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Postpartum Venous Thromboembolism

The postpartum period is the time of highest risk for deep vein thrombosis and pulmonary embolism.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Postpartum Venous Thromboembolism?

Postpartum venous thromboembolism includes deep vein thrombosis and pulmonary embolism seen within the first 6 weeks after delivery. Hypercoagulability in pregnancy, venous stasis from uterine pressure, and endothelial damage form Virchow's triad.

It is most commonly seen as left leg deep vein thrombosis, pelvic vein thrombosis, and pulmonary embolism. Cesarean delivery, prolonged immobilization, obesity, and thrombophilias increase the risk.

Symptomatic patients are started on full-dose low molecular weight heparin, continued for 3-6 months. Antenatal and postpartum anticoagulation at prophylactic doses is indicated in high-risk pregnant women.

Symptoms

Unilateral swelling, pain, redness in the calf
Pain in the leg when walking
Sudden shortness of breath and chest pain
Tachycardia and hypotension
Hemoptysis
Unexplained syncope

Risk Factors

Cesarean and emergency delivery
Preeclampsia and postpartum hemorrhage
Obesity (BMI >30)
Thrombophilia (Factor V Leiden, prothrombin mutation)
Advanced maternal age and multiple pregnancy
Prolonged bed rest

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When unilateral leg swelling and pain occur after delivery
  • When sudden chest pain and shortness of breath begin
  • When dizziness or tachycardia develops
  • Emergency presentation in case of coughing up blood
  • For prophylaxis planning in high-risk groups

Treatment Methods

01
Doppler ultrasound and CT pulmonary angiography
02
Low molecular weight heparin (treatment or prophylactic)
03
Antenatal prophylaxis in high-risk pregnant women
04
Compression stockings and early mobilization
05
Thrombolytic or surgical approach in severe embolism
06
Continuation of anticoagulation for at least 6 weeks postpartum

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.