Comparative Analysis of Venous Thromboembolism Prophylaxis Guidelines Following Cesarean Section.

M Alix Murphy, Lauren Clarfield, Laura Diamond, Elizabeth Miazga, Sari Kives
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Abstract

Venous thromboembolism (VTE) is a leading cause of maternal morbidity and mortality in Canada. Expanding candidacy for VTE prophylaxis (VTEp) in the peripartum period has been associated with decreased maternal mortality, however there are inconsistencies in society recommendations for postpartum thromboprophylaxis and literature shows poor adherence to guidelines. This brief communication examines VTE prophylaxis prescribing in post-caesarean delivery (CD) patients at a tertiary hospital in Toronto, Ontario, and highlights high variance in risk stratification from national regulatory organizations. Ultimately, future work should be done to improve appropriate thromboprophylaxis prescribing practices to reduce the risk of adverse outcomes related to thromboembolism.

剖宫产术后静脉血栓栓塞预防指南的比较分析。
静脉血栓栓塞(VTE)是加拿大产妇发病和死亡的主要原因。围产期静脉血栓栓塞预防(VTEp)候选范围的扩大与孕产妇死亡率的降低有关,然而,社会对产后血栓预防的建议存在不一致,文献显示对指南的遵守程度较差。本文简要介绍了安大略省多伦多一家三级医院剖宫产后(CD)患者静脉血栓栓塞预防处方,并强调了国家监管机构在风险分层方面的高度差异。最终,未来的工作应该做的是改善适当的血栓预防处方做法,以减少与血栓栓塞相关的不良后果的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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