VTE prophylaxis in pregnant people with chronic physical disability: Data from a physicians survey and the need for guidance.

IF 0.8 Q4 OBSTETRICS & GYNECOLOGY Obstetric Medicine Pub Date : 2023-03-01 Epub Date: 2022-01-27 DOI:10.1177/1753495X221074616

Sajida Kazi, Anne McLeod, Anne Berndl

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Abstract

Background: International guidelines recommend risk assessment during the antepartum and postpartum period to inform VTE prophylaxis. We aimed to evaluate physicians' approach to VTE prophylaxis of women with chronic physical disability (CPD) during pregnancy.

Methods: A cross-sectional study consisting of a self-administered electronic questionnaire was sent to specialists across Canada.

Results: Seventy-three participants responded to the survey, and 55 (75.3%) completed the survey including 33 (60%) Maternal Fetal Medicine (MFM) specialists and 22 (40%) Internal Medicine (IM) specialists including physicians with an interest in Obstetric Medicine. Our study shows considerable variation in VTE thromboprophylaxis during pregnancy with CPD. Most respondents favoured antepartum (67.3%) and postpartum (65.5%) VTE prophylaxis for pregnancies within a year of spinal cord injury.

Conclusions: In order to better manage this complex population, CPD should be considered as a risk factor for development of VTE.

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慢性肢体残疾孕妇的 VTE 预防：医生调查数据与指导需求。

背景：国际指南建议在产前和产后进行风险评估，为预防 VTE 提供依据。我们旨在评估医生对妊娠期慢性肢体残疾（CPD）妇女进行 VTE 预防的方法：方法：我们向加拿大各地的专科医生发送了一份自填式电子问卷，进行了一项横断面研究：73位参与者对调查做出了回应，55位（75.3%）完成了调查，其中包括33位（60%）母胎医学（MFM）专家和22位（40%）内科（IM）专家，包括对产科有兴趣的医生。我们的研究表明，CPD 患者在妊娠期间的 VTE 血栓预防措施存在很大差异。大多数受访者倾向于对脊髓损伤后一年内的孕妇采取产前（67.3%）和产后（65.5%）的 VTE 预防措施：为了更好地管理这一复杂人群，CPD 应被视为 VTE 发生的风险因素。

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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来源期刊

Obstetric Medicine OBSTETRICS & GYNECOLOGY-

CiteScore

1.90

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0.00%

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