Summary
Superficial venous thrombotic (SVT) events are a feature of thrombophilic abnormalities,
particularly those involving the protein C pathway. We have determined the incidence
of SVT associated with pregnancy and the early postpartum period in a retrospective
study involving 72 000 deliveries. Fourty-nine cases occurring in 47 individuals were
recorded, with an overall incidence of 0.68/1000 deliveries (95% CI 0.48-0.88). None
had a previous history of deep vein thrombosis or pulmonary embolism. Most events
occurred in the early post-partum period (0.54/1000 deliveries). Twenty-four/fourty-seven
were screened for established thrombophilic abnormalities, with only 1 abnormality
detected (FVLeiden heterozygote). Thrombophilia may play a minor role in the aetiology of SVT associated
with pregnancy, although a larger study is required to confirm this.