VTE DVT

 Dr Shaiful Ehsan: http://medwebapp.com/nsbapp/vte/

Dr Shaiful Ehsan: The apps...for mobile...

 Dr Shaiful Ehsan: Message from Dr Jamilah (haemato) & Dr Carol (o&g)...
VTE in pregnancy is indeed common in Msia.....and among the 1st contributing factor for maternal death...

**world thrombosis week

🍙🍙🍙🍙🍙🍙🍙🍙🍙🍙🍙🍙🍙🍙

6. Venous thromboembolism
Venouse thromboembolism in pregnancy:
 - occur due to hypercoagulable state in pregnancy and venouse stasis due to compression of ivc by gravid uterus.
- can cause direct maternal death.
- can have DVT( unilateral pain in calf, redness and swelling ) and pulmonary embolism (mild dyspnea, inspiratory chest pain, tachycardic and milg pyrexia).
- treated with LMWH

7. Homans sign

A positive sign is present when there is pain in the calf on forceful and abrupt dorsiflexion of the patient's foot at the ankle while the knee is extended 👆🏻.


treatment dvt:
1) unfractionated heparin - initial treatment in non pregnant
2) warfarin - contraindicated in pregnant woman becoz can cross placenta nd cause fetal defect and intracerebral haemorrhage
3) LMWH(such as clexane)- for pregnant woman
4) graduated elastic compression stockings