{ event: "article_read", name: `DVT in Post-partum Case of Caesarean Section`, author: ``, tags: `Thrombosis`, publication_date: ``, interaction_type: "content" }
DVT in Post-partum Case of Caesarean Section
Deep Vein Thrombosis in Post-partum Case of Caesarean Section: A Case Report
Adapted from Srivastava M, et al. Int J Sci Stud. 2015;3(1):219–220.
Key Takeaway
Risk of DVT is increases by 5–10 times during pregnancy, and further 5–10 folds in C-section
During early pregnancy, all women should be assessed for the risk factors of DVT
Repeat the assessment
if the woman is admitted to a hospital or develops intercurrent problems
during intra-partum or immediately postpartum periods
Early ambulation in the post-operative patient is crucial to prevent deadly complication
Diagnosis can be made by compression ultrasonography that has high sensitivity (97%–100%) and specificity (98%–99%)
The RCOG guidelines recommended the use of graduated elastic compression stockings (knee length 30–40 mmHg) to prevent post-thrombotic syndrome
Women responded well to the anticoagulation therapy and discharged with treatment of coumadin, maintaining INR between 2 and 3
Follow-up clinic and long-term anticoagulation was advised for next 6 months to prevent recurrence of thromboembolic episodes
BID, twice-daily; C-section, caesarean section; DVT, deep vein thrombosis; INR, international normalized ratio; RCOG, Royal College of Obstetricians and Gynecologists.
Marik PE, Plante LA. Venous thromboembolic disease and pregnancy. N Engl J Med. 2008;359:2025–2033. DOI: doi:10.1056/NEJMra0707993.
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