Skip To Main 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

Why This Matters

DVT is one of the main causes of maternal morbidity and mortality

Case Presentation

  • A 33-year-old primiparous women, 38-week pregnant, was hospitalized for labor pains
  • She had no personal or family history of thromboembolism
  • 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

Abbreviations

BID, twice-daily; C-section, caesarean section; DVT, deep vein thrombosis; INR, international normalized ratio; RCOG, Royal College of Obstetricians and Gynecologists.

Reference

  1. Marik PE, Plante LA. Venous thromboembolic disease and pregnancy. N Engl J Med. 2008;359:2025–2033. DOI: doi:10.1056/NEJMra0707993.
MAT-BH-2300437/V1/June2023