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EPIDEMIOLOGICAL PROFILE OF THROMBOEMBOLIC DISEASE IN PREGNANT WOMEN IN OBSTETRIC INTENSIVE CARE UNIT
Authors
Mohamed amine elabidi,Mehdi simou,Yassine hefiani,Ismail elyoussoufi,Said salmi
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Keywords
thromboembolic disease,risk factor,Peripartum,anticoagulant
Abstract
The pregnancy and the postpartum period are predisposing the occurrence of the venous thrombosis. The purpose of our study is to investigate the epidemiologic, clinical, paraclinical and therapeutical aspects of the venous thrombosis during the pregnancy. This is a retrospective study about 49 cases, achieved in the department of obstetrical intensive care unit of UHC Ibn Rochd of Casablanca, over a period of five years (2012-2016).
The incidence of the venous thromboembolic disease is 2 to 3 per 1000 pregnancies, the average age is 49 years old, with a predominance of the supervene in the postpartum period (63%). The main site is the deep vein thrombosis of the lower limbs (62%) of the left side in more than half of the patients. The frequency of the pulmonary embolism is 12% and the frequency of the cerebral thrombophlebitis and ovarian thrombosis is 4%. A spleen thrombosis, rarely described in the literature, was noticed in one patient.
The definite diagnosis is based on the use of the venous Doppler echography of the lower limbs, the thoracic and abdominal angiography, and the brain magnetic resonance.
The thrombophilia represents the main risk factor even if the complete examination could not be applied in all patients. In our sample, the feeding, the history of thrombosis and multiparty were predominant.
The treatment is based on the heparin and the ant vitamin K according to the pregnancy term and the environment of the patient; the evolution was favorable in 94% of the women in labor.
The management of the venous thromboembolic disease requires a multidisciplinary approach because of its significant morbidity and mortality, here the necessity to deal with the problem, to look for predisposing risk factors in order to guarantee adequate prophylaxis.
IJCRT's Publication Details
Unique Identification Number - IJCRT2304599
Paper ID - 234790
Author type - Foreign Author
Page Number(s) - e861-e870
Pubished in - Volume 11 | Issue 4 | April 2023
DOI (Digital Object Identifier) -
No Of Downloads - 129
Author Country - Morocco, 24000, casablanca, casablanca, 24000, Humanities All
Publisher Name - IJPUBLICATION | www.ijcrt.org | ISSN : 2320-2882
E-ISSN Number - 2320-2882
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Mohamed amine elabidi,Mehdi simou,Yassine hefiani,Ismail elyoussoufi,Said salmi, "EPIDEMIOLOGICAL PROFILE OF THROMBOEMBOLIC DISEASE IN PREGNANT WOMEN IN OBSTETRIC INTENSIVE CARE UNIT", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.11, Issue 4, pp.e861-e870, April 2023, Available at :http://www.ijcrt.org/papers/IJCRT2304599.pdf
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