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Thromboembolism following cesarean section: a retrospective study.
Joyce Lai1, Isvarya Venu2, Ann Kinga Malinowski3
1a Faculty of Medicine , University of Toronto , Toronto , Canada.
Hematology (Amsterdam, Netherlands)
|December 22, 2017
Summary
Hypertension and varicose veins significantly increase the risk of thromboembolism (TE) after cesarean section (CS). Early detection of these risk factors is crucial for preventing postpartum TE complications.
Area of Science:
- Obstetrics and Gynecology
- Vascular Surgery
- Public Health
Background:
- Thromboembolism (TE) is a leading cause of maternal mortality.
- The postpartum period presents the highest risk for TE.
- Cesarean section (CS) is a common obstetric procedure with associated risks.
Purpose of the Study:
- To identify risk factors for TE following CS.
- To inform preventative strategies for postpartum TE.
Main Methods:
- Retrospective analysis of 1377 patients who underwent CS.
- Data collected via medical records and questionnaires approximately 1 year post-CS.
- Univariate analysis to determine risk factors associated with TE.
Main Results:
- Seven patients (0.5%) developed TE, with 86% occurring within 7 days of CS.
- Pre-existing hypertension was associated with a 21.28-fold increased odds of TE.
- Varicose veins with superficial thrombophlebitis showed a 21.01-fold increased odds of TE compared to heparin recipients.
Conclusions:
- Hypertension and varicose veins are significant risk factors for TE post-CS.
- Further research is needed to develop accurate risk prediction scores for TE following CS.
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