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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 |
Publication 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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