Home > Journals > International Angiology > Past Issues > International Angiology 2017 December;36(6) > International Angiology 2017 December;36(6):569-73

CURRENT ISSUE
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

INTERNATIONAL ANGIOLOGY

A Journal on Angiology


Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,37


eTOC

 

ORIGINAL ARTICLE  


International Angiology 2017 December;36(6):569-73

DOI: 10.23736/S0392-9590.17.03865-2

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Gestational lower limb edema and venous reflux in healthy primigravidae

Leandro A. GARDENGHI, Nei R. DEZOTTI, Marcelo B. DALIO , Edwaldo E. JOVILIANO, Carlos E. PICCINATO

Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil


PDF  


BACKGROUND: Analyze the association of lower limb edema with venous reflux in healthy primigravidae during pregnancy and in the postpartum.
METHODS: Cohort with primigravidae evaluated in the three trimesters of pregnancy and postpartum. Edema was assessed by physical examination. Duplex evaluated venous reflux in both limbs.
RESULTS: In the first trimester, no woman presented edema or venous reflux. In the second trimester, venous reflux was found in one patient (5%) and edema was found in four women (20%). Venous reflux and edema were not associated (P=1). In the third trimester, two other patients developed venous reflux (15%) and eleven women developed lower limb edema (55%). Venous reflux and edema were also not associated (P=0.21). In the postpartum period, neither venous reflux nor lower limb edema were found.
CONCLUSIONS: In healthy primigravidae, lower limb edema was not associated with venous reflux. Both were present in the second and in the third trimesters of pregnancy and resolved spontaneously in the postpartum period. Both are products of the same physiological changes that occur in pregnancy.


KEY WORDS: Pregnancy - Edema - Venous insufficiency - Duplex Doppler ultrasonography

top of page

Publication History

Issue published online: November 23, 2017
Article first published online: September 11, 2017
Manuscript accepted: July 25, 2017
Manuscript received: June 15, 2017

Cite this article as

Gardenghi LA, Dezotti NR, Dalio MB, Joviliano EE, Piccinato CE. Gestational lower limb edema and venous reflux in healthy primigravidae. Int Angiol 2017;36:569-73. DOI: 10.23736/S0392-9590.17.03865-2

Corresponding author e-mail

mbdalio@usp.br