Venous thromboembolism in pregnancy

The risk of venous thromboembolism (VTE) is increased in pregnancy and puer perium. Thrombophilia has been identified in pregnancy-related VTE. Venous ultrasound and ventilation-perfusion lung scanning are the initial tests, p ulmonary angiography should be performed if necessary for the definitive di agnosis. Anticoagulation is achieved with heparin antepartum and warfarin p ostpartum. Low molecular weight heparin has been effective and safe in preg nancy. Thrombolytic therapy has been administered to pregnant patients.