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January 1, 2007Thrombosis and Haemostasis

Venous thromboembolism during pregnancy or postpartum: Findings from the RIETE Registry

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Key result

Pregnant women with acute VTE presented less often with symptomatic pulmonary embolism than non-pregnant women (11% vs 39%), with 40% of pregnancy-related VTE occurring in the first trimester.

Why the study?

What are the clinical characteristics, timing, and outcomes of acute VTE during pregnancy and postpartum compared to non-pregnant women?

Population

848 women aged <47 years with objectively confirmed, symptomatic acute venous thromboembolism, including 72…

Comparison

Low-molecular-weight heparin vs Non-pregnant women in the same age range with…

Design

Cohort

Follow-up

Through delivery and postpartum period

Authors

ÁBÁngeles Blanco‐MolinaHospital Universitario Reina SofíaJTJavier Trujillo‐SantosHospital General Universitario Santa María del RosellJCJuan CriadoNorthShore University HealthSystem

Discussion

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Implication

May support early thromboprophylaxis consideration in pregnancy; leaves open postpartum recurrence-bleeding balance pending prospective data.

Study Design

Type

Cohort (n=848)

Structured PICO

What are the clinical characteristics, timing, and outcomes of acute VTE during pregnancy and postpartum compared to non-pregnant women?

P
Population
848 women aged <47 years with objectively confirmed, symptomatic acute VTE, including 72 pregnant, 64 postpartum, and 712 non-pregnant women.
E
Exposure
Low-molecular-weight heparin (LMWH) (observational treatment)
C
Comparator
Non-pregnant women in the same age range with acute VTE
O
Outcome
Clinical characteristics and outcomes (recurrent thrombosis, major bleeding, maternal death)hard clinical

Main Result

Absolute Event Rate: 11% vs 39%

A significant proportion of pregnancy-associated VTE occurs in the first trimester, suggesting that when indicated, thromboprophylaxis should be initiated early, while postpartum management must balance recurrence against a notable risk of major bleeding.

Cite This Study

Blanco‐Molina et al. (2007) conducted a cohort in Acute venous thromboembolism (VTE) (n=848). Pregnancy vs. Non-pregnant women was evaluated on Symptomatic pulmonary embolism presentation. Pregnant women with acute VTE presented less often with symptomatic pulmonary embolism than non-pregnant women (11% vs 39%), with 40% of pregnancy-related VTE occurring in the first trimester.

synapsesocial.com/papers/6a93be9c0d47ea57beb85c56https://doi.org/10.1160/th06-11-0650

Topics

Pulmonary embolism
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Safety of Low-Molecular-Weight Heparin in Pregnancy: A Systematic Review1999 · 553 citations
  2. 2Maternal thrombophilias are not associated with early pregnancy loss2004 · 147 citations
  3. 3Prophylactic and therapeutic enoxaparin during pregnancy: Indications, outcomes and monitoring2003 · 52 citations
  4. 4Deep Vein Thrombosis During Pregnancy and the Puerperium1999 · 311 citations