Document Detail


Pulmonary embolism in pregnancy. Consen-sus and controversies.
MedLine Citation:
PMID:  23018478     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Venous thrombotic events (VTE) occur 1-2 per 10,000 pregnancies and remain one of the leading causes of maternal mortality in the developed world. The two largest risk factors are a personal history of VTE and heritable thrombophilias. D-dimer tests for VTE in pregnancy have a high false positive rate and at least some false negatives have been reported. Compression ultrasound should be used to evaluate pregnant women for deep venous thrombosis followed by magnetic resonance imaging of the pelvis for a negative test and strong remaining clinical suspicion. For pulmonary embolism, a chest x-ray should be used to triage the patient to either a ventilation/perfusion study after a normal X-ray or a CT pulmonary angiogram after an abnormal one. Treatment generally consists of low molecular weight heparin through a minimum of six weeks post-partum. Thombolysis might have merit in life-threatening, massive pulmonary embolism. VTE prophylaxis in at-risk populations remains a major area of uncertainty. Mechanical prophylaxis for all women undergoing cesarean, in particular, has a paucity of supportive evidence.
Authors:
M D Benson
Related Documents :
23329988 - Spontaneous abortion during ustekinumab therapy.
17427138 - Potential for ebola transmission between gorilla and chimpanzee social groups.
17996048 - Decline of placental malaria in southern ghana after the implementation of intermittent...
23752578 - Obstetric outcomes in the second birth of women with a previous caesarean delivery: a r...
17635428 - Reliability of the 'pop' sign as an indicator of dural puncture during obstetric spinal...
23329988 - Spontaneous abortion during ustekinumab therapy.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Minerva ginecologica     Volume:  64     ISSN:  0026-4784     ISO Abbreviation:  Minerva Ginecol     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400731     Medline TA:  Minerva Ginecol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  387-98     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and GynecologyFeinberg School of Medicine, Northwestern University, Deefield, IL, USA - m-benson@northwestern.edu.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  First trimester fetal echocardiography: where are we now?
Next Document:  Hypertrophic cardiomyopathy and pregnancy.