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CES Medicina

Print version ISSN 0120-8705

Abstract

DUQUE RESTREPO, Maria Camila et al. Venous thromboembolic disease in pregnant and puerperal women in a high complexity institution 2013 - 2019. CES Med. [online]. 2023, vol.37, n.2, pp.59-67.  Epub Oct 27, 2023. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.7254.

Objective:

To describe the sociodemographic and clinical characteristics and in-hospital outcomes of pregnant women and postpartum women diagnosed with venous thromboembolic disease in a high complexity institution.

Materials and methods:

Retrospective descriptive study, population-based, which included 52 patients with a diagnosis of Venous Thromboembolic Disease, selected among 180 medical records of pregnant and puerperal women attended in a high complexity institution in Medellin Colombia during 2013- 2019.

Results:

20.9% of the pregnant women evaluated had a personal history of VTE and 17.3% were obese. Diagnosis was predominantly in the immediate postpartum period, mainly by venous doppler in 60.9% and angioCT in 11.6%. Limb pain 67.4%, asymmetric edema 44.2% and erythema 25.6% were the most frequent signs and symptoms. Complications at discharge were infrequent.

Conclusions:

The diagnosis of VTE was mainly made in immediate postpartum. Most of the patients diagnosed with VTE did not present complications in the immediate postpartum period. Medium and long term follow-up would be a strategy to implement.

Keywords : embolism; venous thrombosis; postpartum period; pregnancy complications; obesity.

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