Postoperative Hemorrhagic Complication After Elective Cesarean Section Under Spinal Anesthesia In Patients Receiving Long-Term Anticoagulant Therapy: Retrospective Study

Abstract

Background:

This study was conducted on pregnant women which admitted to obstetrics section of khoms Medical Center at the period from 15 July; to 15 October 2021 and the has been aimed to defining the severity of bleeding accounting in part for the variation in the rates of bleeding reported. 

Materials and Methods:

The recent study conducted on 60 pregnant women admitted to obstetrics section, the information was obtained from registration book and the files of the patient including main medical problems after caesarean section are bleeding and coagulation, coagulopathy and anticoagulation used. 

Results:

Pregnant women admission to obstetric section constituted 96.7% had bleeding during caesarean delivery, while 3% didn't bleeding during caesarean delivery. the commonest medication used its Low Molecular weight heparin LMWH 35%, the commonest coagulation problems were deep vein thrombosis 50%, and the most anticoagulation used was in the antepartum 66.7%.

Conclusion:

The study showed that a high percentage of patients had postpartum bleeding, and that all patients use anticoagulant drugs, most common indication use anticoagulation is (DVT) and mostly of patients exposure to obstetrical hemorrhagic from anticoagulation. which for women pregnancy received anticoagulation for long period causes death so important controlled during pregnancy