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[Obstetrics and gynecology].
1Shinshu University School of Health Sciences.
Nihon Rinsho. Japanese Journal of Clinical Medicine
|October 28, 2003
Summary
Pregnancy increases the risk of deep venous thrombosis (DVT) and pulmonary thromboembolism (PTE). Cesarean sections and gynecological malignant tumors present higher PTE risks, requiring tailored prophylaxis strategies.
Area of Science:
- Obstetrics and Gynecology
- Vascular Medicine
- Thromboembolism Research
Context:
- Pregnancy is a known risk factor for deep venous thrombosis (DVT) and pulmonary thromboembolism (PTE).
- Incidence rates of PTE were analyzed between 1991-2000 across 64 Japanese Obstetrics and Gynecology facilities.
- Data encompasses vaginal delivery, cesarean section (CS), benign, and malignant gynecological tumor cases.
Purpose:
- To investigate the incidence of PTE in obstetric and gynecologic patients in Japan.
- To classify risk levels for PTE based on delivery type, surgical intervention, and tumor status.
- To recommend appropriate DVT prophylaxis strategies based on identified risk levels.
Summary:
- PTE incidence was 0.006% for vaginal delivery and 0.046% for CS.
- Gynecological patients showed PTE rates of 0.03% for benign and 0.33% for malignant tumors.
- Risk stratification identified low, moderate, high, and highest risk categories, guiding prophylaxis.
Impact:
- Establishes current risk classifications for PTE in Japanese obstetric and gynecologic populations.
- Provides evidence-based recommendations for DVT prophylaxis, including ambulation, hydration, compression stockings, pneumatic compression, and anticoagulation.
- Highlights the increased risk associated with cesarean sections and gynecological malignancies, informing clinical practice and patient management.