Causes of DVT in pregnancy

1. Direct trauma. Direct trauma to the vessels as with fracture or dislocation, disease of the
veins and chemical irritation of the veins from IV medications and solutions can damage
the veins.
2. Blood coagulibility – increased blood coagulability occurs most commonly in PTS for
whom anticoagulant medication have been abruptly drawn.
3. Oral contraceptive – oral contraceptive use also load to hyper coagulant.
4. Pregnancy- normal pregnancy is accompanied by an increase longest than 8 weeks
postpartum, increase the risk of thrombosis.
5. Repetitive motions- repetitive motions cause irritation to vessel wall, causing
inflammation and subsequent thrombosis.
Clinical manifestations

- Edema
- Tenderness
- Leg pain and swelling and unilateral
- Hofman’s sign- discomfort in calf muscle.
- Change in the skin colour of the leg , purple, red.
Prevention

- Graduated compression stockings prevent disillusionment of the thrombosis.

- Pneumatic compression device- increases blood velocity beyond that produced by the
stockings.
- Leg exercise- encourages early mobilization and leg exercise to keep blood circulating
adequately.
Diagnostic

- Compression ultrasonography
- Magnetic resonance
- Doppler ultrasound
- Computed tonography
Nursing diagnosis
 1. Ineffective tissue perfusion related to interruption of various blood flow.
2. Risk for impaired physical mobility related to discomfort and safety precautions.
3. Impaired comfort related vascular inflammation and safety precautions.
Nursing management

- Asses presenting signs and symptoms

- Bed rest to prevent dislodgment
- To elovate affected or both legs.
- Turn PH two hourly without crossing leg.
- Range of motion excessive to the unaffected leg.
- Warm compresses to help reduce swelling.
- Monitor vitals every 4-6 hours.
Pharmacology therapy

- Unfractionated heparin.
- Low- molecular- weight hepanine LMWTH i.e daltepanina they prevent the extension of
thrombosis and development of thrombi.
Management of eclampsia pre-naturally

Medical management

1. Magnesium sulfate should be given to control concussions and is the first line of treatment for
eclampsia seizures. A loading dose of 4-6 grams should be given IV over 15 to 20 minutes. A
maintenance dose of 2g per hour should subsequently be administered.
Nursing management

Monitor blood pressure

Send blood and urine for testing

Administer prescribed medication

Monitor reflexes on patients on magnesium sulfate

Neurologic checks regularly

Seizures precaution if ordered.