Author/Authors :
Fardiazar، Zahra نويسنده Department of Obstetrics and Gynecology, Tabriz University of Medical Sciences, Tabriz, Iran. , , Hajizadeh، Khadijeh نويسنده MSc, Postgraduate Student, Department of Midwifery, Student Research Committee, Faculty of Nursing and Midwifery, Tabriz University of Medical Science , , Dinparvar، Soudabeh نويسنده Department of Cardiovascular Sciences, Faculty of
Medicine , , Esmaili، Fariba نويسنده Information Technology, Faculty of Nursing and Midwifery ,
Abstract :
Venous thromboembolism (VTE) is considered as one of the leading causes of
maternal mortality during pregnancy and postpartum period. In this retrospective study
the medical records of 81 women diagnosed with Pulmonary thromboembolism (PTE) and
Deep venous thrombosis (DVT) between 2009 and 2012 in Tabriz Al-Zahra hospital was
participated. These cases were evaluated regarding frequency, maternal and fetus risk
factors associated with VTE. During 3 years 33 patients were diagnosed as PTE; 7 women
were diagnosed as DVT and PTE; and 41 women were diagnosed as DVT. Most frequent
underlying disease was hypertension (13.5%) and most frequent symptoms of PTE and DVT
were dyspnea (100%) and swelling of lower limb (100%) respectively. 93% of PTE and 79%
of DVT incidences occurred during and after the third trimester of pregnancy.
Additionally, 38% of PTE occurred during or after childbirth (33% following cesarean
and 5% following vaginal delivery). Therefore, it seems that vaginal delivery is safer
than cesarean surgery. In addition, the importance of third trimester of pregnancy and
postpartum period is obvious.
