Treatment of Deep Vein Thrombosis and Pulmonary Embolism in Pregnancy
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2018-05-05
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faculty of Basic Medical Science - Libyan International Medical University
Abstract
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Pregnancy and the puerperium are well-established risk factors for deep vein
thrombosis (DVT) and pulmonary embolism (PE), which are collectively referred to as
venous thromboembolic disease (VTE). The venous thromboembolic disease can
manifest during pregnancy as an isolated lower extremity deep vein thrombosis
(DVT) or clot can break off from the lower extremities and travel to the lung to
present as a pulmonary embolus (PE). PE is the seventh leading cause of maternal
mortality, responsible for 9 percent of maternal deaths. Thus, the detection of DVT
during pregnancy is critical to preventing deaths from PE. Although most reports
suggest that VTE can occur at any trimester in pregnancy, studies suggest that VTE is
more common during the first half of pregnancy. The Treatment of VTE during
pregnancy and the puerperium will be reviewed here
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