Medikamentöse Thromboseprophylaxe in der Schwangerschaft

Venöse Thromboembolien (VTE) sind eine der Hauptursachen für Morbidität und Mortalität in der Schwangerschaft und im Wochenbett. Zu den Hauptrisikofaktoren gehören vorausgegangene VTE, das Vorliegen einer Thrombophilie sowie eine positive Familienanamnese für VTE. Dieser Beitrag zeigt, in welchen Situationen eine VTE-Prophylaxe indiziert ist, welche Antikoagulanzien eingesetzt werden und wie das peri- und postpartale Management von antikoagulierten Schwangeren erfolgt.

Abstract

Venous thromboembolism (VTE) is a major cause of maternal morbidity during pregnancy and the postpartum period. The main VTE risk factors are previous VTE, known thrombophilia and a family history for VTE. This manuscript includes information on VTE risk assessment, anticoagulants that can safely be used in pregnancy, and the puerperium and the peripartal management of anticoagulated women.

Schlüsselwörter

Thromboseprophylaxe - Schwangerschaft - Wochenbett

Keywords

venous thromboembolism prophylaxis - pregnancy - postpartum period

• Literatur

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