physical exercise and mobilization reduces the risk of venous in women pregnant. tromboémbolica disease
19 th Congress national of the chapter Spanish of Phlebology.
-venous thromboembolic disease is the leading cause of death in postpartum women who have given light.
-about two of every 1,000 women suffer thromboembolic events during the pregnancy.
-family history of the pregnant woman, having more than 35 years, suffer from obesity, be multiparae, spending long periods of rest in bed and remain immobile for 4 days or more, smoking, hypertension, and certain other co-morbidities.
granada, 2011-April disease venous thromboembolic (ETEV) is the most common cause of Hospital death in developed countries. Following this consideration – and the incidence of this disease during the period of gestation – Granada gynaecologist, Milagros Cruz MartÃnez, argues that prevention is key to reducing their incidence, therefore during the preconception consultation should be a detailed investigation of the risk factors for this disease, initiating actions to reduce them, at the same time that should consider the possible need for thromboprophylaxis during pregnancy ”.
these thoughts were put on the table during the course of the nineteenth Congress national of the chapter Spanish of Phlebology, where the specialist ensures that risk is reduced to implement the Protocol established, based fundamentally on exercise, early mobilization during hospitalization and various measures of physical thromboprophylaxis that, at times, be combined with drugs ”.
in addition, during the presentation of the Congress, Vicente GarcÃa Róspide, President of the Organizing Committee and head of Angiology and Vascular Surgery service of the. Hospital Universitario Virgen de las Nieves of Granada, pointed out here that venous thromboembolic disease is the leading cause of death in postpartum women who have given birth in our field, ”.
recent studies show that the overall prevalence of events thromboembolic during pregnancy is about 2 per 1000 deliveries, being more common in the lower extremity left.
from the time of delivery, there are circumstances that can be changed the commitment of the pregnant woman, because now known caesarean section increased by 13.3% (95% confidence interval) the risk of the disease compared with a spontaneous vertex delivery; should also highlight the factors of the mother and her family history are risk, such as having more than 35 years, suffer from obesity, defined with an index BMI above 30 mg / m2, be multiparae, spending long periods of rest in bed and remain immobile for 4 days or more; In addition to presenting hyperemesis, dehydration, some co-morbidities such as severe infections fails congestive cardiac syndrome nephrotic, anemia, sickle cell disease, lupus, diabetes, hypertension and smoking.
hematological changes are essential to allow the homeostasis of the fetus and the mother, this is how it establishes an increase in blood volume by 40-50% that reaches the ceiling near the week 34, as well as a necessary alteration in the processes of coagulationwhich allows adequate perfusion to the placental bed and preparation against blood loss of the mother towards the end of pregnancy, when the separation of the placenta may cause serious bleeding, few hours after birth is recover processes fibrinolytic and uterine contraction. However sometimes hypercoagulability contrarreguladores processes are not sufficient and in 0.5 – 3.0 for each 1000 pregnant women happen serious complications for venous thromboembolism in turn covered events of deep venous thrombosis and pulmonary embolism, which is the leading cause of maternal mortality.
