Document Detail

Management of thromboprophylaxis during pregnancy among specialists in maternal-fetal medicine.
MedLine Citation:
PMID:  18210898     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate practice patterns among maternal-fetal medicine physicians with regard to thromboprophylaxis in pregnancy. STUDY DESIGN: A Web-based survey was conducted among members of the Society for Maternal-Fetal Medicine (SMFM). The Web address for the survey and unique participant identification codes were mailed out to all SMFM members. Participants answered questions about their perceptions of risk factors for thrombosis in pregnancy as well as their use of thromboprophylaxis for cesarean section and for extended antepartum bed rest (>72 hours). RESULTS: A total of 157 physicians responded to the survey. Few respondents use routine thromboprophylaxis for patients at cesarean section (8%) or who are on antepartum bed rest (25%), but the majority would use prophylaxis for patients at cesarean (91%) or during antepartum bed rest (81%) if these patients were considered to be at high risk for thrombosis. There was, however, great variation in the conditions thought to be risk factors for thrombosis, the risk factors of great enough risk to warrant prophylaxis and the prophylactic regimens used. CONCLUSION: Routine thromboprophylaxis for cesarean section or extended antepartum bed rest is uncommon. Although more common, risk-based thromboprophylaxis lacks a clear consensus as to which factors warrant this strategy and which regimen should be used.
Holly L Casele; William A Grobman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  52     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2008-01-23     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1085-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Evanston Northwestern Healthcare, Evanston, Illinois, USA.
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MeSH Terms
Anticoagulants / therapeutic use*
Bed Rest
Cesarean Section / statistics & numerical data*
Health Care Surveys*
Heparin, Low-Molecular-Weight / therapeutic use*
Physician's Practice Patterns*
Pregnancy Complications, Cardiovascular / prevention & control
Pregnancy Complications, Hematologic / drug therapy*
Pregnancy Outcome
Risk Assessment
Risk Factors
Societies, Medical
Thrombosis / prevention & control*
Reg. No./Substance:
0/Anticoagulants; 0/Heparin, Low-Molecular-Weight

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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