Deep venous thrombosis and pulmonary embolism in obese women

Drife, James Owen

doi:10.1016/j.bpobgyn.2014.08.012

Cited by 12 publications

(9 citation statements)

References 59 publications

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“…Although it does not reduce mortality and perinatal mortality, it canbe improve fetal growth [4]. In other studies, Galanaud et al (2015) reported that the bed rest has long been associated with increased risk of thromboembolism [5]. However, in our patient, because the patient was advised every day in subsequence, for legs, hands and body massage, the risk was reduced.…”

Section: Discussioncontrasting

confidence: 39%

Successful treatment with home care in a second-half twin pregnancy complicated with a too short cervix: a case report

Zahedifard¹

2018

Ann Clin Anal Med

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A 34-year-old primiparous female patient with twin pregnancy presented in the 26th week of pregnancy with a cervical length of 11 mm, with prolapse of membranes.The patient received a special kind of bed rest and supportive proceedings and the pregnancy completed successfully at 36 weeks and 5 days. In the second half of pregnancy, due to the risk of emergency cerclage, expectant management seems an appropriate and safe approach.

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Section: Discussioncontrasting

confidence: 39%

Successful treatment with home care in a second-half twin pregnancy complicated with a too short cervix: a case report

Zahedifard¹

2018

Ann Clin Anal Med

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“…Drife reported the known risks and the mechanisms associating obesity, pregnancy and thromboembolism, with emphasis in the occurrence around the time of delivery and the postpartum period. There is no clear explanation for the interaction between pregnancy, obesity and the prothrombotic environment however clinical guidelines have been created to reduce the risk of pregnancy related death (21). Harper reports that obesity was over represented in maternal mortality figures for the triennia 2000-2002 when 29 % of the maternal deaths occurred in obese women compare with 23% in the general population.…”

Section: Discussionmentioning

confidence: 98%

Does maternal obesity impact pregnancy-related deaths? Michigan experience

Mariona

2016

The Journal of Maternal-Fetal & Neonatal Medicine

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Obesity is a multifactorial non-communicable condition that has become a public health epidemic worldwide. The Fifth Millennium Development Goal established the goal of a 75% reduction in the maternal mortality ratio (MMR) between 1990 and 2015. Maternal mortality has been difficult to track over time. Obesity affects pregnancy in more than 50% of women of reproductive age in the state of Michigan; the potential impact of maternal obesity and pregnancy-related deaths (PRDs) has not been studied in Michigan. We conducted a secondary analysis of maternal death cases originally reviewed by the Michigan Maternal Mortality Review Committee from 2004 to 2006 seeking to evaluate the impact of maternal obesity on PRD. Two hundred and five maternal deaths occurred during the period of the study, 61 were classified as PRD. The observed occurrence of PRDs in the obese population was 36 cases while in the non-obese was 25 cases. The study showed a 3.7× risk of PRD in the obese parturient.

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“…Heightened attentiveness to the signs and symptoms of VTE is crucial for prompt assessment and treatment and in order to decrease the risk of mortality [22]. Yet this intent is frustrated by the similarities between the classic symptoms of VTE (notably edema of the affected extremity, tachycardia, tachypnea, and dyspnea), and common symptoms frequently disclosed during the course of uncomplicated pregnancy, but often more frequently reported by the obese pregnant patient, sometimes leading to diagnostic delays [22][23][24].…”

Section: Clinical Manifestations Of Vtementioning

confidence: 99%

“…journals.viamedica.pl/ginekologia_polska of leukocytosis beyond what would be expected for pregnancy alone [22,25]. Additional relevant elements, such as immobilization, unequal calf-size differing by > 3 cm (measured 10 cm below the tibial tuberosity), or unilateral swelling affecting the entire extremity warrant in-depth assessment [26].…”

Section: Clinical Manifestations Of Vtementioning

confidence: 99%

“…Targeted examination extending from the iliac vein to the popliteal vein, incorporating Doppler interrogation of iliac vein flow (normally non-compressible) is crucial in view of the risk of iliac vein DVT in pregnancy [16,22,24,30]. Whereas a negative CUS has a negative predictive value of 98.9% (95% CI 95.5-99.8) during pregnancy and postpartum, a repeat CUS within one-week is suggested by most current guidelines [16,29].…”

Section: Deep Vein Thrombosismentioning

confidence: 99%

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Venous thromboembolism in obese pregnant women: approach to diagnosis and management

et al. 2017

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Venous thromboembolism (VTE) remains among the leading causes of maternal mortality in the developed world, presenting variably as deep vein thrombosis (DVT), pulmonary embolism (PE) or cerebral vein thrombosis (CVT), among others. Obesity in particular has been recognized as the principal contributing factor to the risk of VTE in pregnancy and with the global increase in the rates of obesity affecting reproductive age women, heightened awareness of the risk and consequences of VTE in this population are vital. Thus, prophylaxis, diagnosis and treatment of VTE in the obese gravida are discussed.

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Deep venous thrombosis and pulmonary embolism in obese women

Cited by 12 publications

References 59 publications

Successful treatment with home care in a second-half twin pregnancy complicated with a too short cervix: a case report

Successful treatment with home care in a second-half twin pregnancy complicated with a too short cervix: a case report

Does maternal obesity impact pregnancy-related deaths? Michigan experience

Venous thromboembolism in obese pregnant women: approach to diagnosis and management

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