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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2018; 40(03): 156-162
DOI: 10.1055/s-0037-1621742
Review Article
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Venous Thromboembolism and Route of Delivery – Review of the Literature

Tromboembolismo venoso e via de parto – revisão da literatura
Matheus Schimidt Evangelista
1   Faculdade de Medicina, Universidade Federal do Paraná, Curitiba, PR, Brazil
,
Karina Slompo
1   Faculdade de Medicina, Universidade Federal do Paraná, Curitiba, PR, Brazil
,
Jorge Rufino Ribas Timi
2   Division of Vascular Surgery, Department of Surgery, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil
› Author Affiliations
Further Information

Publication History

16 October 2017

12 December 2017

Publication Date:
23 February 2018 (online)

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Abstract

Venous thromboembolism events are important causes of maternal death during pregnancy and the postpartum period worldwide. A review of the literature with the objective of evaluating venous thromboembolism events in the puerperium according to the route of delivery was performed through a bibliographic survey in the Medline, LILACS and Scielo databases. We observed that patients submitted to cesarean sections present a significantly higher risk of developing venous thromboembolism when compared with those who undergo spontaneous vaginal delivery. The pathophysiological bases for this difference were explored and described in this review, as well as the indications of prophylaxis and treatment. Doctors and health professionals must be continuously vigilant regarding this condition, since it is associated with high morbidity and mortality.

Resumo

Os eventos de tromboembolismo venoso são causas importantes de morte materna durante a gravidez e o período do pós-parto em todo o mundo. Foi realizada uma revisão da literatura com o objetivo de avaliar os eventos de tromboembolismo venoso no puerpério de acordo com a via de parto utilizada, por meio de uma pesquisa bibliográfica nas bases de dados Medline, LILACS e Scielo. Observou-se que as pacientes submetidas a cesariana apresentam um risco significativamente maior de desenvolver tromboembolismo venoso do que aquelas que se submetem a parto vaginal espontâneo. As bases fisiopatológicas desta diferença foram exploradas e descritas nesta revisão, bem como as indicações de profilaxia e tratamento. O alerta contínuo dos médicos e profissionais de saúde é necessário, uma vez que se trata de uma condição comum associada a alta morbidade e mortalidade.

Keywords

venous thromboembolism - venous thrombosis - natural childbirth - cesarean section - postpartum period

Palavras-chave

tromboembolia venosa - trombose venosa - parto normal - cesárea - período pós-parto
 

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