This is a
condition when there is clot formation in the veins, usually of the legs and
pelvis. It may be due to infection in the vein is referred to as Thrombophlebitis. In the absence of
infection in the vein, it is described as Phlebothrombosis.
the inflammation that occurs in a vein at a site of blood clot. Conditions that
lead to clot formation are venous stasis or diminished flow. Clotting factors
change during pregnancy due to homornal changes
risk include those:
have used contraception before getting pregnant
jobs where they sit for a long period.
bed rest in pregnancy
period of immobility e.g. in Caesarean Section and polyhydramnious
Older women than 40 years of age
Anaemia, heart diseases are also predisposed.
Deep vein thrombosis.
in the superficial vein of the legs. It is firmly attached to the vein so not
likely to break off and travel occurs more 3-4 days post partum.
include – reddened, warm, swollen area ove r the clot. The vein is palpable and
very tender. It does not require anti coagulant therapy.
in the large veins often without inflammation clot is much more likely to break
off and travel to the lungs and cause pulmonary embolism, which is a fatal
include pain in the involved area. Low grade fever, swelling or paleness of the
affected leg, Homan’s sign (calf pain on dorsiflexion of the foot) is a
positive sign. Ultrasound scanning will confirm diagnosis. It is a serious
condition that requires anticoagulants, bed rest, analgesia and observation.
Early diagnosis and treatment can reduce the incidence of emboli. It takes 4-6
weeks to resolve completely.