Diagnosis and treatment of pulmonary embolism in pregnancy

Pregnancy and puerperium increase the risk of venous thromboembolic disease. As it is potentially life-threatening, all patients with the suspicion of pulmonary embolism require proper diagnosis and, possibly treatment. Venous ultrasonography is usually applied. However in most cases the examinations with the use of ionized radiation - computer tomography or scintigraphy - are indispensable. In treatment of pulmonary embolism, low molecular weight heparins play the key role. However in case of dramatic pulmonary embolism with shock and hypotension, thrombolytic therapy may be necessary Low molecular weight heparins as well as oral anticoagulants can be used after the delivery.