Document Detail


Thromboembolic disease in pregnancy.
MedLine Citation:
PMID:  3539447     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Suspicion of DVT or thromboembolism is critical to early diagnosis and treatment prior to development of severe or life-threatening pathology. Because the consequences of treatment are long-term inconvenience and risk of major complications, objective studies are necessary to confirm the diagnosis. Radiographic procedures such as angiography and lung scanning provide valuable information with low risk to mother and fetus. However, if the clinical situation is strongly suggestive, treatment with intravenous heparin can be immediately initiated followed by definitive diagnosis. When indicated, anticoagulation can be instituted with relative safety, providing there is careful monitoring. Heparin is unquestionably the drug of choice for treatment and prophylaxis during pregnancy. Because warfarin carries a significant risk to the fetus of anomalies and hemorrhage, its use during pregnancy should be reserved for those circumstances in which the benefits of such therapy outweigh the risks. Finally, awareness of the signs and symptoms of thromboembolism, as well as expeditious treatment, remain the mainstays for prevention of maternal and attendant fetal mortality.
Authors:
S E Rutherford; J P Phelan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in perinatology     Volume:  13     ISSN:  0095-5108     ISO Abbreviation:  Clin Perinatol     Publication Date:  1986 Dec 
Date Detail:
Created Date:  1987-02-17     Completed Date:  1987-02-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7501306     Medline TA:  Clin Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  719-39     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Female
Hemostasis
Heparin / therapeutic use
Humans
Pregnancy
Pregnancy Complications, Hematologic*
Pulmonary Embolism / diagnosis,  radiography,  radionuclide imaging
Thromboembolism* / drug therapy,  physiopathology
Thrombophlebitis / diagnosis,  radiography,  radionuclide imaging
Warfarin / therapeutic use
Chemical
Reg. No./Substance:
81-81-2/Warfarin; 9005-49-6/Heparin

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


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