Resumen

FERNANDEZ ALONSO, Ana María et al. Eficacia de la tromboprofilaxis obstétrica. Rev Obstet Ginecol Venez [online]. 2008, vol.68, n.4, pp.215-221. ISSN 0048-7732.

Objective: To value the incidence of thromboembolic disease during pregnancy, childbirth and puerperium and how effective thromboembolic prophylaxis is. Methods: A prospectivy study of 2 727 pregnant women with childbirth in one year. A descriptive study of thromboembolic risk factors, period of prophylaxis, and the relation of all these factors with the incidence of thromboembolic disease has been made. Setting: Hospital Universitario San Cecilio de Granada, España. Results: Our population of pregnant women shows a low rate of risk factors: cesarean section, anemia, preeclampsia, chronic hypertension, Mellitus Diabetes, cardiopathies and thrombophilia. Cesarean section and anemia are the most prevalent risk factors. Thromboprophylaxis with 0,4 nadroparin daily for hospitalization period is useful to avoid thromboembolic disease. There was not thromboembolic event. Conclusion: In our poblation, it´s proved that with adequate obstetric care and using antithrombotic agents and/or low-molecular-weight heparin as a prophylaxis, the thromboembolic events can be avoided.

Palabras clave : Thrombosis; Pregnancy; Puerperium; Low-molecular-weight heparin; Antithrombotic agents; Thromboembolism; Thromboprophylaxis.