Deep-vein thrombosis in pregnancy : a case report

dc.contributor.authorDu Toit, D. F.en_ZA
dc.contributor.authorMcCormich, M.en_ZA
dc.contributor.authorLaker, L.en_ZA
dc.date.accessioned2011-03-18T14:57:34Z
dc.date.available2011-03-18T14:57:34Z
dc.date.issued1985
dc.descriptionCITATION: Du Toit, D. F., McCormich, M. & Laker, L. 1985. Deep-vein thrombosis in pregnancy : a case report. South African Medical Journal, 67:781-782.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractThe incidence of thrombo-embolic complications in pregnancy varies between 2 and 5 per 1 000 deliveries. Deep-vein thrombosis (DVT) is classically associated with pulmonary embolism and chronic venous insufficiency, which are leading causes of maternal morbidity and mortality. An accurate diagnosis of iliofemoral or calf vein thrombosis should be confirmed by either Doppler ultrasonography, impedance plethysmography or ascending phlebography. Full-dose continuous intravenous heparin for 5-10 days is the established method of therapy for acute DVT and pulmonary embolism occurring during pregnancy or in the puerperium. Thereafter, long-term treatment with self-administered subcutaneous injections of heparin in low doses is feasible and effective. During pregnancy. coumarin administration results in embryopathy as it readily crosses the placenta; it should be avoided until after delivery. In view of its safety and effectiveness, low-dosage intravenous heparin or heparin by subcutaneous injection seems to be the anticoagulant of choice for the expectant mother.
dc.description.versionPublisher’s version
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/7511
dc.language.isoen
dc.publisherHealth & Medical Publishing Group
dc.rights.holderSouth African Medical Journal
dc.subjectThrombosisen_ZA
dc.subjectPregnancyen_ZA
dc.titleDeep-vein thrombosis in pregnancy : a case reporten_ZA
dc.typeArticle
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