Abstract

NAPOLES MENDEZ, Danilo  and  COUTO NUNEZ, Dayana. Venous thromboembolic disease in pregnancy and puerperium. Risk and diagnosis approach. MEDISAN [online]. 2011, vol.15, n.10, pp.1423-1441. ISSN 1029-3019.

Venous thromboembolic disease is the first non-obstetric cause of maternal morbidity with an important contribution to mortality. In this article, not only risk factors related to this clinical disorder of gravidity involving thrombophilias are described, but also previous pregnancy conditions and those concerning pregnancy and puerperium as well as resources for its early diagnosis, including main clinical manifestations and the most reliable mechanisms to assure the presence of deep venous thrombosis and pulmonary thromboembolism. Taking into account all the aforementioned data and the probability test values, elements favoring its occurrence were grouped into three categories: high risk, mild risk, and low risk; thus, diagnosis can be clinically made having the certainty of the symptomatic chart, assuming a clear medical behavior, and applying the appropriate prophylaxis in each case.

Keywords : pregnancy; risk factor; venous thromboembolic disease; puerperium; maternal morbidity and mortality.

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