Thrombosis in pregnancy

Thrombosis in pregnancy-  causes

Pregnancy and postpartum time is a period of increased risk of thromboembolic disease. Thrombosis is one of its manifestations. Pregnancy and the postpartum period is a time when blood stasis and, consequently, localized hypercoagulability can occur. The speed of blood flow is also reduced, and the return of blood to the heart through the venous vessels is hindered.

Those most at risk of developing thrombophilia in pregnancy are mothers-to-be who have already had a thromboembolic episode in the past, as well as pregnant women with thrombophilia or, for example, lupus erythematosus. More often, thromboembolism affects women after in vitro fertilization. Among the causes of lower extremity thrombosis and pulmonary embolism are prolonged lying down due to, among other things. unrestrained vomiting of pregnant women or threatened miscarriage manifested by bleeding from the genital tract. Women with a family history of thromboembolic episodes also have a higher risk. Risk factors also include age above 35. years of age, childbearing more than 3 births, and obesity.

Thrombosis in pregnancy- symptoms

Thrombosis in pregnancy can be sparsely symptomatic. Sometimes the first symptoms of the disease are those indicative of pulmonary embolism, namely shortness of breath, chest pain and cough. Among the symptoms of thrombosis most commonly reported by patients are soreness, swelling of the limb, as well as redness and increased warmth. Most often, a Doppler ultrasound of the lower extremities is required to confirm deep vein thrombosis.

Thrombosis in pregnancy-prevention

In pregnant women with serious thrombosis risk factors present, thromboprophylaxis is introduced at the early stages of pregnancy. It is used, among other things. In those moms-to-be who have undergone a thromboembolic episode in the past or suffer from an autoimmune disease characterized by an increased risk of clot formation as is the case with antiphospholipid syndrome. Heparins are most commonly used for treatment, while non-pharmacological methods of prevention include, for example, compression stockings, which some moms-to-be wear throughout pregnancy and the postpartum period. It is also important to be physically active and maintain an appropriate body weight. Nowadays, there is a move away from the so-called. bed regimen in complications of pregnancy, as it is a risk factor for the development of thrombosis and, consequently, pulmonary embolism that can pose a real threat to the life of the pregnant woman.