Obstetrics & gynaecology · UKMLA & AKT

VTE in pregnancy and puerperium

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise vte in pregnancy and puerperium — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • VTE complicates ~1 in 1000 pregnancies; PE is a leading direct cause of maternal death in the UK
  • Puerperium (6 weeks postpartum) carries the HIGHEST risk - 20-80x higher than non-pregnant women, higher than any individual trimester
  • Left-sided DVT more common in pregnancy due to left iliac vein compression

The puerperium carries a HIGHER VTE risk than any trimester of pregnancy - a classic exam discriminator. Peak risk is the first week postpartum, especially after caesarean section.

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