Figure 1. Snapshot of an axial cut of the initial non-contrast head CT showing a 25 mL hemorrhage (arrow) in the right basal ganglia with intraventricular extension causing midline shift and cerebral edema. CT: computed tomography.
| Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc |
| Journal website https://www.jcgo.org |
Original Article
Volume 13, Number 1, March 2024, pages 1-7
Stroke Education for Obstetric Providers: A Single-Center Pilot Following a Case of Delayed Recognition of Postpartum Intracerebral Hemorrhage
Figures
Tables
| Question number (question description) | Correct before (%) | Correct after (%) | P value |
|---|---|---|---|
| Total number completed assessments before intervention: n = 32. Total number of completed assessments (before and after intervention): n = 28. tPA: tissue plasminogen activator. | |||
| Question 1 (symptoms) | 19 (67) | 24 (86) | 0.006 |
| Question 2 (postpartum symptoms) | 21 (75) | 19 (68) | 0.480 |
| Question 3 (tPA time window) | 24 (86) | 26 (93) | 0.157 |
| Question 4 (initial tests prior to transfer) | 10 (36) | 25 (89) | < 0.001 |
| Question 5 (symptoms) | Discarded | ||
| Question 6 (blood pressure control) | 5 (18) | 23 (82) | < 0.001 |
| Question 7 (steps after “code stroke”) | 27 (96) | 28 (100) | 0.317 |
| Total | 106 | 145 | |
| Average score (out of 6) | 4 (67) | 5.25 (87.5) | 6.09 |
| National Joint Commission | |||
|---|---|---|---|
| Ischemic stroke time metrics | |||
| Door to Doc | ≤ 10 min | ||
| Door to stroke team | ≤ 15 min | ||
| Door to CT scan start | ≤ 25 min | ||
| Door to CT scan read | ≤ 45 min | ||
| Door to needle (tPA) | ≤ 60 min | ||
| Door to arterial puncture | ≤ 90 min | ||
| Code ICH | |||
| Proposed hemorrhagic stroke time metrics | |||
| ICH: intracerebral hemorrhage; Doc: doctor; CT: computed tomography; tPA: tissue plasminogen activator; BP: blood pressure. | |||
| Door to Doc | ≤ 10 min | ||
| Door to stoke team | ≤ 15 min | ||
| Door to CT scan start | ≤ 25 min | ||
| Door to CT scan read | ≤ 45 min | ||
| Door to lab results | ≤ 45 min | ||
| Door to BP control | ≤ 60 min | ||
| Door to reversal agent | ≤ 60 min | ||
| Door to burr/evacuation | ≤ 90/180 min | ||