Maternal obesity and venous thromboembolism

Maternal obesity and venous thromboembolism

Abstract The incidence of obesity in pregnancy has increased rapidly in the last decade. Obesity is a risk factor for venous thromboembolism outside of pregnancy and previous studies of maternal death in the UK have identified obesity as a risk factor in pregnancy. As a result the Royal College of O...

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Bibliographic Details
Published in:International journal of obstetric anesthesia Vol. 21; no. 3; pp. 253 - 263
Main Authors: Morgan, E.S, Wilson, E, Watkins, T, Gao, F, Hunt, B.J
Format: Journal Article
Language:English
Published: Netherlands Elsevier Ltd 01-07-2012
Subjects:
Anesthesia & Perioperative Care
Body Mass Index
Female
Heparin, Low-Molecular-Weight - therapeutic use
Humans
Obesity
Obesity - complications
Obstetrics and Gynecology
Pregnancy
Pregnancy Complications, Cardiovascular - etiology
Puerperal Disorders - etiology
Risk Factors
Thromboembolism
Thromboprophylaxis
Venous Thromboembolism - etiology
Venous Thromboembolism - prevention & control
Pregnancy
Obesity
Thromboprophylaxis
Thromboembolism
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Summary:Abstract The incidence of obesity in pregnancy has increased rapidly in the last decade. Obesity is a risk factor for venous thromboembolism outside of pregnancy and previous studies of maternal death in the UK have identified obesity as a risk factor in pregnancy. As a result the Royal College of Obstetricians and Gynaecologists have targeted obesity as a risk factor in evaluation of the need for thromboprophylaxis in pregnancy. This article highlights the evidence that obesity increases the risk of venous thromboembolism in pregnancy and the puerperium, discusses thromboprophylaxis and appropriate dosing in obese parturients and details the anaesthetic implications of the 2009 Royal College of Obstetricians and Gynaecologists’ guidelines. More clinical studies are required to clarify the appropriate dose of low-molecular-weight heparin in an obese parturient.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0959-289X
1532-3374
DOI:10.1016/j.ijoa.2012.01.002