Prevalence of Deep Vein Thrombosis and Associated Risk Factors During Pregnancy and Puerperium in Omdurman Maternity Hospital from March 2021-August 2021

Introduction: Women during pregnancy and postpartum period represent one of the highest risk groups for DVT. The treatment and supportive measures are of paramount importance to reduce the risk and complications of this disease. Moreover complications which can occur to the fetus and maternal health during pregnancy should be taken into account in treatment.  Methodology: This study is a cross sectional hospital-based study. It was conducted during the period March 2021-August2021, in Omdurman maternity hospital, included women during pregnancy or puerperium. Patient interviewed through a detailed questionnaire and some information obtained from patients file. For event of deep vein thrombosis, associated factors and feto-maternal outcome. Data was processed using the SPSS (vs. 26).  Results: Among 13828 deliveries, 50 patients had deep vein thrombosis the prevalence was 0.36%. The mean patient’s age was 31.74±6.5 years (range was 18-45 years). The majority of DVT 34 (68%) occur during puerperium, and 16(32%) occur during pregnancy, 8(16%) had history of similar condition, and 20(40%) had family history of similar condition. Chronic illnesses mostly hypertension 9(56.3%), and anemia was in 19(38%). The mode of delivery was vaginal delivery in 26(52%). The mean duration of hospital stay was 6.7±6.0 (range from 1- 30 days). DVT was managed in majority using heparin 33(66 %), LMWH + warfarin in 9(18%), of patients pulmonary embolism was in 3(6%), and the death rate was 1(2%). 5(10%) of fetuses admitted to NICU.  Conclusion: Deep vein thrombosis prevalence was 0.36% and it is more frequent during puerperium.