Pregnancy varicosis I83.9

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Not clearly defined term for a varicose vein disease that is intensified or appears de novo under the conditions of pregnancy. Multiparity seems to intensify the development of varicose veins.

Classification
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Basically, one can divide pregnancy varicosis into:

  • Type I: Varicose veins that appear in women with healthy veins during pregnancy. In studies, 28% of the women who had been considered healthy before pregnancy had varicose veins.
  • Type II: primary or secondary varicosis in pregnant women

Etiopathogenesis
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Venous hypertension due to the increased intrapelvic pressure that leads to dilatation and insufficiency of the venous valves. Genetic disposition and vasoactive hormonal influences may also play a role.

Clinical features
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There is no pathognomically specific symptoms. Complaints are dys- and paraesthesias as well as feelings of heaviness in the legs; furthermore venous oedema and recognizable varicose veins, especially in the area of the truncal veins.

Complication(s)
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It is important to recognise and, if necessary, treat deep vein thrombosis (DVT) in good time.

Therapy
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Compression therapy using two-pull compression stockings or compression tights.

Sclerotherapy or operations are only useful after pregnancy.

Literature
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  1. Dindelli M et al (1993) Risk factors for varicose disease before and during pregnancy. J Vasc Surgery 24: 361-367
  2. Kamphausen U (2010) Pregnancy varicosis In: T Noppeney, H Nüllen Diagnosis and therapy of varicosis. Springer Medicine Publishing House Heidelberg S 155 -158
  3. Panella M et al (1997) Thrombophlebitis and varicosis syndrome in pregnancy. Clin Exp Observed Gynecol 24:33-35.
  4. Sohn C et al (1991) The effect of pregnancy and parity on the venous system of the leg. Central Gynecol 113:829-839.

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Last updated on: 29.10.2020