Resumo

CARDENAS SANCHEZ, Pilar  e  GONZALEZ BERMUDEZ, Jennifer. Invasive medical intervention compared with conservative intervention in the treatment of varicose veins in pregnant women: Rapid evaluation of the evidence. Enfermería Actual de Costa Rica [online]. 2020, n.38, pp.209-229. ISSN 1409-4568.  http://dx.doi.org/10.15517/revenf.v0i38.37593.

The objective of this study was to analyze the best available scientific evidence related to conservative medical intervention compared to the most invasive intervention including surgery for the treatment of varicose veins in the lower limbs during pregnancy and the prevention of subsequent onset. It started with The rapid evidence evaluation methodology was applied. A search of literature in the databases was carried out, with no date limit.

Inclusion criteria: Pregnant women with varicose pathology in lower limbs of any age. The types of studies analyzed were Systematic Reviews, RCTs, Meta-analysis or Clinical Practice Guidelines in English, Portuguese or Spanish. The FLC 2.0 and Agree II platform was used for the analysis and the Sackett template for the interpretation of levels of evidence and grades of recommendation. 322 items were retrieved, three were selected.

It was obtained that the recommended intervention is conservative therapy, only in exceptional cases will another intervention be determined. Invasive treatment, including surgical treatment, is reserved for sensitive cases since the risks outweigh the benefits. It is concluded that the first line treatment for the treatment of varicose veins in pregnant women is compression stockings. Routine and oral anticoagulants seem to help but it is not safe to use during pregnancy.

Palavras-chave : Pregnancy; Varicose-veins; Conservative-treatment; Pharmacological-treatment.

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