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Obstetrics, Gynecology and Reproduction

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Pregnancy-related pelvic vein thrombosis

https://doi.org/10.17749/2313-7347/ob.gyn.rep.2021.261

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Abstract

Pregnancy is a hypercoagulable state due to pro-hemostatic changes in the activity of coagulation factors and fibrinolysis and due to progressively increasing pressure on the iliac veins from the growing uterus. Thus, it is not surprising that there is an increased risk for thrombotic events and especially in the pelvic veins. With the trauma of delivery, and particularly caesarian section, the risk is accentuated in the early days postpartum. Multiparity seems to be another risk factor, which may be due to the older age of the patient. The epidemiology, risk factors, diagnosis, management and prognosis of iliac, ovarian and uterine vein thrombosis will be reviewed here, with emphasis on the relation to pregnancy.

About the Author

S. Schulman
McMaster University; Sechenov University
Russian Federation

Sam Schulman – MD, Dr Sci Med, Professor, Department of Medicine, Thrombosis and Atherosclerosis Research Institute, McMaster University; Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children’s Health, Sechenov University

1280 Main Street West, Hamilton, Ontario L8S 4K1,

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



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For citation:


Schulman S. Pregnancy-related pelvic vein thrombosis. Obstetrics, Gynecology and Reproduction. 2021;15(5):627-632. https://doi.org/10.17749/2313-7347/ob.gyn.rep.2021.261

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ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)