Pregnancy and Venous Thromboembolism

Yıl 2015, Cilt: 12 Sayı: 1, 48 - 51, 01.01.2015

Emel Kıyak Çağlayan , Yaprak Engin Üstün

Öz

Venous thromboembolism VTE is a condition that can be occurred in the pregnancy period that causes increase in maternal mortality and morbidity. The incidence of mortality in developed countries for pregnancy related VTE is defined as 0,4-1,6 per 100.000 pregnancies. Deep vein thrombosis and pulmonary emboli risk during pregnancy is 0.1%. This ratio is 3-4 times higher than same age women in non pregnant population. There is no consensus about prophylaxis for venous thromboembolism in pregnancy. Several guidelines can be found for different scenarios. In general point of view, all patients at each visit during pregnancy and the postpartum period should be reassessed in terms of risk for VTE and findings should be documented.

Anahtar Kelimeler

Pregnancy, thromboprophylaxis, VTE

Gebelik ve Venöz Tromboembolizm

Öz

Gebelik sırasında ortaya çıkan venöz tromboembolizm VTE maternal mortalite ve morbiditeyi arttıran önemli ve önlenebilir bir durumdur. Gelişmiş ülkelerde gebeliğe bağlı venöz tromboemboli sonucu maternal mortalite oranı 100.000 gebelikte 0.4-1.6’dır. Gebelik sırasında derin ven trombozu DVT ya da pulmoner emboli riski yaklaşık % 0.1’dir ve bu oran aynı yaştaki gebe olmayan kadınlardan 3-4 kat daha yüksektir. Gebelik sırasında venöz tromboembolinin önlenmesi konusunda tek bir görüş birliği bulunmayıp farklı klinik senaryolar için belirtilmiş birçok kılavuz önerileri bulunmaktadır. Genel hatları ile değerlendirildiğinde, tüm hastalar gebelik ve postpartum dönemde her muayenede VTE riski açısından tekrar değerlendirilmeli ve dökümante edilmelidir.

Anahtar Kelimeler

Gebelik, tromboprofilaksi, VTE

Kaynakça

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