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Deep vein thrombosis during pregnancy

J D Liou¹, K C Chen, F B Tsai

¹Department of Obstervics & Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.

Changgeng Yi Xue Za Zhi

|September 1, 1993

Summary

Deep vein thrombosis (DVT) is uncommon in pregnant Chinese women. Early diagnosis via Doppler ultrasound and prompt heparin treatment are crucial for preventing pulmonary embolism and ensuring maternal-fetal safety.

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Area of Science:

Obstetrics and Gynecology
Vascular Medicine
Thrombosis Research

Background:

Antepartum deep vein thrombosis (DVT) is a rare but serious complication during pregnancy.
Prompt diagnosis and management are critical to prevent potentially life-threatening embolization, particularly to the pulmonary vasculature.
Understanding the incidence and management strategies in specific populations, such as Chinese women, is important.

Observation:

A case of deep vein thrombosis (DVT) in a Chinese woman at 36 weeks gestation is presented.
Objective diagnostic methods for antepartum DVT include noninvasive Doppler ultrasound and plethysmography.
The case highlights the importance of timely and accurate diagnosis in obstetric patients.

Findings:

Continuous low-dose intravenous heparin therapy was found to be safe and effective for managing antepartum deep vein thrombosis (DVT) during pregnancy.
Early diagnosis significantly reduces maternal and fetal risks associated with thromboembolism.
Noninvasive Doppler ultrasound and plethysmography are key diagnostic tools.

Implications:

This case underscores the need for heightened awareness and diagnostic vigilance for deep vein thrombosis (DVT) in pregnant women, especially in underrepresented populations.
Effective management with low-dose heparin can mitigate risks of pulmonary embolism and improve maternal-fetal outcomes.
Further research into the specific risk factors and optimal management of DVT in pregnant Chinese women is warranted.

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