All the elements of Virchow triad, venous stasis, vascular damage, and hypercoagulability are present during venous thrombosis. How does pregnancy increase the risk for venous thromboembolism Increased venous capacity, relaxation of vascular smooth muscle, and compression of the pelvic veins by the gravid uterus cause venous stasis. Increased risk for endothelial damage occurs during delivery, especially during cesarean delivery. Lastly, estrogen stimulation of coagulation factors and a decrease in fibrinolytic activity favors coagulation during pregnancy Tenderness, pain, or erythema along the vein
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