PREVALENCE OF VENOUS THROMBOEMBOLISM RISK FACTORS AMONG ALEXANDRIA OBESTETRIC WOMEN SAMPLE USING STANDARD SCORING SYSTEM

Document Type : Preliminary preprint short reports of original research

Authors

1 Departmentof Obstetrics and Gynecology, Alexandria Faculty of Medicine, Alexandria University

2 Department of Obstetrics and Gynaecology , Faculty of Medicine, University of Alexandria, Egypt

3 Department of Community Medicine, Faculty of Medicine, Alexandria University

4 Department of Obstetrics and Gynaecology, Faculty of Medicine, Alexandria University

Abstract

Obstetric Venous Thromboembolism (VTE) is a leading cause of maternal morbidity and mortality in the developed world, occurring in approximately 1-2 per 1,000 maternities.
The mechanisms of venous thrombosis were described by Virchow, and describe three etiopathogenic components: venous stasis, hypercoagulability and tissue damage. Pregnant women have all components of Virchow’s triad. Venous stasis is secondary to physiological vasodilatation and compression of the vena cava and left common iliac vein by the gravid uterus.
Pregnancy is a physiological hypercoagulable state secondary to the increase of clotting factor concentrations, inhibition of fibrinolysis and a reduction in anticoagulant agent levels. Finally, tissue damage occurs with endothelial damage to the pelvic vessels during delivery

AIM OF WORK:
The aim of the study was to assess prevalence of risk factors for venous thromboembolism (VTE) among a sample of obstetric women in Alexandria Governorate Using a standard scoring system.

PATIENTS AND METHODS:
This study included 400 pregnant women. They were selected randomly from those attending antenatal clinic at El-Shatby University Hospital during the period of the field work from September 2022 to June 2023 using systematic random sampling technique. Every third woman fulfilling inclusion criteria was included after obtaining her consent.

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