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[Epidemiology and maternal thrombosis].

Jean-Luc Bosson1

  • 1Centre d'Investigation Clinique, CHU, BP 217, 38043 Grenoble Cedex 09. jlbosson@imag.fr

Annales De Medecine Interne
|March 19, 2004
PubMed
Summary

Deep vein thrombosis (DVT) affects 0.1-0.8 per 1000 pregnancies monthly, likely higher due to undetected cases. This condition demands attention due to maternal mortality risks and potential pulmonary embolism.

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Area of Science:

  • Obstetrics and Gynecology
  • Vascular Medicine
  • Thrombotic Disorders

Context:

  • Pregnancy significantly alters coagulation, increasing venous thromboembolism risk.
  • Deep vein thrombosis (DVT) and superficial venous thrombosis (SVT) are significant concerns during gestation.
  • Existing incidence data may underestimate true prevalence due to asymptomatic cases.

Purpose:

  • To highlight the incidence and significance of venous thromboembolism in pregnancy.
  • To underscore the underestimation of DVT prevalence by clinical event reporting.
  • To emphasize the maternal health implications of DVT and SVT.

Summary:

  • Monthly DVT incidence in pregnancy ranges from 0.1 to 0.8 per 1000 pregnancies.
  • Clinical event data likely underestimates prevalence, as asymptomatic cases can triple the figures.
  • SVT prevalence is similar to DVT and carries a risk of pulmonary embolism.

Impact:

  • Underscores the need for vigilant screening and management of venous thromboembolism in pregnant individuals.
  • Highlights the potential for severe maternal morbidity and mortality associated with these conditions.
  • Informs clinical practice regarding the recognition and treatment of both DVT and SVT during pregnancy.

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