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Related Experiment Videos

Deep vein thrombosis after elective cesarean section.

Anne Flem Jacobsen1, Anders Drolsum, Nils Einar Klow

  • 1Department of Obstetrics and Gynecology, Ullevål University Hospital, Kirkeveien 166, N-0407 Oslo, Norway. anneflem@jacobsen@ulleval.no

Thrombosis Research
|June 9, 2004
PubMed
Summary

Elective cesarean delivery in low-risk women showed no deep venous thrombosis (DVT) or symptomatic venous thromboembolism (VTE) post-surgery. Routine thromboprophylaxis is likely unnecessary for this patient group.

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Area of Science:

  • Obstetrics and Gynecology
  • Vascular Surgery
  • Thrombosis Research

Background:

  • Pregnancy elevates venous thromboembolism (VTE) risk 5-10 fold, peaking postpartum.
  • Operative delivery, including cesarean, further increases VTE risk.
  • Consensus is lacking on thromboprophylaxis after elective cesarean delivery.

Purpose of the Study:

  • To determine the incidence of symptomatic and asymptomatic deep venous thrombosis (DVT) in low-risk women undergoing elective cesarean section.
  • To evaluate the necessity of routine thromboprophylaxis in this population.

Main Methods:

  • Fifty-nine women undergoing elective cesarean section were screened for DVT via Doppler sonography 3-5 days postpartum.
  • Coagulation markers and thrombophilia were assessed; no postoperative thromboprophylaxis was administered.

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  • Symptomatic VTE cases during the follow-up period were recorded.

    • Main Results:

    • No DVTs were detected by ultrasonography in the study group.
    • No women developed symptomatic VTE within six weeks postpartum.
    • Five women (0.47%) experienced symptomatic pulmonary embolism, all with additional VTE risk factors.

    Conclusions:

    • The risk of DVT is low in healthy, low-risk women after elective cesarean section.
    • Routine medical thromboprophylaxis is likely not justified for this demographic.
    • Further research may refine risk stratification for postpartum VTE prophylaxis.