Venous Thromboembolism and Route of Delivery – Review of the Literature

Author:

Evangelista Matheus1,Slompo Karina1,Timi Jorge2

Affiliation:

1. Faculdade de Medicina, Universidade Federal do Paraná, Curitiba, PR, Brazil

2. Division of Vascular Surgery, Department of Surgery, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil

Abstract

AbstractVenous thromboembolism events are important causes of maternal death during pregnancy and the postpartum period worldwide. A review of the literature with the objective of evaluating venous thromboembolism events in the puerperium according to the route of delivery was performed through a bibliographic survey in the Medline, LILACS and Scielo databases. We observed that patients submitted to cesarean sections present a significantly higher risk of developing venous thromboembolism when compared with those who undergo spontaneous vaginal delivery. The pathophysiological bases for this difference were explored and described in this review, as well as the indications of prophylaxis and treatment. Doctors and health professionals must be continuously vigilant regarding this condition, since it is associated with high morbidity and mortality.

Publisher

Georg Thieme Verlag KG

Subject

Obstetrics and Gynaecology

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