gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Chronic Venous Insufficiency in Pregnant Women ? Primum Non Nocere: Review


Author(s): Dawid Hadasik, Robert Repeć, Maciej Zaniewski

Treatment of venous diseases in perinatal period is often regretted as of secondary importance. Delivery of a healthy child is the highest objective, nevertheless therapy of venous pathology must not be omitted. Profound thrombosis and a linked pulmonary artery embolism is one of the most frequent causes of death in the obstetrical wards. This is the true reason for a serious attitude to venous diseases. Additional argument for adequate treatment of gestational venous diseases are their late consequences. Chronic venous insufficiency appearing in pregnant women may result in serious complications in a distant period. At that stage, therapy of permanent crural oedema or venous stasis ulcerations is difficult even in special cases lead to amputation of a leg. The objective of this paper is to present current opinions about the treatment of the pregnant women suffering from concomitant venous diseases of the inferior extremities. The survey is MEDLINE-based. The authors of this paper give opinions of numerous clinicians on the etiology of the pathologies in venous system related to pregnancy, methods of managing with chronic venous insufficiency, superficial and profound vein thrombosis. They point at diagnostic difficulties and present methods of secondary prevention from the profound veins thrombosis.