Abstract:
This was retrospective study aimed to evaluation of deep vein thrombosis during
pregnancy and puerperuim at Wad Madani Maternity Teaching Hospital from
Januaryuly 2016 to March 2017 , there were 50 patients scanned using Ultrasound
machine SEMIENS model 10033322, linear probe, ultrasound machine LINDWIND
linear probe and MINDARY model DC-N3 linear probe, ultrasound gel.
In this study the incidence of deep vein thrombosis was found to be (0.46%) in
pregnancy and puerperium , and the risk factors include past history of DVT,
caesarean section , anemia , post partum hemorrhage , pre eclampcia and pelvic
infection .
In this study the main symptoms were lower limb swelling (100%), lower limp pain
(76%) in ability to walk (80%) fever (68%) the main signs include lower lip
tenderness (96%) and lower limp swelling (100%) .
The Doppler ultrasound was used to confirm the diagnosis of deep vein thrombosis
in this study (92%) of this cases had show reduced blood flow .
The deep vein thrombosis is more common in puerperium (84%) the involvement of
the left lower limp was dominant (60%).
Four percents of cases complicated by pulmonary embolism and there was no
maternal death in this study .
The study also concluded that a high prevalence of DVT , most of cases occurred in
the puerperium , minimization of these risk factors will reduce the incidence of deep
vein thrombosis and pulmonary embolism .
And the study recommended that the Doppler U/S machine must be in all hospital in
Sudan , use Doppler U/S to detect the feature of patients with septum’s of DVT .
