Gutiérrez FJL, Antúnez GF, Serrano LJA, Sánchez NNE, Carrasco GH

Language: Spanish
References: 13
Page: 52-56
PDF size: 174.66 Kb.

ABSTRACT

Introduction: A great number of reports about hemodynamic changes in venous system during the pregnancy are focused mainly to the superficial veins, it can be due to the most significant signs and symptoms are in the superficial system, so that, a Duplex scan is avoided in most of the cases, underestimating and ignoring the deep venous system. As supposed, the deeper system should behave as same as superficial does because of a lot of factors such as hormonal effect, uterus growing and some antecedents. Previous studies report a trend for the superficial system as wide and lacking of venous normal compliance according the age of pregnancy, returning in most of the cases; however, a certain number of patients can keep at the same or even worsen both symptomatically and morphologically. This study shows those segments of the deep venous system with changes both in the diameter and insufficiency, moreover, which is the incidence on the returning or worsening, and which are the main influential factors so that a prophylactic management and approach, can be assessed during the pregnancy.
Objective: To observe morphologic changes in diameter and compliance both deep venous system and perforating in the second middle of pregnancy and postpartum, performing a Doppler Duplex Ultrasound scanning, comparing results between a control group of women on reproductive age without venous disease, non pregnant.
Material and methods: Patients were received from the Obstetrics and Perinatology Service in order to perform both a physical and ultrasound examination. Pregnant age, pregnant ending date and some antecedents were recorded, and the ultrasound scanning was repeated in the first six months postpartum. Control group was just ultrasound scanned once.
Results: A total of 99 pregnant women were studied in 10 months, with a mean age 30 years old and a pregnant age of 27 weeks. There was a significant prevalence of some antecedents such as the use of hormones prior or during the pregnancy, also, nearly the middle of the total of patients showed varicose veins (› 3 mm), however just a few received appropriate management. The lower limb most affected in reflux, compliance and morphology was the left leg.
Conclusions: The diameters and compliance of the deep venous and perforating are similar to superficial system. A trend of returning to basal values was observed in the most patients already in postpartum period; those who didn’t return persisted with symptoms.

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