| dc.description.abstract |
Objective: To determine the fetomaternal outcome of venous thromboembolism in
pregnancy at Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya.
Methods: This was a prospective cohort study of females with venous
thromboembolism (VTE) in pregnancy at MTRH. These patients were followed
up, and pregnancy outcomes were compared with a comparison arm of normal
pregnant females (non-exposed). Purposive sampling was used for the non-
exposed arm. Data were analysed using both descriptive and inferential statistics at
95% confidence level. Categorical variables were summarised as frequencies and
percentages. Bivariate analysis was done using Chi square and multivariate analysis
using logistic regression, with a confidence level of 95%. A p value of <0.05 was
considered to be statistically significant.
Results: The mean age of the participants was 27 and mode of 22 years. Seventy
percent of the study population were between the age of 18–35 years, with those
below the age of 18 being one in both arms. Fifty-nine percent of females were
multiparous. The most common site of deep vein thrombosis was superficial femoral
vein, followed by popliteal vein (10 individuals; 5.3%). Multiparty was significantly
associated with VTE (p=0.004). Females who were overweight or obese were
associated with risk of VTE (p value of 0.001 and 0.003, respectively). There was
a significant association between rates of Caesarean section and VTE (p=0.019).
Postpartum haemorrhage, admission to newborn unit, and birth weight were
associated with VTE with p value of 0.034, 0.025, and 0.018, respectively.
Conclusion: The authors concluded there is no difference in fetomaternal outcome
between females with VTE and females without VTE |
en_US |