Veinous Thromboembolism in Hospital University of Gynecology and Obstetric Befelatanana

Volume 3 - Issue 4

T Razafindrainibe¹, S Rakotonomenjanahary²*, TP Randrianambinina¹, AT Rafanomezantsoa³, M Andrianirina¹, L Rainibarijaona¹ and AT Rajaonera⁴

Received: October 16, 2019   Published: October 24, 2019

DOI: 10.32474/SCSOAJ.2019.03.000167

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Abstract

Introduction: In three studies done in Madagascar, venous thromboembolism mainly affects the female gender. The objective of this study was to identify the characteristics of this disease at Hospital University of Gynecology and Obstetrics Befelatanana.

Methods: This is a retrospective descriptive study for four years, from January 2011 to December 2014.

Results: We identified twenty-seven veinous thromboembolism in 42 443 cases (0.06%) of which 15 cases (55%) of deep vein thrombosis (DVT), 8 cases (30%) of pulmonary embolism and 4 cases (15%) of deep vein thrombosis complicated by pulmonary embolism. The average age is 37.74 years. The main risk factors are age over 40 years (40.74%), postpartum (40.74%), prolonged immobilization (25.92%), gynecological cancer (18.51%), pregnancy (18.51%) and menopause (14.81%). All patients with DVT suffer from unilateral lower limb pain and dyspnea for pulmonary embolism. Enoxaparin relaying by fluindione earlier is our main cure, and enoxaparin associated with early up constitute preventive treatment. Eleven cases have a favorable outcome. Ten cases died of pulmonary embolism. The rest has been transferred into specialized services.

Conclusion: The search for risk factors of thromboembolism is the basis of prevention.

Keywords: Anticoagulant; Epidemiology; Evolution; Female; Risk Factor; Venous Thromboembolism; Prevention

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