Svetlana Bodíková, Veronika Pokorná
Pregnancy and puerperium are periods with higher risk of venous thromboembolism (VTE), namely deep vein thrombosis, and pulmonary embolism. This risk is further increased by Caesarean section and in the presence of inherited or acquired thrombophilia. VTE represents a threat to both - pregnant woman and her foetus. For this reason, anticoagulant therapy should be started even in suspicion of VTE. As far as the diagnosis is concerned, colour duplex ultrasonography is preferred. Prophylactic administration of low molecular weight heparins is based on individual VET risk assessment. The dosage of anticoagulant treatment requires modifications in the peripartal period due to the risk of bleeding complications.