{"id":253834,"date":"2026-01-27T08:18:07","date_gmt":"2026-01-27T08:18:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/253834\/"},"modified":"2026-01-27T08:18:07","modified_gmt":"2026-01-27T08:18:07","slug":"missed-stroke-warning-signs-common-among-pregnant-and-postpartum-women","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/253834\/","title":{"rendered":"Missed stroke warning signs common among pregnant and postpartum women"},"content":{"rendered":"<p>More than 25% of pregnant or postpartum women who suffered an acute stroke had encounters with health care providers for\u00a0stroke-related symptoms within the prior month but did not receive a timely diagnosis, finds University of Pittsburgh School of Medicine\u00a0analysis published today in\u00a0Stroke.\u00a0<\/p>\n<p>The study highlights a critical opportunity to improve maternal health outcomes through better clinician education and decision-support tools.\u00a0<\/p>\n<p>&#8220;Stroke prevention is vital. We must close diagnostic gaps to protect maternal health,&#8221; said senior author of the study Eliza Miller, M.D., associate professor of\u00a0neurology\u00a0at Pitt and chief of\u00a0women&#8217;s neurology\u00a0at UPMC, home to a nationally recognized research-driven maternal stroke program.<\/p>\n<p>&#8220;Our findings show that early warning signs are often missed, especially by clinicians without neurology training, and that education across specialties is essential,&#8221; added Miller, who is now leading initiatives to help clinicians who care for pregnant and postpartum patients recognize and respond to potential stroke signs.\u00a0<\/p>\n<p>Stroke is a leading cause of maternal death and disability worldwide, responsible for at least 1 in 12 maternal deaths. While rare overall, stroke risk rises sharply in patients with preeclampsia, hypertension or other stroke risk factors.\u00a0<\/p>\n<p>Maternal\u00a0strokes can\u00a0take the form of unusual and non-specific symptoms, such as\u00a0severe headache, neck pain or confusion, contributing to why the warning signs are often missed.\u00a0<\/p>\n<p>To evaluate the prevalence of such missed diagnostic opportunities and develop a roadmap for improvement, Miller and team evaluated the treatment of 135 women with pregnancy-related stroke at five comprehensive stroke centers.\u00a0<\/p>\n<p>Compared with individuals whose strokes were diagnosed without delay, 30% more patients with missed diagnostic opportunities had seen a healthcare provider in the month before stroke onset.<\/p>\n<p>&#13;<\/p>\n<p>Our analysis found that nearly half of patients who had seen a healthcare provider prior to stroke <a href=\"https:\/\/www.news-medical.net\/health\/Diagnosis-vs-Prognosis.aspx\" class=\"linked-term\" rel=\"nofollow noopener\" target=\"_blank\">diagnosis<\/a> were evaluated by obstetricians and approximately one third by emergency medicine clinicians. This, to us, represents a knowledge gap across specialties and reveals an opportunity to expand clinician education to recognize early signs of maternal stroke.&#8221;<\/p>\n<p>&#13;<br \/>\n&#13;<\/p>\n<p style=\"text-align: right;\">Eliza Miller, M.D., associate professor of\u00a0neurology\u00a0at Pitt\u00a0<\/p>\n<p>&#13;<\/p>\n<p>The study investigators, who included experts in maternal fetal medicine, emergency medicine and stroke neurology, note that the creation of a multicenter patient registry for maternal stroke would make it easier to track risk factors and outcomes. This could ultimately lead to better decision support tools,\u00a0enhancing physicians&#8217; ability to recognize stroke in this unique population and improving maternal health care outcomes.\u00a0<\/p>\n<p>&#8220;At UPMC and the University of Pittsburgh, we are building one of the nation&#8217;s strongest maternal stroke programs, uniting research, clinical care and education to set new standards for women&#8217;s brain health,&#8221; said Miller. &#8220;Our commitment to innovation and cross-disciplinary collaboration means that every mother receives the vigilance and expertise she deserves, and our initiatives are shaping a safer future for families everywhere.&#8221;\u00a0<\/p>\n<p>This project was supported in part by funding from the Helen Gurley Brown Foundation and the Gerstner Family Foundation.\u00a0<\/p>\n<p>Other authors of this research are Noora Haghighi, M.S., Raeann Bourscheid, M.D., and Catherine Shang, M.D., all of Columbia University; Elida Romo, Samantha Jankowski, Jane Holl, M.D., and Shyam Prabhakaran, M.D., all of the University of Chicago; Farhan Khan, M.D., of Brown University; Alison Seitz, M.D., of the University of Washington; Sara Shapouran, M.D., of the Montefiore Medical Center; Lauren Mamer, M.D., Ph.D., and William Meurer, M.D., of the University of Michigan; Ava Liberman, M.D., of Weill\u00a0Cornell Medical Center, and Andrea Shields, M.D., of the\u00a0University of Connecticut.\u00a0<\/p>\n<p>Source:<\/p>\n<p>Journal reference:<\/p>\n<p>Haghighi, N., et al. (2026). Identifying Missed Diagnostic Opportunities in Maternal Stroke.\u00a0Stroke. doi: 10.1161\/strokeaha.125.052995.\u00a0<a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/STROKEAHA.125.052995\" rel=\"noopener nofollow\" target=\"_blank\">https:\/\/www.ahajournals.org\/doi\/10.1161\/STROKEAHA.125.052995<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"More than 25% of pregnant or postpartum women who suffered an acute stroke had encounters with health care&hellip;\n","protected":false},"author":2,"featured_media":15308,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[2285,84,16016,134,3186,527,18976,3193,10271,111,139,69,5994,1518,4371],"class_list":{"0":"post-253834","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-diagnostic","9":"tag-education","10":"tag-emergency-medicine","11":"tag-health","12":"tag-health-care","13":"tag-healthcare","14":"tag-maternal-health","15":"tag-medicine","16":"tag-neurology","17":"tag-new-zealand","18":"tag-newzealand","19":"tag-nz","20":"tag-pregnancy","21":"tag-research","22":"tag-stroke"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/253834","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=253834"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/253834\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/15308"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=253834"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=253834"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=253834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}