November 15, 2005Annals of Internal Medicine
Trends in the Incidence of Venous Thromboembolism during Pregnancy or Postpartum: A 30-Year Population-Based Study
Population
Pregnant or postpartum women
Design
Cohort
Follow-up
30 years
Authors
Discussion
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Member takes
Implication
Supports postpartum VTE vigilance in clinical care; extends prior data on diverging PE and DVT temporal trends.
Key Points
- Assess 30-year temporal trends in the incidence of venous thromboembolism and pulmonary embolism during pregnancy and the postpartum period.
- Conducted a 30-year population-based study assessing pregnant and postpartum women.
- Evaluated temporal changes in the incidence of pulmonary embolism and deep venous thrombosis across antepartum and postpartum intervals.
- The postpartum period carries the highest risk for venous thromboembolism, particularly pulmonary embolism, compared to pregnancy.
- The incidence of pulmonary embolism decreased significantly over the 30-year study window, while the incidence of deep venous thrombosis remained unchanged.
Structured PICO
P
Population
Pregnant or postpartum women
O
Outcome
Incidence of venous thromboembolism, pulmonary embolism, and deep venous thrombosishard clinical
The postpartum period represents the highest risk for venous thromboembolism in pregnant women, highlighting the need for targeted prophylaxis during this time.
Cite This Study
Heit et al. (2005) studied this question.