Deep Vein Thrombosis in Pregnancy

Colman-Brochu, Stephanie

doi:10.1097/00005721-200405000-00010

Cited by 27 publications

(20 citation statements)

References 14 publications

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“…This may have additional health benefits including less postoperative immobility, which is a well-known risk factor for thromboembolic disease. 14 There has certainly been a drive in the UK to change the traditional practice of inpatient care to more day case surgery and outpatient care. This has been driven by patient's choice and economic considerations.…”

Section: Discussionmentioning

confidence: 99%

A prospective observational study of the safety and acceptability of vaginal hysterectomy performed in a 24‐hour day case surgery setting

Penketh

Griffiths

Chawathe

2007

BJOG

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Objective To assess the safety and acceptability of vaginal hysterectomy with and without simultaneous oophorectomy in a 24-hour day case surgery setting for women with nonprolapse indications for surgery.Design Prospective observational study.Setting A busy teaching hospital and tertiary referral centre for Obstetrics and Gynaecology.Population Seventy-one women from one consultant's practice underwent a vaginal hysterectomy with a planned discharge within 24 hours after the procedure. All women had a body mass index less than 40 and a suitable home environment for routine day case surgery, other than that the women were from an unselected population.Method Prospective observational study.Main outcome measures The duration of the operation and mean blood loss were recorded. Any intraoperative complications were noted. In addition, the proportion of women discharged home within 24 hours of the operation was recorded together with any readmissions to hospital. Returns to theatres and any postoperative complications were also recorded. Postoperative pain scores were assessed 6 and 24 hours after procedure in selected women.Results Seventy-one vaginal hysterectomies were performed as 24-hour day case procedures. The intraoperative complication rate was 1.4%. Sixty-five women were discharged home within 24 hours (91.5%). The readmission rate within this group was 6.2%. The duration of the procedure, mean blood loss, return to theatre rate and incidence of febrile illness were comparable with rates recorded in inpatient studies.Conclusions Vaginal hysterectomy performed as a 24-hour day case procedure appears to be as safe as traditional inpatient management, with a high rate of early discharge and a low rate of readmission. This may have additional advantages for the woman and healthcare provider alike.

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Section: Discussionmentioning

confidence: 99%

A prospective observational study of the safety and acceptability of vaginal hysterectomy performed in a 24‐hour day case surgery setting

Penketh

Griffiths

Chawathe

2007

BJOG

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“…Bed rest or immobility, pelvic or leg trauma have previously been reported to be risk factors for DVT. 2 Although epidemiologic studies have demonstrated many risks a defi cit of blood group O among patients with DVT, few studies have evaluated the importance of blood group in these high-risk patients. Recently non-O blood type was independently associated with risk of VTE.…”

Section: Discussionmentioning

confidence: 99%

“…Cesarean section is a known risk factor for DVT. 2 However, one of the studies failed to observe the risk of DVT among pregnant women undergoing cesarean section. 10 Smoking is not unusual among Sudanese women, hence it was not investigated in the current study.…”

Section: Discussionmentioning

confidence: 99%

“…Reported risk factors vary widely as do the genetic, environmental and behavioral factors. 2,3 The current study was conducted to investigate the epidemiology of DVT in pregnancy and puerperium and to identify its risk factors, which include the ABO blood group system among Sudanese women. This will help health planners and caregivers to identify and hence prevent DVT in those women at risk.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of deep venous thrombosis during pregnancy and puerperium in Sudanese women

Gader

Haggaz²,

Adam³

2008

VHRM

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Background: Deep venous thrombosis (DVT) and venous thromboembolism (VTE) is a major health problem with high mortality worldwide. Patients at risk must be identifi ed and given appropriate prophylaxis in order to decrease the mortality. Objective: To investigate the prevalence of DVT in pregnancy and the puerperium and to identify risk factors for DVT. Setting: Khartoum and Khartoum North Teaching hospitals, Sudan. Design: Case-control study. Results: During the study period (April 2007-March 2008, 65 patients presented with DVT as confi rmed by Doppler ultrasound. A total of 14,490 deliveries occurred during the study period. The rate was 448 DVT per 100,000 births/year. Only four of these 65 patients were pregnant and the rest presented at postpartum. DVT occurred in the left lower extremity in 51 (78.4%), in the right in 13 (20.0%), and in one (1.5%) woman in both legs. In univarite and multivariate analyses, family history of DVT, primigravidae and cesarean section deliveries showed an higher risk of DVT. Conclusions:The study showed a high prevalence of DVT, most of these events occurred in the postpartum period. Primiparae, family history of DVT and cesarean section deliveries were important risk factors and these groups are candidate for prophylaxis measures against DVT.

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“…Moreover other markers reflecting hypercoagulability (such as D-dimer and/or prothrombin fragment) are increased during pregnancy. 5,6 Different polymorphisms of thrombophilic disorders are diagnosed in up to 40% of women who have experienced recurrent miscarriages. However, this association depends on the type of thrombophilic disorder and the gestational age at which fetal loss occurs.…”

Section: Introductionmentioning

confidence: 99%

Association of increased platelet distribution width and red cell distribution width with recurrent pregnancy loss

Meena

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Recurrent pregnancy loss is defined as three or more consecutive pregnancy losses at or less than 20 weeks of gestation or with a fetal weight less than 500 grams. The aim was to compare platelet distribution width and red cell distribution width between pregnant women with a history of recurrent pregnancy loss and pregnant women without a history of pregnancy loss. Methods: This was a prospective study to the evaluation of 70 pregnant women with a history of recurrent pregnancy loss and 70 pregnant women without a history of pregnancy loss in the first trimester. Results: When compared pregnant women with a history of recurrent pregnancy loss and 70 pregnant women without a history of pregnancy loss, the pregnant women with a history of recurrent pregnancy loss had significantly higher platelet distribution width and red cell distribution width (p≤0.001 for both). There was no statistically significant difference between the two groups in terms of age, BMI, Hemoglobin, TLC, hematocrit, platelecrit, mean corpuscular volume, mean corpuscular haemoglobin, mean corpuscular haemoglobin concentration (p>0.05). Conclusions: An increased platelet distribution width and red cell distribution width with recurrent pregnancy loss.

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Deep Vein Thrombosis in Pregnancy

Cited by 27 publications

References 14 publications

A prospective observational study of the safety and acceptability of vaginal hysterectomy performed in a 24‐hour day case surgery setting

A prospective observational study of the safety and acceptability of vaginal hysterectomy performed in a 24‐hour day case surgery setting

Epidemiology of deep venous thrombosis during pregnancy and puerperium in Sudanese women

Association of increased platelet distribution width and red cell distribution width with recurrent pregnancy loss

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