Pulmonary thromboembolism during pregnancy and puerperium: Comparison of survival and death cases
| Autor: | Masahiko Nakata, Isamu Ishiwata, Akihiko Sekizawa, Tomoaki Ikeda, Sho Takakura, Kayo Tanaka, Hiroaki Tanaka, Junichi Hasegawa, Eijiro Hayata, Shinji Katsuragi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
2019-20 coronavirus outbreak
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 03 medical and health sciences 0302 clinical medicine Japan Pregnancy Risk Factors Chart review medicine Retrospective analysis Humans Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics Postpartum Period Anticoagulants Obstetrics and Gynecology Venous Thromboembolism medicine.disease Pregnancy Complications 030220 oncology & carcinogenesis Female Maternal death Pulmonary Embolism business Venous thromboembolism |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 47:1312-1321 |
| ISSN: | 1447-0756 1341-8076 |
| Popis: | Aim In Japan, the frequency of maternal deaths due to obstetric hemorrhage has been decreasing in the last decade, while that resulting from other causes such as pulmonary thromboembolism (PTE) was consistent. To help reduce maternal deaths due to PTE, we investigated PTE during pregnancy and puerperium and compared the survival and death cases, and aimed to find out life and death factors. Methods This study was a retrospective analysis based on a clinical chart review in 407 maternal and perinatal centers. We compared the survival and death cases of PTE during pregnancy and puerperium from 2013 to 2017. Results In PTE during pregnancy, the survival cases underwent significantly earlier diagnoses than the death cases, and thromboprophylaxis was performed in most of both the survival and death cases of PTE during puerperium according to the existing Japanese guidelines; however, only one fourth of the total cases underwent anticoagulation to prevent venous thromboembolism (VTE). Conclusions Early diagnosis of PTE in suspected cases was associated with better survival during pregnancy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text