EFFICIENCY OF GRADUATED COMPRESSION FOR VARICOSE VEINS DURING PREGNANCY


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Abstract

Objective: To investigate the clinical efficiency of graduated elastic compression stockings in pregnant women with varicose veins. Materials and methods: Sixty pregnant women were enrolled in the study, thirty of whom used compression stockings and formed a study arm; another 30 patients comprised the control group. The clinical grade of varicose disease was assessed according to the CEAP classification. The severity of varicose disease was assessed using the Venous Clinical Severity Score (VCSS). Quality of life (QOL) was calculated using the Chronic Venous Insufficiency Questionnaire (CIVIQ-20). The diameters of the great and small saphenous veins were measured using Doppler ultrasonography. The tibia circumference was measured by measuring tape in an upright position. Results: At the end of the study there was a significant reduction of VCSS index (p<0,001) in the study group, whereas in the control group varicose disease severity increased (p<0,001). The control group showed negative clinical changes according to CEAP classification: the ratio of patients with varicose disease shifted to the C3 class from 3/30 (10%) to 15/30 (50%). At the final follow-up, the overall QOL score improved in the study group (p=0.099), while the control group showed a statistically significant decrease of QOL according to CIVIQ-20 (p<0.001). The use of compression stockings was associated with a statistically significant reduction in the diameters of the great and small saphenous veins at all measurement points and a bilateral decrease in the circumference of the lower supramalleolar region (p<0,001). Conclusion: Graduated elastic compression is an effective method for the prevention and treatment of varicose vein disease during pregnancy.

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About the authors

Vladimir Ya. KHRYSHCHANOVICH

Belarussian State Medical University

Email: vladimirkh77@mail.ru
Dr. Med. Sci., Professor, Professor at the Department of General Surgery Minsk, Republic of Belarus

Nicolay A. ROGOVOY

Belarussian State Medical University

Email: kolia_med@mailru
PhD, Associate Professor at the Department of General Surgery Minsk, Republic of Belarus

Natalia Ya. SKOBELEVA

Clinical Maternity Hospital of Minsk Region

Email: nataliaskobeleva@yandex.by
MD, Postgraduate Student, Department of Obstetrics and Gynecology, Belarussian State Medical University; Obstetrician-Gynecologist, Head of the Obstetric Department of Pregnancy Pathology, Clinical Maternity Hospital of Minsk Region Minsk, Republic of Belarus

Olga V. KRASKO

Joint Institute for Informatics Problems of the National Academy of Sciences of Belarus

Email: krasko@newman.bas-net.by
PhD, Associate Professor, Senior Researcher at the Bioinformatics Laboratory Minsk, Republic of Belarus

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