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PATHOPHYSIOLOGY .........................i. 1004
THROMBOPHILIAS ............i..i........i..... 1005
THROMBOPHILIA SCREENING . . . . . . . . . . . . . . . .... 1009
DEEP-VEIN THROMBOSIS ..................i..... 1010 LABOR AND DELIVERY . . . . . . . . . . . . . . . . . . . . . .... 1014
SUPERFICIAL VENOUS THROMBOPHLEBITIS ...i..... 1016
PULMONARY EMBOLISM ..................i..... 1016
THROMBOPROPHYLAXIS ..................i.i... 1019 he patient complains of intense and sudden precordial pain, becomes livid in appearance, and presents symptoms of proound dyspnea and eventualy of air hunger. hese embolisms, however, are not always atal, a smal proportion of the patients recovering. The treatment is purey palliative.
-J. Whitridge Williams (1903)
During the past century, the frequency of venous thromboembolism (VTE) during the puerperium decreased remarkably as early ambulation became more widely practiced. Despite this and other advances in prevention and treatment, however, thromboembolism remains a leading cause of maternal morbidity and mortality. Indeed, thrombotic pulmonary embolism accounted for 9.2 percent of pregnancy-related deaths in the United States between 2011 and 2013 (Creanga, 2017).