Venous Thromboembolism in Pregnancy - 05/08/11
Résumé |
In Western nations, venous thromboembolism (VTE) is an important cause of morbidity and the most common cause of maternal death during pregnancy and the puerperium. Pregnancy is a hypercoagulable state in which coagulation is activated and thrombolysis inhibited. This prothrombotic risk is compounded when hereditary and acquired thrombophilias and other prothrombotic risk factors are present. The risk of venous thrombotic events is increased fivefold during pregnancy and 60-fold in the first 3 months after delivery (postpartum period) compared with nonpregnant women. Many of the signs and symptoms of VTE overlap those of a normal pregnancy, which complicates the diagnosis. Patients with history of previous VTE should use graduated compression stockings throughout pregnancy and the puerperium, and should receive postpartum anticoagulant prophylaxis. The indications for antepartum anticoagulant prophylaxis are somewhat controversial. This article reviews the management of VTE during pregnancy and in the postpartum period.
Le texte complet de cet article est disponible en PDF.Keywords : Pregnancy, Venous thromboembolism, Pulmonary embolus, Deep venous thrombosis, Thrombophilia, Low molecular weight heparin
Plan
| Disclosure: Dr Marik certifies that he has no relationship including consultation, paid speaking, grant support, equity, patients or royalties from any company that makes products relevant to this manuscript. |
Vol 31 - N° 4
P. 731-740 - décembre 2010 Retour au numéro
Article précédent
- Long-term Anticoagulation for Venous Thromboembolism: Duration of Treatment and Management of Warfarin Therapy
- Clive Kearon
- Chronic Thromboembolic Pulmonary Hypertension
- William R. Auger, Nick H. Kim, Terence K. Trow
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