Skip to main content

How do we manage venous thromboembolism in pregnancy? A retrospective review of the practice of diagnosing and managing pregnancy‐related venous thromboembolism at two major hospitals in Australia and New Zealand

Buy Article:

$48.00 plus tax (Refund Policy)

Abstract:

Abstract
Background

North American and European literature suggest that the incidence rate for pregnancy‐related thromboembolism (VTE) ranges from 0.5 to 2 per 1000 pregnancies. However, there is a paucity of data regarding pregnancy‐related VTE in Australia and New Zealand.
Aims

To define the epidemiology, management and adverse effects of pregnancy‐related VTE in Australia and New Zealand.
Method

Retrospective chart review of pregnant patients with objectively diagnosed pregnancy‐related VTE at Monash Medical Centre and the North Shore Hospital from January 2007 to March 2011.
Results

Sixty women with VTE were identified, 31 and 29 in the antepartum and post‐partum period respectively. VTE occurred as early as 8 weeks of gestation. There was a trend towards higher proportion of PE in the postpartum period. Most antenatal patients were started on enoxaparin and dosed according to weight at diagnosis. A wide variability in maintenance dosing strategies was observed. Three (5%, 95% CI: 1% to 14%) patients suffered major bleeds, all occurring post‐partum. Recurrences occurred in two post‐partum patients who received a truncated course of enoxaparin for distal deep‐vein thrombosis. Although more women had an induction of labour, this did not translate into an increased Caesarean section rate.
Conclusion

The epidemiology of pregnancy‐related VTE is similar to that of other developed countries. All three bleeding events occurred in the immediate post‐partum setting, highlighting the need for caution at this critical time. VTE recurrences occurred in those women with post‐partum distal deep‐vein thrombosis treated with an abbreviated course of enoxaparin.

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1445-5994.2012.02863.x

Publication date: October 1, 2012

bsc/imj/2012/00000042/00000010/art00006
dcterms_title,dcterms_description,pub_keyword
6
5
20
40
5

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more