Rate and Risk Profile of Deep Venous Thrombosis in

Pregnancy and Postpartum Period Among Sudanese

Women

Awadalla Mohammed Abdelwahid; Samia Elhaj Elawad Abd Alla; Hajar Suliman Ibrahim Ahmed; Omer Mohamed Ali Mandar; Siddig Omer M Handady

Research Article

Rate and Risk Profile of Deep Venous Thrombosis in Pregnancy and Postpartum Period Among Sudanese Women

Awadalla Mohammed Abdelwahid¹, Samia Elhaj Elawad Abd Alla², Hajar Suliman Ibrahim Ahmed³, Omer Mohamed Ali Mandar⁴ and Siddig Omer M Handady⁵*

¹Assistant professor of Obstetrics and Gynecology, Faculty of Medicine, Al Neelain University, Sudan

²Specialist of Obstetrics and Gynecology, Shendi Teaching Hospital, Sudan

³Faculty of Medicine, Al Neelain University, Sudan

⁴Faculty of Medicine, Al Gadrif Maternity Hospital, Sudan

⁵Faculty of Medicine, Al Nahda University, Sudan

Corresponding Author

Received Date: September 03, 2019 Published Date: September 13, 2019

Abstract

Background: Deep venous thrombosis (DVT) during pregnancy is associated with high mortality, morbidity, and costs. DVT can also result in long-term complications that include post thrombotic syndrome (PTS) adding to its morbidity.

Objective: To determine rate, timing and risk profile of deep venous thrombosis during pregnancy and puerperium among Sudanese women.

Methodology: It was prospective case control and hospital-based study carried out at Shendi Teaching and Elmec-Nimir University Hospitals -Sudan from March 2017 to March 2018. Seventy-eight pregnant women or in puerperium with Doppler confirmed deep venous thrombosis were enrolled in the study, representing the main study group, while another 156 pregnant women without DVT were selected as the control group.

Results: The current study showed the frequency of DVT was (0.622%), 78 out of 12,542 deliveries during the whole study period, with (0.176%) and (0.446%) occurring antenatal and postnatal respectively. The rate was 622 DVT per 100,000 births. This study revealed that women who are primigravida, had positive family history of VTE, had past history of DVT, had Anti phospholipids, anemia and delivered by C/S showed statistically significant association with DVT.

Conclusions: The prevalence of DVT in our study was 622 per 100 000 births per year in pregnant and postpartum women. There is an urgent need for prophylaxis measures against DVT for pregnant women who found at higher risk for DVT.

Keywords: Deep Venous thrombosis; Pregnancy; Postpartum; Rate; Risk profile; Sudanese women

Article Details

Citation

Siddig Omer M Handady, Awadalla Mohammed Abdelwahid, Samia Elhaj Elawad Abd Alla, Hajar Suliman Ibrahim Ahmed, Omer Mohamed Ali Mandar. Rate and Risk Profile of Deep Venous Thrombosis in Pregnancy and Postpartum Period Among Sudanese Women. W J Gynecol Women’s Health. 2(5): 2019 WJGWH.MS.ID.000546.