Clinical characteristics and survival of obstetric patients with cerebrovascular disease in a tertiary referral center

Background: Cerebrovascular disease (CVD) during pregnancy and the puerperium represents a condition with high maternal and fetal morbidity and mortality, associated with physiological changes inherent to pregnancy and hypertensive disorders of pregnancy. Objective: The objective of the study is to describe the clinical-therapeutic characteristics and survival of obstetric patients diagnosed with CVD admitted to a tertiary care intensive care unit (ICU). Material and methods: This is an analytical, longitudinal, and retrospective study that included obstetric patients during pregnancy or the postpartum period diagnosed with stroke, admitted to the ICU of the Centro Médico Nacional Siglo XXI between 2023 and 2025. This study was approved by the local research committee. Demographic, clinical, therapeutic, and outcome variables were collected. Descriptive and inferential analyses were performed, as well as survival analysis using Kaplan-Meier curves. Results: Eighteen patients were included, with a predominance of hemorrhagic events and a high frequency of hypertensive disorders of pregnancy. High scores on the Acute Physiology and Chronic Health Evaluation II and SOFA scales were associated with increased mortality. In-hospital survival was high in patients who received timely intervention and multidisciplinary management. Conclusion: Stroke in obstetric patients constitutes a critical emergency that requires early diagnosis and specialized ICU management. Severity scales retain prognostic utility, and protocolized care can positively impact survival.