UDK: 616-089:618

ANALYSIS OF CLINICAL CASES OF VENOUS THROMBOEMBOLIC COMPLICATIONS DURING PREGNANCY, CHILDBIRTH AND EARLY POSTPARTUM PERIOD

A.A. Poliantsev , D.V. Frolov , M.D. Andreeva , D.V. Linchenko , Yu.A. Dyachkova , A.E. Nalesnyi , D.A. Yakovleva

¹ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации; ²ФГБОУ ВО «Кубанский государственный медицинский университет» Министерства здравоохранения Российской Федерации

Abstract

Aim: based on clinical cases, to show an insufficient amount of measures for the prevention of venous thromboembolic complications during pregnancy, childbirth and the early postpartum period when women are managed in accordance with national guidelines. Materials and methods: the retrospective study included 25 women aged (28,1 ± 6,3) years, hospitalized during pregnancy and early postpartum period in the department of vascular surgery due to venous thrombosis of the inferior vena cava system. All patients underwent ultrasound duplex scanning of blood vessels to verify the diagnosis. The therapeutic approach to patients is considered from the standpoint of domestic and international recommendations. Results: thrombosis was most often complicated by the third trimester of pregnancy and the early postpartum period – 56 % of all cases. In the majority of patients, thrombosis was widespread and proximal: in 72 % of women, the upper border of the thrombus was localized at the level of the iliac veins. When scoring the risk of developing venous thromboembolic complications according to the 2015 Royal College of Obstetricians and Gynecologists scale in the patients participating in the study, it turned out that most of them were shown drug prevention. Conclusions: it is necessary to use national and international recommendations to prevent thrombotic complications in pregnant women and postpartum women.

Keywords

venous thromboembolic complications, pregnancy, early postpartum period, prevention, clinical guidelines.

Contacts

Полянцев Александр Александрович – д. м. н., профессор, зав. кафедрой общей хирургии с урологией, Волгоградский государственный медицинский университет, e-mail: a.polyantsev@yandex.ru