Significance of risk factors in the prevention of postpartum venous thromboembolic disease
https://doi.org/10.21518/2079-701X-2018-7-54-58
Abstract
Venous thromboembolism is a rare complication of the postpartum period. However, it holds a stable position in the maternal mortality pattern throughout the world, classified as the so-called group of beyond control causes. We have conducted a retrospective analysis of labour in puerperas, who were admitted to the Vascular Surgery Department of Inozemtsev State Clinical Hospital with venous thromboembolic complications in the period from 2015 to 2017. The analysis identified the most significant risk factors for postpartum venous thrombotic complications. These risk factors should be carefully examined to choose a thromboprophylaxis method in the postpartum period.
About the Authors
S. V. Apresyan
City Clinical Hospital named after F.I. Inozemtsev, Moscow Healthcare Department, Moscow
Russian Federation
MD, Prof.
Russian Federation
MD, Prof.
V. I. Dimitrova
City Clinical Hospital named after F.I. Inozemtsev, Moscow Healthcare Department, Moscow
Russian Federation
PhD in medicine
Russian Federation
PhD in medicine
S. A. Papoyan
City Clinical Hospital named after F.I. Inozemtsev, Moscow Healthcare Department, Moscow
Russian Federation
PhD in medicine
Russian Federation
PhD in medicine
V. A. Liubeshkina
City Clinical Hospital named after F.I. Inozemtsev, Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
O. A. Slyusareva
City Clinical Hospital named after F.I. Inozemtsev, Moscow Healthcare Department, Moscow
Russian Federation
PhD in medicine
Russian Federation
PhD in medicine
References
1. Konoplyannikov AG. Report of the chief obstetrician-gynecologist of the Moscow Healthcare Department. M., 2017.
2. Solovieva AV, Sturov VG, Rudneva OD. Thrombosis: what? where? when? Modern approaches to the prevention of thromboembolic complications during pregnancy. Status praesens 2016, 3 (32).
3. Radzinsky VE. Obstetric aggression, 2017.
4. Makatsariya AD, Vorobiev AV. Pathogenetic features of prophylaxis of thrombohemorrhagic complications in cancer patients. Meditsinsky Sovet, 2016, 2: 79-85.
5. Makatsaria AD, et al. Thrombohemorrhagic complications in acupuncture-gynecologic practice. Guide for practitioners under the editorship of Makatsaria AD. M.: MIA, 2011.
6. Sultan A et al. Impact of risk factors on the timing of first postpartum venous thromboembolism: a population-based cohort study from England. Blood, 2014, 124(18): 2872- 2880.
7. Totchiev GF, Tarek F. Venous thromboembolic complications in obstetrics and gynaecology. Meditsinsky Sovet, 2017, 2: 142-144.
8. Sultan A et al. Risk factors for first venous thromboembolism around pregnancy: a population-based cohort study from the United Kingdom. Blood, 2013 May 2, 121(19): 3953-61. Epub 2013 Apr 2.
9. Royal College of Obstetricians and Gynaecologists. Reducing the Risk of Venous Thromboembolism during Pregnancy and the Puerperium. Green-top Guideline, 2017, 37a.
10. Alalaf SK et al. Bemiparin versus enoxaparin as thromboprophylaxis following vaginal and abdominal deliveries: a prospective clinical trial. BMC Pregnancy Childbirth, 2015.
11. Gonzalez JM. Use of bemiparin in pregnancy and puerperium. LAB. FCOS. ROVI S.A. MEDICAL DPT. 2012, 12.
12. Cruz M, et al. Prevention of thrombotic complications after cesarean section using two different bemiparin therapy regimes. Meditsinsky Sovet, 2012, 2.
13. Sturov NV. Use of bemiparin in obstetrics. Trudny Patsient, 2013, September.
Review
For citations:
Apresyan SV, Dimitrova VI, Papoyan SA, Liubeshkina VA, Slyusareva OA. Significance of risk factors in the prevention of postpartum venous thromboembolic disease. Meditsinskiy sovet = Medical Council. 2018;(7):54-58. (In Russ.) https://doi.org/10.21518/2079-701X-2018-7-54-58
Views:
591
Email this article 