The course of uncomplicated lower extremity varicose veins during pregnancy


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Abstract

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. 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.

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About the authors

Natalia Sergeevna Nosenko

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: n_nosenko@oparina4.ru
Ph.D., doctor of the Department of Echography and Prenatal Diagnostics

Natalia Vasil'evna Khramchenko

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: n_khramchenko@oparina4.ru
Head of the Department of Echography and Prenatal Diagnostics

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