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Revista Uruguaya de Medicina Interna

Print version ISSN 2393-6797On-line version ISSN 2393-6797


IRIGOIN, Victoria; LORENZO, Mariana; GRILLE, Sofía  and  GONZALEZ, Valentín. Venous Thromboembolic Disease in the puerperal gravid period. Diagnosis, treatment and prophylaxis. Rev. Urug. Med. Int. [online]. 2021, vol.6, n.2, pp.7-21.  Epub July 01, 2021. ISSN 2393-6797.

Pregnancy and the puerperium are physiologically associated with a markedly increased risk of venous thromboembolic disease. The risk is estimated between 7 to 10 times higher than in women of the same age and 15-35 times higher than the control population, during the puerperium and up to the sixth week postpartum. Risk factors are different during the prenatal and postpartum period. Diagnostic methods include radiography, chest angio-tomography and ventilation-perfusion lung scintigraphy, venous Doppler ultrasound, and magnetic resonance venography. Treatment involves a challenge that ranges from the choice of anticoagulant drug, changes in pharmacokinetics during pregnancy, among others. Diagnostic and therapeutic algorithms are presented.

Keywords : venous thromboembolic disease; diagnosis; treatment; prophylaxis.

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