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Venous thromboembolism in pregnancy
Authors:Catherine J Calderwood  Omar I Thanoon
Institution:1. O+berri, Basque Institute for Healthcare Innovation, Torre del BEC (Bilbao Exhibition Centre), Ronda de Azkue 1, 48902 Barakaldo, Spain;2. Osakidetza, Basque Health Service, Astrabudua Health Centre, Mezo 35, 48950 Erandio, Spain;3. Osatek S.A., Public Society of the Basque Government, Alameda de Urquijo 36, Edificio Plaza de Bizkaia, 48011 Bilbao, Spain;1. Monash IVF, 252-256 Clayton Rd, Clayton, Melbourne, Vic. 3168, Australia;2. Monash University, Department of Obstetrics & Gynaecology, 246 Clayton Rd, Clayton, Melbourne, Vic. 3168, Australia;3. Women''s and Children''s Programme, Monash Health, 246 Clayton Rd, Clayton, Melbourne, Vic. 3168, Australia
Abstract:Venous thromboembolism (VTE) includes deep vein thrombosis (DVT) and pulmonary embolism (PE). In pregnancy, deep vein thrombosis accounts for 75–80% of venous thromboembolism, the remainder are pulmonary embolisms. One half of these VTEs occur during pregnancy and the other half in the postpartum period. Venous thromboembolism is one of the leading causes of maternal mortality worldwide and is also the cause of significant maternal morbidity. This article discusses the risk factors for VTE in pregnancy, the management of the pregnant woman at risk both antenatally and postpartum and the acute management of VTE when it occurs during pregnancy.
Keywords:deep vein thrombosis  pregnancy  pulmonary embolism  thromboembolism
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