Principles of Prevention of Thrombotic Complications in Obese Women Undergoing Cesarean Delivery

Abstract

Obesity is one of the most important risk factors contributing to the development of thrombotic and thromboembolic complications during pregnancy and in the postpartum period. The risk increases significantly when pregnancy is completed by cesarean delivery, which itself represents a strong provoking factor for venous thromboembolism. The combination of obesity, surgical trauma, postoperative immobility, and pregnancy-related hypercoagulation creates extremely favorable conditions for thrombogenesis. This study is aimed at analyzing the main pathogenetic mechanisms of thrombotic complications in obese women undergoing cesarean delivery and evaluating the effectiveness of modern preventive strategies. Clinical observation and analysis of thromboprophylaxis methods demonstrated that the combined use of mechanical prevention, early mobilization, and pharmacological anticoagulation significantly reduces the incidence of deep vein thrombosis and pulmonary embolism. The results emphasize the necessity of individualized and evidence-based thromboprophylaxis in this high-risk group of patients.