100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Summary VTE in Pregnancy £2.99
Add to cart

Summary

Summary VTE in Pregnancy

1 review
 23 views  0 purchase

A 1-4 page document written by a final year medical student with distinction grades in the uploaded modules. These notes are concise and of very high quality - using a combination of textbooks, lectures, and current guidelines (NICE and RCOG). These documents are the only resource you should need f...

[Show more]

Preview 1 out of 2  pages

  • December 19, 2018
  • 2
  • 2017/2018
  • Summary
All documents for this subject (41)

1  review

review-writer-avatar

By: Monnie1213 • 4 year ago

avatar-seller
MedStudentUK
VTE in Pregnancy
Epidemiology
 Highest risk is just afer delivery
 1-2 in 1000 women

Aetiology
 In pregnancy, there is a 6 fold increase in hypercoagulability. All 3 parts of Virchow’s triad relate to this -
- Hypercoagulable state (highest in 3rd trimester) - increased circulating levels of factors 2 (firinogen),
7, 9 and 10. Fiirinolytic activity (natural anticoagulants) reduce – A physiological adaptation to
protect the mother from excess ilood loss during delivery.
- Venous stasis (highest in 2nd/3rd trimester) – aido pressure oistructing upward venous drainage
- Vascular damage (afer delivery) – damage to pelvic vessels during delivery

Risk factors
 Before pregnancy
- Age >35
- BMI >30
- Smoker
- IV drug use
- Already had >3 babies
- Previous VTE
- FHx of VTE
- Thrombophilia
- CVD, respiratory disease
- Varicose veins
- Wheelchair user
 During pregnancy
- Pre-eclampsia
- Dehydration (e.g. Vomiting, infectionss
- Hospital admissions
- Multiple pregnancy
- Travel
 Delivery/Afer delivery
- Long labour >24hrs
- C-section
- Lots of blood loss
- Blood transfusion

Prevention
 Physical activity
 Drink plenty of water
 Graduated elastic compression stockings
 If very high risk – prophylactic LMWH (either throughout pregnancy or only the 6 weeks post-partum)

Diagnosis
 ?DVT  USS
 ?PE  V/Q or CT not ideal due to radiation
 NOTE: D-dimer rises in pregnancy so not reliable

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller MedStudentUK. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for £2.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

52355 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now

Start selling
£2.99
  • (1)
Add to cart
Added