Prevention and Treatment of Venous Thromboembolism in Pregnancy

Pencegahan dan Tatalaksana Tromboemboli Vena pada Kehamilan

  • Erna Suparman Departemen of Obstetric & Gynecology, Universitas of Sam Ratulangi

Abstract

Abstract

Objective: To determine prevention and treatment of venous thromboembolism in pregnancy

Methode: Literature Review

Results: The diagnosis of TEV, both deep vein thrombosis (DVT) and pulmonary embolism (PE) was clinical and confirmed by imaging. D-dimers commonly used in the non-pregnant population are less useful in pregnant women. Prevention needs to be done by assessing the risk of TEV in pregnant women and giving thrombophylaxis according to risk. Treatment of TEV in pregnant women mainly uses heparin, either unfractionated heparin (UFH) or low molecular weight heparin (LMWH).

Conclusion: The ASH recommends the use of LMWH compared with UFH for the management of acute VTE in pregnancy, in once-daily or divided doses. The recommended method of delivery for pregnant women receiving anticoagulant therapy should be planned delivery

Key word : vein thromboemboli, deep vein thrombosis, pulmonary embolism, pregnancy

 

Abstrak

Tujuan: mengetahui bagaimana pencegahan dan tatalaksana tromboemboli vena pada kehamilan

Metode: Kajian Pusataka

Hasil: Diagnosis TEV, baik Deep vein thrombosis (DVT) dan pulmonary embolism (PE) berdasarkan klinis dan dikonfirmasi dengan pencitraan. D-dimer yang biasa digunakan pada populasi non-hamil kurang berguna pada ibu hamil. Pencegahan perlu dilakukan dengan menilai risiko TEV pada ibu hamil dan memberikan trombofilaksis sesuai dengan risiko. Tatalaksana TEV pada ibu hamil terutama menggunakan heparin, baik unfractionated heparin (UFH) maupun low molecular weight heparin (LMWH).

Kesimpulan:  ASH merekomendasikan penggunaan LMWH dibandingkan dengan UFH untuk pengelolaan VTE akut pada kehamilan, dalam dosis sekali sehari atau terbagi. Metode persalinan yang direkomendasikan untuk ibu hamil yang menerima terapi antikoagulan harus direncanakan persalinan

Kata kunci : tromboemboli vena, deep vein thrombosis, pulmonary embolism, kehamilan

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Published
2022-04-28
Section
Systematic Review