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Puerperal thromboembolic disease in "high risk" cases
British Medical Journal
|February 3, 1973
Summary
Puerperal thromboembolic disease screening in obstetric patients revealed low deep vein thrombosis rates. Clinical signs were less reliable than fibrinogen uptake measurements for detecting this condition.
Area of Science:
- Obstetrics and Gynecology
- Vascular Medicine
- Diagnostic Imaging
Background:
- Puerperal thromboembolic disease poses a risk to postpartum women.
- Identifying high-risk patients for effective screening remains a challenge.
Purpose of the Study:
- To investigate the incidence of puerperal thromboembolic disease in obstetric patients.
- To evaluate the diagnostic accuracy of clinical findings, fibrinogen uptake, and Doppler ultrasound for detecting deep vein thrombosis.
Main Methods:
- Studied 100 obstetric patients for puerperal thromboembolic disease.
- Utilized (125)I-labelled fibrinogen uptake measurements.
- Employed Doppler ultrasound flow detection as a screening technique.
Main Results:
- Only one case of deep vein thrombosis was found in high-risk patients.
- Clinical findings were unreliable for diagnosis.
- (125)I-labelled fibrinogen uptake measurements showed higher diagnostic value.
- Doppler ultrasound did not detect any abnormalities in this cohort.
Conclusions:
- The incidence of deep vein thrombosis in this obstetric cohort was low.
- Fibrinogen uptake is a more reliable diagnostic method than clinical assessment.
- Doppler ultrasound may require further evaluation in obstetric populations for thromboembolic disease detection.