Pulmonary Embolism in Pregnancy and the Postpartum Period

Joshua I. Rosenbloom, Eyal Herzog, Donna R. Zwas

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Pulmonary Embolism (PE) is one of the most common medical complications in pregnancy and is a leading cause of maternal mortality. All women should undergo risk stratification for venous thromboembolism (VTE) during pre-conception or early pregnancy evaluation, if adverse events occur during pregnancy, and pre-delivery or immediately post-partum. Due to a frequently nonspecific presentation, a high index of suspicion is necessary to make timely diagnosis. Chest imaging, either CTA or V/Q scanning, is indicated despite theoretical concerns about fetal and maternal radiation exposure. Treatment consists of prompt initiation of anticoagulation which is continued for at least 6 weeks postpartum and three months total from the PE diagnosis. The chapter presents a novel algorithmic approach to the diagnosis and management of the stable and unstable pregnant patient with suspected PE.

Original languageEnglish
Title of host publicationPulmonary Embolism
PublisherSpringer International Publishing
Number of pages14
ISBN (Electronic)9783030870904
ISBN (Print)9783030870898
StatePublished - 1 Jan 2021
Externally publishedYes


  • Algorithm
  • Deep venous thrombosis
  • Pathways
  • Postpartum
  • Pulmonary embolism
  • Unstable pulmonary embolism
  • Venous thromboembolism Pregnancy


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