Predictive Value of Centered Clinical Asymmetric Lower Limb Edema in Diagnosing Deep Vein Thrombosis in Puerperium

<b>Background:</b> Peripheral vein thrombosis during pregnancy poses serious diagnostic challenges due to the intertwining of its clinical symptoms with normal pregnancy modifications. <b>Methods:</b> We analyzed and compared the paraclinical test results of singleton pregnant women and women in the first six weeks postpartum who presented with significant lower limb inequality. <b>Results:</b> Our data revealed three predictors of deep vein thrombosis (DVT): mean platelet volume (MPV), with a one-unit increase in MPV being associated with a 1.497-fold higher risk of thrombosis (<i>p</i> = 0.008); platelet distribution width (PDW), with a one-unit decrease in PDW increasing thrombosis risk (odds ratio (OR) = 1.17, <i>p</i> = 0.003); anemia, with its presence increasing the risk of thrombosis by 8.46 times (<i>p</i> = 0.003); and fibrinogen, with a one-unit increase in its level increasing DVT risk 1.003-fold. <b>Conclusions:</b> Significant lower limb inequality might be used as a predictor of DVT during puerperium.