Background: Thromboembolic disorders, notably venous thromboembolism (VTE), present a significant threat to obstetric patients, particularly during pregnancy and the postpartum period, driven by factors like increasing maternal age, rising obesity rates, and higher Caesarean section rates. Although the overall risk of VTE during pregnancy is relatively low, at 0.2%, the consequences are severe, with mortality rates persisting at approximately 1.5 per 100,000 pregnancies in the UK. These findings emphasize the urgent need for effective prevention, diagnosis, and management strategies to address this critical issue in obstetric care. Objective: This review aimed to present a practical framework for developing and implementing programs and techniques in prevention, diagnosis and treatment of thromboembolic disorders in obstetric patients in anesthetic practice. Conclusions: Effective management of thromboembolic disorders in obstetric patients requires a multifaceted approach, with careful attention to coagulation status and timely administration of prophylactic or therapeutic anticoagulation. Neuraxial blockade should be performed with vigilance, and awareness of the potential risks associated with the insertion and removal of catheters is paramount. Additionally, early postpartum management and optimal duration of therapy are critical factors in reducing the risk of VTE. |
