The course of uncomplicated lower extremity varicose veins during pregnancy
Objective. To investigate the changes occurring in the lower extremity venous system during pregnancy, the course of uncomplicated varicose veins in the presence of pregnancy, and current approaches to their diagnosis.Nosenko N.S., Khramchenko N.V.
Material and methods. The review includes the data of foreign and Russian articles published in the past 17 years and found in PubMed on this topic.
Results. The paper gives the main aspects of hormonal influences on the state of the venous system. It describes in detail the capacities of ultrasound diagnosis in the evaluation of changes in the venous system, the importance of ultrasound duplex scanning in the elaboration of therapy. The article also mentions approaches to choosing the therapeutic tactics for pregnant patients with lower extremity varicose veins in the absence of their complications.
Conclusion. Venous ultrasound studies (ultrasound angioscanning, color Doppler ultrasound imaging) should be recommended for all pregnant women, especially during their repeat pregnancy, who have any complaints and risk factors of varicose veins. All the patients are recommended to wear compression stockings selected by a phlebologist on the basis of ultrasound studies, as well as bedrest with the legs elevated.
Keywords
varicose veins
pregnancy
venous ultrasound study
lower extremities
Supplementary Materials
- Fig. 1. Normal venous blood flow
- Fig. 2. Reflux on the ostial valve
- Fig. 3. The effect of spontaneous (spontaneous) contrast of blood flow in the large saphenous vein of a woman at the 35th week of pregnancy without valvular insufficiency and vein dilatation
References
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Received 24.10.2016
Accepted 11.11.2016
About the Authors
Nosenko Natalia Sergeevna, Ph.D., doctor of the Department of Echography and Prenatal Diagnostics, Research Center of Obstetrics, Gynecology and Perinatology,Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79166011494. E-mail: n_nosenko@oparina4.ru
Natalia Khramchenko, Head of the Department of Echography and Prenatal Diagnostics, Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: n_khramchenko@oparina4.ru
For citations: Nosenko N.S., Khramchenko N.V.
The course of uncomplicated lower extremity varicose veins during pregnancy.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (7): 140-4. (in Russian)
http://dx.doi.org/10.18565/aig.2017.7.140-4
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