Background and Aims:
Incidence of Stroke in pregnant or post partum women is estimated at between 11-34 incidences per 100,000 deliveries (Leffert et al, 2016; Petitt et al, 1997; James et al, 2005, Davie et al, 2008). The Hyper Acute Stroke Unit (HASU) had no exclusion admission criteria (except those needing Intensive Care / ventilator support), however this Academic Hospital has restrictions on what units pregnant or post partum patients may be admitted to.
The Irish Maternity Early Warning System (IMEWS) is a nationally agreed system developed for early detection of life threatening illness in pregnancy and the postnatal period. Negotiations with appropriate stakeholders agreed that the Hyper Acute Stroke nursing staff should incorporate this scale into their clinical assessments, and at organisational level it was agreed that pregnant or post partum women should be admitted to HASU.
Pregnant or post partum patients are appropriately cared for in the Hyper Acute Stroke Unit where appropriate. Links with our sister Maternity hospitals allows for ease of access for visitation of newborns into HASU, and increases communication between the two organisations.
Collaboration with stakeholders and upskilling of nursing staff increases awareness and safety of pregnant or post partum stroke patients, and their care in the Hyper Acute Stroke Unit