Venous thromboembolism in obese pregnant women: approach to diagnosis and management

Ginekol Pol. 2017;88(8):453-459. doi: 10.5603/GP.a2017.0083.

Abstract

Venous thromboembolism (VTE) remains among the leading causes of maternal mortality in the developed world, presenting variably as deep vein thrombosis (DVT), pulmonary embolism (PE) or cerebral vein thrombosis (CVT), among others. Obesity in particular has been recognized as the principal contributing factor to the risk of VTE in pregnancy and with the global increase in the rates of obesity affecting reproductive age women, heightened awareness of the risk and consequences of VTE in this population are vital. Thus, prophylaxis, diagnosis and treatment of VTE in the obese gravida are discussed.

Keywords: anticoagulation; cerebral vein thrombosis; deep vein thrombosis; low molecular weight heparin; obesity; pregnancy; pulmonary embolism; venous thromboembolism.

Publication types

  • Review

MeSH terms

  • Anticoagulants / therapeutic use
  • Female
  • Heparin, Low-Molecular-Weight / therapeutic use
  • Humans
  • Obesity / complications*
  • Pregnancy
  • Pregnancy Complications
  • Risk Factors
  • Thrombolytic Therapy
  • Venous Thromboembolism / diagnosis*
  • Venous Thromboembolism / prevention & control*

Substances

  • Anticoagulants
  • Heparin, Low-Molecular-Weight