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Deep Vein Thrombosis and Pulmonary Embolism in Pregnancy: Diagnosis, Complications, and Management

BROWN, HAYWOOD L. MD*; HIETT, ADAM K. MD

Clinical Obstetrics & Gynecology: June 2010 - Volume 53 - Issue 2 - pp 345-359
doi: 10.1097/GRF.0b013e3181deb27e
Respiratory Disease in Pregnancy

Venous thromboembolism is a leading cause for maternal mortality. Because of the increase risk for thromboembolism in pregnancy and the postpartum period, the clinician must be on high alert for the signs and symptoms and use appropriate diagnostics in a timely manner so that prompt anticoagulation therapy can be initiated. A diagnostic and management approach for both deep vein thrombosis and pulmonary embolism and for prophylaxis against thromboembolism in the obstetric patient are crucial to decreasing morbidity, mortality, and long-term sequelae.

*Department of Obstetrics and Gynecology, Duke University

Durham, NC

Department of Obstetrics and Gynecology, Maternal Fetal Medicine, St Vincent Hospitals and Health Services, Indianapolis, Indiana

Correspondence: Haywood L. Brown, MD, Department of Obstetrics and Gynecology, Duke University Medical Center, Box 3084, 203 Baker House, Durham, NC. E-mail: haywood.brown@duke.edu

© 2010 Lippincott Williams & Wilkins, Inc.