Key result
Venous thromboembolism risk is increased during pregnancy and the puerperium, with diagnosis relying on ultrasound and V/Q scanning, and management typically involving heparin and postpartum warfarin.
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Provides a narrative overview of the diagnosis and management of venous thromboembolism during pregnancy and the postpartum period.
The risk of venous thromboembolism (VTE) is increased in pregnancy and puerperium. Thrombophilia has been identified in pregnancy-related VTE. Venous ultrasound and ventilation-perfusion lung scanning are the initial tests; pulmonary angiography should be performed if necessary for the definitive diagnosis. Anticoagulation is achieved with heparin antepartum and warfarin postpartum. Low molecular weight heparin has been effective and safe in pregnancy. Thrombolytic therapy has been administered to pregnant patients.
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Janet Shapiro (2001) conducted a review in Venous thromboembolism in pregnancy. Venous thromboembolism risk is increased during pregnancy and the puerperium, with diagnosis relying on ultrasound and V/Q scanning, and management typically involving heparin and postpartum warfarin.
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