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Journal

2013 | 8 | 5 | 548-552

Article title

Venous thromboembolism in pregnant woman - a challenge for the clinician

Content

Title variants

Languages of publication

EN

Abstracts

EN
Deep vein thrombosis and pulmonary embolism are two clinical entities of a single disease called venous thromboembolism. Venous thromboembolism is an important cause of maternal morbidity and mortality. Diagnosis and treatment of venous thromboembolism in pregnant women are much more difficult than in non-pregnant women. Pregnant patients were excluded from all major clinical trials investigating therapeutic combinations for acute thromboembolism. Although, for many years, the standard anticoagulant during pregnancy and postpartum was unfractionated heparin, current guidelines recommend low molecular weight heparin. The advantages of low molecular weight heparin are lower risk of bleeding, predictable pharmacokinetics, lower risk of fracture because of thrombocytopenia and heparin-induced osteoporosis.

Publisher

Journal

Year

Volume

8

Issue

5

Pages

548-552

Physical description

Dates

published
1 - 10 - 2013
online
18 - 9 - 2013

Contributors

  • Internal Medicine Clinic, University of Medicine and Pharmacy Carol Davila, Clinical Emergency Hospital of Bucharest, Bucharest, Romania
  • Internal Medicine Clinic, University of Medicine and Pharmacy Carol Davila, Clinical Emergency Hospital Sf. Ioan, Bucharest, Romania
  • Internal Medicine Clinic, University of Medicine and Pharmacy Carol Davila, Clinical Emergency Hospital of Bucharest, Bucharest, Romania

References

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  • [2] EUROPERISTAT Project, SCPE EUROCAT, EURONEOSTAT. European perinatal health report. http://www.europeristat.com/publications/european-perinatal-health-report.shtml
  • [3] Sullivan EA, Ford JB, Chambers G, Slaytor E. Maternal mortality in Australia, 1973–1996. Aust N Z J Obstet Gynaecol 2004; 44: 452–457 http://dx.doi.org/10.1111/j.1479-828X.2004.00313.x[Crossref]
  • [4] James AH, Bushnell CD, Jamison MG, Myers ER. Incidence and risk factors for stroke in pregnancy and the puerperium. Obstet Gynecol. 2005; 106: 509–516 http://dx.doi.org/10.1097/01.AOG.0000172428.78411.b0[Crossref]
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  • [7] Zotz RB, Gerhardt A, Scharf RE. Prediction, prevention and treatment of venous thromboembolic disease in pregnancy. Semin Thromb Hemost. 2003; 29(2):143–154 http://dx.doi.org/10.1055/s-2003-38829[Crossref]
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  • [17] Michiels JJ, Freyburger G, van der Graaf F, Janssen M, Oortwijn W, Van Beek E. Strategies for the safe and effective exclusion and diagnosis of deep vein thrombosis by the sequential use of clinical score, D-dimer testing, and compression ultrasonography. Semin Thromb Hemost. 2000; 26(6): 657–667 http://dx.doi.org/10.1055/s-2000-13222[Crossref]
  • [18] Morse M. Establishing a normal range for D-dimer levels through pregnancy to aid in the diagnosis of pulmonary embolism and deep vein thrombosis. J Thromb Haemost. 2004; 2(7): 1202–1204 http://dx.doi.org/10.1111/j.1538-7836.2004.00776.x[Crossref]
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  • [22] Guyatt, G, Gutterman, D, Baumann, MH, et al. Grading strength of recommendations and quality of evidence in clinical guidelines: report from an American College of Physicians Task Force. Chest 2006; 129: 174–181 http://dx.doi.org/10.1378/chest.129.1.174[Crossref]
  • [23] Hall JG, Pauli RM, Wilson KM. Maternal and fetal sequelae of anticoagulants during pregnancy. Am J Med. 1980; 68: 122–140 http://dx.doi.org/10.1016/0002-9343(80)90181-3[Crossref]
  • [24] Kearon C, Kahn SR, Agnelli G, Goldhaber S, Raskob GE, Comerota AJ. Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008; 133:6 suppl: 454S–545S http://dx.doi.org/10.1378/chest.08-0658[Crossref]

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-013-0193-2
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