科研之友
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摘要
background: during and after pregnancy, lower limb varicose disease presents specific features that have influenced the conduction of studies designed to provide a better understanding of the condition. such features include the appearance of lower limb varicose veins, their early development and intensity, and their rapid regression after delivery. objective: to assess the prevalence of lower limb varicose disease during pregnancy and to identify the main associated risk factors. prevalence of varicose disease during pregnancy is high, affecting almost 70% of pregnant women considering all types of varicose disease. this high prevalence is mainly caused by the increase in the estrogen and progesterone levels during pregnancy. material and method: we analyzed 352 pregnant women during prenatal follow-up. the subjects were randomly selected during a 14-month period. varicose disease was clinically identified and classified according to widmer%26apos;s criteria: trunk varicose veins, reticular varicose veins, and telangiectasias; being reclassified according to the criteria of the ceap clinical classification. the results of prevalence and risk factors were statistically analyzed using univariate and multivariate analyses. results: considering all types of varicose veins, prevalence of varicose disease was 72.7% (256 pregnant women). only 27.3% (96) of pregnant women did not have varicose disease (c0), and this group was considered the control group. after multivariate analysis, the main risk factors were: family history and pregnant women%26apos;s age. conclusion: the high prevalence of varicose disease and the associated risk factors suggest the need of providing the health professionals involved in women%26apos;s health care, especially during the fertile period, with information on this disease.
