The effect of graduated compression stockings on blood velocity in the deep venous system of the lower limb in the postnatal period.
Venous thromboembolism (VTE) is the leading cause of maternal mortality in the UK and is also a major cause of long-term morbidity. Recent UK national guidelines recommend thromboprophylaxis, which includes the use of graduated compression stockings (GCS), for high-risk women to reduce the risk of VTE in both the antenatal and postpartum period. This study of 17 women examined the effects of GCS on the deep venous system in the immediate postpartum period and found a statistically significant reduction in the diameter of the common femoral vein (CFV) (pre- versus post stocking diameter: mean 10.39 mm [SD 2.09] versus mean 9.69 mm [SD 1.99]) and an increase in the rate of blood velocity in the CFV (pre- versus post stocking velocity: mean 10.0 cm/s [SD 2.7] versus 13.9 cm/s [SD 4.2]) 30 minutes after application of thigh length GCS in women 1 or 2 days following a singleton vaginal delivery at term. This confirms reduction in venous stasis in the deep venous system in the immediate postpartum woman by the use of GCS, supporting their use in improving venous function in this context.
Jamieson
R
R
Princess Royal Maternity Unit, Glasgow Royal Infirmary, Glasgow, UK.
Calderwood
C J
CJ
Greer
I A
IA
D001783:Blood Flow Velocity / Q000502:physiology; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply*; D011644:Puerperal Disorders / Q000503:physiopathology* / Q000517:prevention & control; D012307:Risk Factors; D053828:Stockings, Compression; D013923:Thromboembolism / Q000503:physiopathology* / Q000517:prevention & control; D020246:Venous Thrombosis / Q000503:physiopathology* / Q000517:prevention & control