Comparative Analysis of Venous Thromboembolism Prophylaxis Guidelines after Cesarean Delivery

Abstract

Venous thromboembolism (VTE) is a leading cause of maternal morbidity and mortality in Canada. Expanding candidacy for VTE prophylaxis in the peripartum period has been associated with decreased maternal mortality; however, there are inconsistencies in society recommendations for postpartum thromboprophylaxis, and the literature shows poor adherence to guidelines. This brief communication examines VTE prophylaxis prescribing in patients who underwent cesarean delivery 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.