Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/91
Title: Venous thromboembolism during pregnancy and the post-partum period: incidence and risk factors in a large Victorian health service.
Authors: Sharma, Sanjay
Monga, Deepika
Issue Date: 2008
Publisher: Wiley-Blackwell.
Place of publication: Melbourne
Journal title: Journal of Obstetrics & Gynaecology
Volume: 48
Issue: 1
Start Page: 44
End Page: 49
Abstract: BACKGROUND: There is a strong recommendation for post-partum thromboprophylaxis following emergency caesarean sections, particularly in overweight women, and following prolonged labour. AIMS: To analyse the incidence and epidemiological factors associated with antepartum and post-partum venous thromboembolism in a large Victorian health service. METHODS: A retrospective study of all 6987 women delivering at Ballarat Health Services between March 1999 and June 2006. Case notes of women with confirmed venous thromboembolism during this period were subjected to detailed analysis. The data were analysed for possible risk factors, the timing of thromboembolism in relation to the pregnancy and any correlation with thromboprophylaxis, if administered. Results: The rate of venous thromboembolism was 1.14 per 1000 deliveries, with risk factors of age > 30 (100%), obesity (75%), previous history of thromboembolism (62.5%) and caesarean section (37.5%). Majority of cases were diagnosed in first trimester (62.5%), and in the right lower limb (75%). None of the patients had been given thromboprophylaxis. CONCLUSION: While the incidence and risk factors were similar to those generally quoted, a much higher incidence was found in early pregnancy, and in the right lower limb. The importance of meticulous screening for risk factors in early pregnancy cannot be overemphasised.
URI: http://hdl.handle.net/11054/91
ISSN: 0004-8666
Internal ID Number: 00077
Health Subject: ADULT
CAESAREAN SECTION - STATISTICS AND NUMERICAL DATA
FEMALE
HERAPIN - LOW MOLECULAR WEIGHT - THERAPEUTIC USE
HUMANS
INCIDENCE
PREGNANCY
PREGNANCY OUTCOME
PREGNANCY - HIGH RISK
PUERPERAL DISORDERS - EPIDEMIOLOGY
PUERPERAL DISORDERS - PREVENTION AND CONTROL
RETROSPECTIVE STUDIES
RISK FACTORS
VENOUS THROMBOEMBOLISM - EPIDEMIOLOGY
VENOUS THROMBOEMBOLISM - PREVENTION AND CONTROL
VICTORIA, AUSTRALIA
Type: Journal Article
Article
Appears in Collections:Research Output

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