Abstract:

Venous thromboembolism is one of the most important causes of mortality and morbidity during pregnancy and the postpar-tum period in many countries. Natural anticoagulants and fibri-nolytic activity are decreased with the increase of coagulation factors in pregnancy. Moreover, increasing venous return caused by the growing uterus, venous atony caused by increasing estro-gen and progesterone levels and tendency to thrombosis caused by the decreased mobilization create a new hemeostatic balan-ce. Doppler ultrasonography, compression ultrasonography or contrast venography are used to diagnose deep vein thrombosis (DVT), Unfractionated heparin (UH, and low-molecular weight heparin (LMWH) have been widely used in the treatment of a pregnant woman. The nursing approaches should include early detection of pregnant women who are under risk by using the Thrombosis Risk Factors Diagnostic Tool, formulation of activity-exercise program, breathing exercises, anti-embolism stocking, determineation of the effects and possible complications of anticoagulant therapy and lifestyle changes for the protection of the feto maternal health.

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