Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword
- Preface
- Acknowledgements
- List of abbreviations
- 1 Maternal physiology and obstetrics
- 2 Antenatal care
- 3 Induction of labour
- 4 Normal labour
- 5 Abnormal labour
- 6 Fetal monitoring
- 7 Pre-eclampsia and hypertensive disorders of pregnancy
- 8 Operative obstetrics
- 9 Obstetric haemorrhage
- 10 Thromboembolic disorders of pregnancy
- 11 Infection
- 12 Life support in obstetrics
- 13 Drugs in obstetrics
- 14 Confidential enquiries into fetal, neonatal and maternal death
- Appendix 1 Adult Advanced Life Support Algorithm
- Appendix 2 The Management of Postpartum Haemorrhage Algorithm
- Appendix 3 Emergency Management of Eclamptic Fit Algorithm
- Index
- References
10 - Thromboembolic disorders of pregnancy
Published online by Cambridge University Press: 21 August 2009
Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword
- Preface
- Acknowledgements
- List of abbreviations
- 1 Maternal physiology and obstetrics
- 2 Antenatal care
- 3 Induction of labour
- 4 Normal labour
- 5 Abnormal labour
- 6 Fetal monitoring
- 7 Pre-eclampsia and hypertensive disorders of pregnancy
- 8 Operative obstetrics
- 9 Obstetric haemorrhage
- 10 Thromboembolic disorders of pregnancy
- 11 Infection
- 12 Life support in obstetrics
- 13 Drugs in obstetrics
- 14 Confidential enquiries into fetal, neonatal and maternal death
- Appendix 1 Adult Advanced Life Support Algorithm
- Appendix 2 The Management of Postpartum Haemorrhage Algorithm
- Appendix 3 Emergency Management of Eclamptic Fit Algorithm
- Index
- References
Summary
Successive reports from the Confidential Enquiry into Maternal and Child Health (CEMACH) have highlighted failures in recognition of risk factors for venous thromboembolism (VTE) and provision of adequate prophylaxis. VTE is a significant cause of mortality and morbidity in pregnancy. There are two different manifestations of VTE - deep vein thrombosis (DVT) and pulmonary embolism (PE). DVT organizes clots that occur in the venous system, usually in the large veins of the leg or pelvis. PE is a clot that causes occlusion of artery in the pulmonary circulation. The blockage of the artery can be caused by air, fat, amniotic fluid or blood clot. The accurate diagnosis of VTE requires both clinical assessment and objective testing. Spiral CT scan is used to identify PE. Both the prophylaxis and treatment of VTE can potentially have implications on the provision of regional anaesthesia or analgesia during labour and delivery.
Keywords
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- Information
- Obstetrics for Anaesthetists , pp. 120 - 129Publisher: Cambridge University PressPrint publication year: 2008
References
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Royal College of Obstetricians and Gynaecologists' Thromboembolic Disease in Pregnancy and the Puerperium: Acute Management. Guideline Number 28 (London: Royal College of Obstetricians and Gynaecologists Press, 2001).
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