Management of Varicose Veins During Pregnancy

management of varicose veins during pregnancy

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Varicose veins represent a significant clinical problem; pregnancy varicose veins can be managed conservatively with stockings and compression. When it comes to management of varicose veins during pregnancy, there are other treatment options needed to be taken into consideration.

Varicose pregnancy management means that a doctor is facing with some treatment options, from which he will have to choose from. In some cases the right treatment will be a balanced approach going from the least surgical to the most invasive one.

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Some doctors prefer to go straight to the surgical solutions and shorten the length of the treatments; especially with pregnant women when time elapsing is a major factor.

Pregnancy lifestyle and varicose.

The hormonal changes which are causing the early signs of pregnancy are now causing the changes of the pressure on the blood vessels which cause varicose discomfort. There are lots of things you can do as pregnant woman with varicose veins: Change sleeping position, (sleep on the left side !) Do mild body work out, do not stand or stretch legs for long time, avoid sitting for long time too, drink a lot of water, and eat non salted foods, wear loose clothing, rise legs when sleeping, stop smoking (!) and when needed weight loss measures should be taken.

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Non surgical varicose treatment options

Support stockings are a conservative approach, simply to wear properly-fitting support hose, especially when the veins cause painful or uncomfortable symptoms. Support stockings can generally be purchased at any surgical supply store and at some pharmacies.

Pregnancy varicose support stockings come in below-the-knee, above-the-knee, and pantyhose styles.

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Medical management approach to varicose veins

Therapies your doctor will consider will aim to remove the superficial venous system either through surgery, endovenous ablation, or sclerotherapy ablation.

Sclerotherapy during pregnancy

The injection method is a procedure called sclerotherapy. This procedure has been used for spider veins for 70 years now. This procedure uses a highly concentrated saline (salt) solution or a specially made detergent that is injected directly into the vein. The solution irritates the lining of the vessel causing it to swell, stick together, and the blood to clot. This will cause the vein to disappear gradually over 3 to 6 weeks. The procedure is simple, relatively inexpensive, and can be performed in an outpatient setting. Take to mind that No FDA–approved foam/sclerosing agents are available.

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Endovenous Laser Treatment

Endovenous ablation therapy means that a fine thin fiber is passed inside your varicose vein. Through the fiber either laser or radio-frequency is projected inside the vein vessel – this causing internal heat making the blood vessel shrink, the blood then find new healthy vessels to pass through. The Endovenous Techniques of radio frequency and laser technique are not very invasive and suitable for pregnant woman.

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Surgical procedure to pregnancy varicose veins

Surgery during pregnancy is contraindicated between vascular surgeons because many varicose veins of pregnancy spontaneously regress after delivery.

The avulsion or phlebectomy methods of stripping use different devices and variations of techniques. We will not review all techniques and surgical devices, what is important to know that a small cut is done at the calves which a fine thin device is used to reach the swollen veins strip, cut, peal, and pull the vein out from a different cut (or cuts).

Ambulatory phlebectomy :

 This phlebitis during pregnancy typically used to treat varicose veins close to the surface of the skin. This phlebectomy during pregnancy operation usually takes up to an hour.

Vein stripping and ligation:

This done at more severe cases, then the patient will be asleep at he operation time. (not recommended for late pregnancy month).

While your doctor have a wide variety of options, this management of varicose veins during pregnancy options to find the right procedure, at the right pregnancy period, in order to treat the pregnancy varicose veins  and not endanger you as a patient.

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