Evangelista Matheus Schimidt, Slompo Karina, Timi Jorge Rufino Ribas
Faculdade de Medicina, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Division of Vascular Surgery, Department of Surgery, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil.
Rev Bras Ginecol Obstet. 2018 Mar;40(3):156-162. doi: 10.1055/s-0037-1621742. Epub 2018 Feb 23.
Venous thromboembolism events are important causes of maternal death during pregnancy and the postpartum period worldwide. A review of the literature with the objective of evaluating venous thromboembolism events in the puerperium according to the route of delivery was performed through a bibliographic survey in the Medline, LILACS and Scielo databases. We observed that patients submitted to cesarean sections present a significantly higher risk of developing venous thromboembolism when compared with those who undergo spontaneous vaginal delivery. The pathophysiological bases for this difference were explored and described in this review, as well as the indications of prophylaxis and treatment. Doctors and health professionals must be continuously vigilant regarding this condition, since it is associated with high morbidity and mortality.
静脉血栓栓塞事件是全球范围内孕期和产后孕产妇死亡的重要原因。为了根据分娩方式评估产褥期的静脉血栓栓塞事件，通过在Medline、LILACS和Scielo数据库中进行文献检索，对相关文献进行了综述。我们观察到，与自然阴道分娩的患者相比，接受剖宫产的患者发生静脉血栓栓塞的风险显著更高。本综述探讨并描述了这种差异的病理生理基础，以及预防和治疗的指征。医生和卫生专业人员必须持续关注这种情况，因为它与高发病率和死亡率相关。
