[Venous thromboembolism prevention in pregnancy and the postpartum period in Primary and Specialized Care]

Semergen. 2017 Sep;43(6):450-456. doi: 10.1016/j.semerg.2016.08.001. Epub 2016 Nov 23.
[Article in Spanish]

Abstract

After noting that there are a number of risk factors for venous thromboembolism disease during pregnancy, it emphasizes primary prevention and treatment of this serious condition during pregnancy and the postpartum period are essential to reduce maternal morbidity and mortality. Low molecular-weight heparins are under the anticoagulant of choice in pregnancy. Your prescription may make both the primary care physician, as the hematologist and obstetrician. As for prescribing terms, an application protocol in both primary and specialized, multidisciplinary care, based on the existing literature on the subject is presented, which indicated that the hypercoagulable disorders associated with some of the risk factors, forced to do thromboprophylaxis with low molecular-weight heparins throughout pregnancy and the postpartum period presented.

Keywords: Embarazo; Enfermedad tromboembólica venosa; Heparinas de bajo peso molecular; Low molecular-weight heparins; Pregnancy; Prevención; Prevention; Venous thromboembolic disease.

MeSH terms

  • Anticoagulants / administration & dosage*
  • Female
  • Heparin, Low-Molecular-Weight / administration & dosage
  • Humans
  • Patient Care Team
  • Postpartum Period
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / prevention & control*
  • Primary Health Care
  • Primary Prevention / methods
  • Risk Factors
  • Venous Thromboembolism / prevention & control*

Substances

  • Anticoagulants
  • Heparin, Low-Molecular-Weight