As a result of the pressure of the uterus, which grows with pregnancy, on the main veins in its immediate vicinity (iliac veins and vena cava inferior), the vein valves in the legs begin to deteriorate, the veins expand, and the vein walls lose their resistance and expand.
As a result of these developments, pregnancy occurs. Eventually, varicose veins and venous insufficiency occur, most of which are permanent.
If there were varicose veins before pregnancy, and even if they did not have varicose veins, if the parents with signs of genetic predisposition had a history of varicose veins, venous insufficiency and intravascular coagulation, these people will have varicose veins during or after pregnancy. They need to know that they may experience serious problems.
FACTORS AFFECTING THE FORMATION OF VARICORES AND CLOTS DURING PREGNANCY:
If the increased appetite due to both hormonal and psychological reasons during pregnancy causes excessive weight gain, the rate of development of varicose veins increases exponentially. For this reason, if pregnancy starts with a weight close to the ideal weight and weight is controlled in line with the recommendations of the gynecologist who monitors the pregnancy, it may be possible to get rid of varicose veins with the least harm. During pregnancy, no more than an average of 11-12 kilos of weight should be gained. Again, increased salt intake during pregnancy, decreased mobility in the later stages of pregnancy, and lack of regular walking lead to the development of varicose veins and perhaps venous insufficiency, which may turn into serious health problems for the mother in the future. They should be examined with tests such as cardiovascular surgical examination and, when deemed necessary, venous Doppler ultrasound and venography. If any of these diseases are detected before the planned pregnancy, it would be best to treat them with various methods and for the pregnancy to occur after this treatment phase. If existing varicose veins are ignored before pregnancy, they may turn into varicose veins that may require surgery after birth, and these varicose veins may also be symptoms of the underlying venous insufficiency disease. Circulatory disorders due to venous insufficiency cause clotting in deep and superficial veins, more frequently in pregnant women, and pose a danger to the mother and baby. Therefore, varicose veins must be treated before pregnancy.
The most unfortunate outcome of venous insufficiency for pregnant women. These are frequently occurring superficial vein clots and inflammations (thrombophlebitis) and deep vein thrombosis, that is, "deep vein clotting". In some patients with deep vein thrombosis, a clot originating from the leg veins in the lungs, which we call pulmonary embolism, may develop, which is a serious vascular disease that can be fatal. The risk of deep vein thrombosis increases 5 times during pregnancy and another 5 times during puerperium, reaching 10 times the normal rate.
Clinical symptoms of deep vein thrombosis are pain and swelling in the legs followed by difficulty breathing, rapid breathing, shortness of breath, sweating, It manifests itself as coughing up blood, coughing, fainting, chest pain, sudden right heart failure, and low blood pressure. Pulmonary embolism should be considered in cases of sudden loss of consciousness and sudden unexplained respiratory distress.
Another important risk for women is that the possibility of deep vein thrombosis increases in those using oral contraceptives (birth control pills). Nowadays, estrogen and progesterone preparations are frequently used in menopause to prevent coronary diseases and osteoporosis, and these preparations have been shown to increase the risks of deep vein thrombosis. The most risky period is the first week after birth. The presence of varicose veins, drinking less water, long journeys, frequent and multiple pregnancies, inactivity, obesity and advanced maternal age further increase the risk of distant clots in women.
The patient who survived pulmonary embolism due to deep vein thrombosis can survive for the rest of his or her life in the long term. Complications such as postthrombophlebitic syndrome, venous ulcers (leg wounds) and pulmonary hypertension await.
Another popular problem is that high-heeled shoes, which are used as an indispensable part of elegance in women, cause the development of new varicose veins and common deep vein disease. p>
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