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Aim: We examined women complicated by stroke or eclampsia occurring in our institute during labor at term, with particular attention to changes in their blood pressure. Methods: We identified all pregnant women who were hospitalized for labor and delivery between April 1, 2002, and November 30, 2015. Results: During this period, there were 14 cases of eclampsia and 3 cases of stroke associated with hypertensive disorders of pregnancy. In 16 (94%) of these cases, systolic blood pressure was normal ( < 140 mmHg) at 3–7 days before admission for delivery at term. In 6 of these cases (35%), systolic blood pressure was normal ( < 140 mmHg) at admission. Severe hypertension (systolic blood pressure ≥ 160 mmHg) was observed immediately after the onset of eclampsia or stroke in all cases. Conclusions: Regular measurement of blood pressure in all women during labor is important.

Maternal blood pressure before the onset of eclampsia and stroke during labor at term