Evaluation of Deep Vein Thrombosis in pregnancy and puerperium using Ultrasonography

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 .