Mudasar Hafiz, Muanzza Nazir, Syeda Abida Hussain, Rubina Rafique, Nosheena Shabir, Yasmin Akhtar

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Risk Factors for Deep Vein Thrombosis in Pregnancy and Puerperium at a Tertiary Care Hospital in Muzaffarabad, AJK

Mudasar Hafiz, Muanzza Nazir, Syeda Abida Hussain, Rubina Rafique, Nosheena Shabir, Yasmin Akhtar



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ABSTRACT

Aim: Risk factors of deep vein thrombosis in pregnancy and puerperium in our setting.

Study Design: Descriptive Cross-sectional study

Place and duration of study: Departments of Obs & Gynae and General Medicine, CMH Muzaffarabad, AJK from 20th December, 2019 to 20th June, 2020.

Methodology: A total of 385 females were included. Demographic data including age, parity, gravidity, BMI, obesity and timing of DVT occurrence was noted. The associated risk factors including mode of delivery in postpartum women, smoking status, past history of DVT, gestational diabetes and Diabetes Mellitus were noted.

Results:  Mean age of the participants was 26.1±5.3 years. Frequency of women developing deep vein thrombosis during pregnancy was 84.9% and 15.1% women developed DVT during puerperium. Past history of DVT was present in 26.5%. 31.7% of women were known diabetics and 29.1% developed gestational diabetes during current pregnancy. Frequency of smoking was 4.2%. 8% women presented with DVT in first trimester, 139(36.1%) in second trimester and 154 (40%) in third trimester.

Conclusion: DVT is more common in the third trimester of pregnancy than in puerperium. Obesity, Diabetes Mellitus and past history of DVT were significant risk factors identified in the study.

Keywords:  Pregnancy, Postpartum Period, Deep Vein Thrombosis



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