Biomaterial Database

[Obstetrics and gynecology]. 2003

Takao Kobayashi

Shinshu University School of Health Sciences.

Pregnancy has been recognized as a predisposing risk factor of deep venous thrombosis(DVT) and pulmonary thromboembolism(PTE). Recently, we investigated the incidence of PTE between 1991 and 2000 among 64 facilities of Obstetrics and Gynecology in Japan. As a result, incidences of PTE are 0.006% (14/227,318) in cases of vaginal delivery and 0.046%(25/54,277) in cases of cesarean section (CS) in Obstetrics. In Gynecology, they are 0.03% (34/106,598) in patients of benign tumors and 0.33%(54/16,206) in patients of malignant tumors. Classification of level of risks in Japanese subjects at present is thought to be as follows; cases of normal delivery and minor surgery are low risk, cases of CS and benign gynecological tumors are moderate risk, cases of CS with elderly fatty pregnant women and gynecological malignant tumors are high risk, and cases of CS or malignant tumors with thrombophilia or pre-DVT are the highest risk. Prophylaxis of DVT should be recommended early ambulation and adequate hydration in low risk cases, graduated compression stocking (GCS) or intermittent pneumatic compression (IPC) in moderate risk cases, IPC or the use of low-dose unfractionated heparin(LDUH) (and/or GCS) in high risk cases, and LDUH and IPC or LDUH and GCS in the highest risk cases.

UI	MeSH Term	Description	Entries
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011247	Pregnancy	The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.	Gestation,Pregnancies
D011249	Pregnancy Complications, Cardiovascular	The co-occurrence of pregnancy and a cardiovascular disease. The disease may precede or follow FERTILIZATION and it may or may not have a deleterious effect on the pregnant woman or FETUS.	Cardiovascular Pregnancy Complications,Complications, Cardiovascular Pregnancy,Pregnancy, Cardiovascular Complications,Cardiovascular Pregnancy Complication,Complication, Cardiovascular Pregnancy,Pregnancies, Cardiovascular Complications,Pregnancy Complication, Cardiovascular
D011655	Pulmonary Embolism	Blocking of the PULMONARY ARTERY or one of its branches by an EMBOLUS.	Pulmonary Thromboembolism,Thromboembolism, Pulmonary,Embolism, Pulmonary,Embolisms, Pulmonary,Pulmonary Embolisms,Pulmonary Thromboembolisms,Thromboembolisms, Pulmonary
D005260	Female		Females
D005831	Genital Diseases, Female	Pathological processes involving the female reproductive tract (GENITALIA, FEMALE).	Gynecologic Diseases,Female Genital Diseases,Diseases, Female Genital,Diseases, Gynecologic,Female Genital Disease,Genital Disease, Female,Gynecologic Disease
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D020246	Venous Thrombosis	The formation or presence of a blood clot (THROMBUS) within a vein.	Deep Vein Thrombosis,Phlebothrombosis,Thrombosis, Deep Vein,Thrombosis, Venous,Deep Venous Thrombosis,Deep-Vein Thrombosis,Deep-Venous Thrombosis,Deep Vein Thromboses,Deep Venous Thromboses,Deep-Vein Thromboses,Deep-Venous Thromboses,Phlebothromboses,Thromboses, Deep Vein,Thromboses, Deep Venous,Thromboses, Deep-Vein,Thromboses, Deep-Venous,Thromboses, Venous,Thrombosis, Deep Venous,Thrombosis, Deep-Vein,Thrombosis, Deep-Venous,Vein Thromboses, Deep,Vein Thrombosis, Deep,Venous Thromboses,Venous Thromboses, Deep,Venous Thrombosis, Deep