Clinical Focus ›› 2016, Vol. 31 ›› Issue (4): 359-362.doi: 10.3969/j.issn.1004-583X.2016.04.004

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Focus on venous thromboembolism during pregnancy

Li Hongwei, Wu Qi   

  1. Department of Respiration, Tianjin Haihe Hospital and Tianjin Institute of Respiratory Diseases, Tianjin 300350, China
  • Received:2016-01-15 Online:2016-04-05 Published:2016-04-18
  • Contact: Wu Qi, Email: wq572004@163.com

Abstract: Venous thromboembolism (VTE) is constituted by pulmonary thromboembolism (PTE) and deep venous thrombosis (DVT). Blood hypercoagulable, along with vascular damage and stasis during pregnancy and puerperium contribute to a high incidence of VTE. In clinically suspected VTE, anticoagulation therapy should be commenced immediately until the diagnosis is excluded by objective testing, unless treatment is strongly contraindicated. Low molecular weight heparin (LMWH) does not pass through the placenta and is safe in breastfeeding, hence will be the best choice for pregnancy and puerperium. Treatment with LMWH should be employed during the remainder of the pregnancy and last for at least 6 weeks postnatally and at least 3 months of treatment will be necessary.

Key words: venous thromboembolism, pregnancy, pulmonary embolism, venous thrombosis

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