ABSTRACT

Along with hypertension in pregnancy, thromboembolism presents the greatest threat to the life of the pregnant woman. Admission to hospital is generally not for promoting bed rest, which in any case is not an effective cure for many conditions. At Caesarean section (CS), pneumatic boots should always be used. Thromboembolism stockings are also appropriate before delivery and afterwards for women at risk. At CS, pneumatic boots should always be used. A risk assessment profile of all patients undergoing elective or emergency CS should also be performed. Patients with a previous history of venous thromboembolism in pregnancy/puerperium and no other known thrombotic risk factor should receive thromboprophylaxis for up to 6 weeks postpartum. The importance of accurate diagnosis of deep vein thrombosis in pregnancy cannot be overstressed. Inappropriate full anticoagulation carries risks to the mother and fetus and has long-term implications regarding future contraceptive methods and management in subsequent pregnancy.