Venous thromboembolism prophylaxis in pregnancy: Are we adequately identifying and managing risks?
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Emmett, Shannon
Wong, Audris
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Abstract
Pregnancy is a well-known risk factor of venous thromboembolism. We retrospectively reviewed case histories of 82 pregnant women who developed symptoms of venous pathology, thrombophlebitis, deep vein thrombosis (DVT) or pulmonary embolus (PE) while receiving care at our hospital. We found the VTE risk identification and documentation during their pregnancies were deficient resulting in the omission of appropriate thromboprophylaxis. Many confirmed VTE cases (antenatally or postpartum) were not on thromboprophylaxis prior to diagnosis despite having multiple risk factors. We recommend the use of a risk assessment tool by clinicians for accurate risk identification ensuring proper risk management at different stages of pregnancy.
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Australian and New Zealand Journal of Obstetrics and Gynaecology
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62
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6
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© 2022 The Authors. Australian and New Zealand Journal of Obstetrics and Gynaecology published by John Wiley & Sons Australia, Ltd on behalf of Royal Australian and New Zealand College of Obstetricians and Gynaecologists. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
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Obstetrics and gynaecology
Science & Technology
Life Sciences & Biomedicine
Obstetrics & Gynecology
pregnancy
prophylaxis
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Choy, KR; Emmett, S; Wong, A, Venous thromboembolism prophylaxis in pregnancy: Are we adequately identifying and managing risks?, Australian and New Zealand Journal of Obstetrics and Gynaecology, 2022, 62 (6), pp. 915-920