Pregnancy and pulmonary embolism; a fatal challenge: literature review
Introduction: Pulmonary embolism, as a relatively common non-obstetrics complication, is an important cause of maternal mortality during pregnancy. Due to some physiological and hormonal changes, the risk of pulmonary embolism increases during pregnancy and postpartum. This review article was perfor...
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| Format: | Article |
| Language: | fas |
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Mashhad University of Medical Sciences
2021-09-01
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| Series: | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
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| Online Access: | https://ijogi.mums.ac.ir/article_18972_707fd6e1da40fecbe44e852aa558deb7.pdf |
| _version_ | 1797984713121464320 |
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| author | Bahram Zarmehri Hoda Zabihi |
| author_facet | Bahram Zarmehri Hoda Zabihi |
| author_sort | Bahram Zarmehri |
| collection | DOAJ |
| description | Introduction: Pulmonary embolism, as a relatively common non-obstetrics complication, is an important cause of maternal mortality during pregnancy. Due to some physiological and hormonal changes, the risk of pulmonary embolism increases during pregnancy and postpartum. This review article was performed with aim to explore the last articles related to diagnostic methods and treatment of this disease. Methods: In this review article, databases of Google scholar, PubMed, Embase, Medline, Iranmedex and IranDoc were systematically searched using the keywords of pulmonary embolism, thromboembolism, pregnancy, anticoagulant, thrombolytic and thrombectomy during 1990 to 2021.Results: In this review article, finally 62 studies regarding pathophysiology, clinical feature, diagnostic strategies and treatment of pulmonary embolism during pregnancy were investigated.Conclusion: The diagnosis of pulmonary embolism during pregnancy needs a high clinical suspicious. Due to the dangers of ionizing radiation to the fetus, correct using of diagnostic algorithms can reduce diminish radiation exposure to mother and fetus. Use of injectable anticoagulants such as enoxaparin is the main treatment method of pulmonary embolism during pregnancy. Oral anticoagulants are not recommended in pregnant women. Also, thrombolytic therapy and surgical thrombectomy can be used in the case of massive and life threatening pulmonary embolism. |
| first_indexed | 2024-04-11T07:06:07Z |
| format | Article |
| id | doaj.art-d4603716120f4b038547089039f47303 |
| institution | Directory Open Access Journal |
| issn | 1680-2993 2008-2363 |
| language | fas |
| last_indexed | 2024-04-11T07:06:07Z |
| publishDate | 2021-09-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
| spelling | doaj.art-d4603716120f4b038547089039f473032022-12-22T04:38:23ZfasMashhad University of Medical SciencesMajallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān1680-29932008-23632021-09-0124ویژه نامه (شماره 7)11110.22038/ijogi.2021.1897218972Pregnancy and pulmonary embolism; a fatal challenge: literature reviewBahram Zarmehri0Hoda Zabihi1Assistant Professor, Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranGynecologist, Mashhad University of Medical Sciences, Mashhad, IranIntroduction: Pulmonary embolism, as a relatively common non-obstetrics complication, is an important cause of maternal mortality during pregnancy. Due to some physiological and hormonal changes, the risk of pulmonary embolism increases during pregnancy and postpartum. This review article was performed with aim to explore the last articles related to diagnostic methods and treatment of this disease. Methods: In this review article, databases of Google scholar, PubMed, Embase, Medline, Iranmedex and IranDoc were systematically searched using the keywords of pulmonary embolism, thromboembolism, pregnancy, anticoagulant, thrombolytic and thrombectomy during 1990 to 2021.Results: In this review article, finally 62 studies regarding pathophysiology, clinical feature, diagnostic strategies and treatment of pulmonary embolism during pregnancy were investigated.Conclusion: The diagnosis of pulmonary embolism during pregnancy needs a high clinical suspicious. Due to the dangers of ionizing radiation to the fetus, correct using of diagnostic algorithms can reduce diminish radiation exposure to mother and fetus. Use of injectable anticoagulants such as enoxaparin is the main treatment method of pulmonary embolism during pregnancy. Oral anticoagulants are not recommended in pregnant women. Also, thrombolytic therapy and surgical thrombectomy can be used in the case of massive and life threatening pulmonary embolism.https://ijogi.mums.ac.ir/article_18972_707fd6e1da40fecbe44e852aa558deb7.pdfanticoagulantpregnancypulmonary embolism |
| spellingShingle | Bahram Zarmehri Hoda Zabihi Pregnancy and pulmonary embolism; a fatal challenge: literature review Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān anticoagulant pregnancy pulmonary embolism |
| title | Pregnancy and pulmonary embolism; a fatal challenge: literature review |
| title_full | Pregnancy and pulmonary embolism; a fatal challenge: literature review |
| title_fullStr | Pregnancy and pulmonary embolism; a fatal challenge: literature review |
| title_full_unstemmed | Pregnancy and pulmonary embolism; a fatal challenge: literature review |
| title_short | Pregnancy and pulmonary embolism; a fatal challenge: literature review |
| title_sort | pregnancy and pulmonary embolism a fatal challenge literature review |
| topic | anticoagulant pregnancy pulmonary embolism |
| url | https://ijogi.mums.ac.ir/article_18972_707fd6e1da40fecbe44e852aa558deb7.pdf |
| work_keys_str_mv | AT bahramzarmehri pregnancyandpulmonaryembolismafatalchallengeliteraturereview AT hodazabihi pregnancyandpulmonaryembolismafatalchallengeliteraturereview |