Abstract

NAPOLES MENDEZ, Danilo  and  COUTO NUNEZ, Dayana. Eleven-years experience in venous thromboembolism diseases during the gravidic-puerperal period. Rev Cubana Obstet Ginecol [online]. 2011, vol.37, n.3, pp. 300-311. ISSN 0138-600X.

A longitudinal, prospective and descriptive study was conducted in the 198 patients (puerperal and pregnants) presenting with venous thromboembolism (VTE) including a deep venous thrombosis (DVT) and pulmonary thromboembolism (PTE) from January, 2000 to December, 2020 admitted in the Gynecology and Obstetrics hospitals and also in the therapy units of "Saturnino Lora" and "Dr. Juan Bruno Zayas", respectively to identify the major risk factors, clinical features, treatment modalities and disease complications during pregnancy and puerperium. The incidence of VTE is of 1.34 by 1 000 births. The 84.1 % of PTE occurred in the prepartum period, varices and the extended rest were the major risk factors and the 83% of PVT were present during postpartum period, associated with a cesarean section and infection. According the probability test, the 93.8 % of patients had a high chance for PTE and the 90.6 % for DVT. Sensitivity for PTE of the proximal veins with Doppler was of 94 % and the left lower extremity was the more involved in the 78,6%. Mother mortality from pulmonary thromboembolism was of 10.1 %. We conclude that the venous thromboembolism is a frequent entity in our environment demonstrating the significance of clinical model in the early diagnosis, the effectiveness of heparin in the pregnancy course and the significant association between DVT and mortality.

Keywords : Pregnancy; puerperium; venous thromboembolism; deep venous thrombosis; pulmonary embolism.

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