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Published on: February 10, 2023
Treating venous thromboembolism in pregnancy.
Annemarie E Fogerty1, Jean M Connors
1Department of Hematology/Oncology, Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA 02114, USA.
This review covers venous thromboembolism (VTE) in pregnancy, detailing risks, diagnosis, and management. Awareness of VTE presentation, diagnosis, and treatment is crucial for clinicians managing pregnant patients.
Area of Science:
- Obstetrics and Gynecology
- Hematology
- Thrombosis Research
Background:
- Pregnancy induces a hypercoagulable state, increasing venous thromboembolism (VTE) risk.
- VTE incidence in pregnant women is low but requires clinical vigilance.
- Specific considerations for VTE diagnosis and management in pregnancy are essential.
Purpose of the Study:
- To review current data on venous thromboembolism (VTE) risk in pregnancy.
- To summarize diagnostic strategies, efficacy, and safety for VTE in pregnant women.
- To outline management approaches, including treatment considerations and collaborative care.
Main Methods:
- Comprehensive literature review of available data on VTE in pregnancy.
- Analysis of diagnostic approaches and treatment strategies.
- Evaluation of maternal and fetal risks associated with VTE management.
Main Results:
- Pregnancy presents unique challenges for VTE diagnosis and management.
- Treatment strategies must balance efficacy with maternal and fetal bleeding risks.
- Multidisciplinary collaboration is key for optimal patient outcomes.
Conclusions:
- Clinicians must be aware of VTE-specific aspects during pregnancy.
- Diagnostic and treatment protocols require careful consideration of risks.
- Effective VTE management in pregnancy necessitates integrated care from obstetrics, hematology, and anesthesia.
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