Authors

• Zdenka Ćurić — Klinička bolnica Merkur, Zagreb, Hrvatska — ORCID: 0000-0002-1141-6509
• Petra Kušter — Klinička bolnica Merkur, Zagreb, Hrvatska — ORCID: 0000-0001-7975-4195
• Mira Rupčić — Klinička bolnica Merkur, Zagreb, Hrvatska — ORCID: 0000-0003-3475-8963
• Ivana Stakor Jakšić — Klinička bolnica Merkur, Zagreb, Hrvatska — ORCID: 0000-0001-9149-7494

Abstract

Venous thromboembolism (VTE) is a medical term that includes deep vein thrombosis and pulmonary embolism (PE). Known risk-factors for VTE are pregnancy and puerperium, all trimesters of pregnancy increase the risk of VTE and especially the period of puerperium. (1) The incidence of VTE in pregnancy is around 200 cases in 100.000 deliveries. Physiologic changes that are occurring in pregnancy are the main cause of venous hemostasis of lower limbs, hypercoagulability and damage of venous and arterial endothelium. Although the patients have symptoms of DVT, getting the right diagnosis sometimes is very difficult due to impossibility of performing right diagnostic procedures because some of them are contraindicated in pregnancy. In the treatment of DVT in pregnancy the safety of the fetus should be considered and also the risk of bleeding during the c-section or applying spinal anesthesia. Approach in treatment of patients with DVT should be an individual considering small amount of clinical trials that are conducted during pregnancy. In DVT treatment in pregnancy are included cardiology, hematology, radiological and gynecological teams. In this case report we will present a pregnant woman that was admitted and treated with a diagnosis of DVT.

Keywords

pregnancy, deep vein thrombosis, nursing care

DOI

Literature

1. Ray JG, Chan WS. Deep vein throm bosis during pregnancy and the puerperium: a meta-analysis of the period of risk and the leg of presentation. Obstet Gynecol Surv. 1999 Apr;54(4):265–71. https://doi.org/10.1097/00006254-199904000-00023