Treating venous thromboembolism in pregnancy

Hematol Oncol Clin North Am. 2011 Apr;25(2):379-91, ix. doi: 10.1016/j.hoc.2011.02.004.

Abstract

This review summarizes the currently available data concerning risk, diagnosis, and management of venous thromboembolism (VTE) in pregnant women. While the actual incidence of VTE in pregnancy remains low, the hypercoagulable state and increased risk requires clinicians to be aware of the specific aspects of presentation, diagnosis, and treatment in this population. The authors outline the strategies, efficacy, and safety of the diagnostic approach, as well as the available data concerning treatment. Considerations in treatment include maternal and fetal bleeding risk, as well as management of labor and delivery. The optimal approach to treatment requires collaboration between obstetrics, hematology, and anesthesia.

Publication types

  • Review

MeSH terms

  • Delivery, Obstetric*
  • Female
  • Hemorrhage* / diagnosis
  • Hemorrhage* / prevention & control
  • Humans
  • Labor, Obstetric*
  • Pregnancy
  • Pregnancy Complications, Hematologic* / diagnosis
  • Pregnancy Complications, Hematologic* / therapy
  • Risk Factors
  • Venous Thromboembolism* / diagnosis
  • Venous Thromboembolism* / therapy
  • Venous Thrombosis / diagnosis
  • Venous Thrombosis / therapy