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J Caring Sci. 2014;3(3): 221-226.
doi: 10.5681/jcs.2014.024
PMID: 25276766
PMCID: PMC4171820
  Abstract View: 1601
  PDF Download: 724

Short Communication

Thromboembolism and Thrombosis during Pregnancy and After Delivery between 2009 and 2012 in Al-Zahra Educational Center

Zahra Fardiazar 1, Khadijeh Hajizadeh 2*, Soudabeh Dinparvar 3, Fariba Esmaili 4

1 Department of Obstetrics & Gynecology &Reproductive Sciences, Women’s Reproductive Health Research Center, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Midwifery, Al-Zahra Educational Center, Tabriz University of Medical Sciences, Tabriz, Iran
3 Department of Cardiovascular Sciences, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
4 Information Technology, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Author: Email: hajizade_k@yahoo.com

Abstract

Venous thromboembolism (VTE) is considered as one of the leading causes of maternal mortality during pregnancy and postpartum period. In this retrospective study the medical records of 81 women diagnosed with Pulmonary thromboembolism (PTE) and Deep venous thrombosis (DVT) between 2009 and 2012 in Tabriz Al-Zahra hospital was participated. These cases were evaluated regarding frequency, maternal and fetus risk factors associated with VTE. During 3 years 33 patients were diagnosed as PTE; 7 women were diagnosed as DVT and PTE; and 41 women were diagnosed as DVT. Most frequent underlying disease was hypertension (13.5%) and most frequent symptoms of PTE and DVT were dyspnea (100%) and swelling of lower limb (100%) respectively. 93% of PTE and 79% of DVT incidences occurred during and after the third trimester of pregnancy. Additionally, 38% of PTE occurred during or after childbirth (33% following cesarean and 5% following vaginal delivery). Therefore, it seems that vaginal delivery is safer than cesarean surgery. In addition, the importance of third trimester of pregnancy and postpartum period is obvious.
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Submitted: 31 Aug 2014
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