, published Thursday in the American Heart Association journal Stroke.

Researchers used records from a sample of hospitals in nearly all states, covering up to 8 million hospitalizations each year. They looked at the number of women having strokes or transient ischemic attacks -- TIAs, or "mini strokes" -- while pregnant or in the three months after childbirth.


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