Therapeutic anticoagulation during the postnatal peripartum period: a survey of clinical practice
| العنوان: | Therapeutic anticoagulation during the postnatal peripartum period: a survey of clinical practice |
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| المؤلفون: | Angela M. North, Helen L. Barrett, Karin Lust, Karen Whitfield |
| المصدر: | Journal of Pharmacy Practice and Research. 50:213-219 |
| بيانات النشر: | Wiley, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Pregnancy, medicine.medical_specialty, medicine.drug_class, Vaginal delivery, business.industry, medicine.medical_treatment, Low molecular weight heparin, Pharmacy, Heparin, medicine.disease, 030226 pharmacology & pharmacy, Thrombosis, 03 medical and health sciences, 0302 clinical medicine, Emergency medicine, Cohort, medicine, Pharmacology (medical), Caesarean section, 030212 general & internal medicine, Peripartum Period, business, medicine.drug |
| الوصف: | Background: Therapeutic anticoagulation may be required during pregnancy to treat venous thromboembolism (VTE), for patients considered at high risk of thrombosis and for the management of mechanical heart valves (MHVs). Prescribing of therapeutic anticoagulation during the postnatal peripartum period is complicated by managing the risk of postpartum haemorrhage. Currently, there are no standardised protocols for the use of therapeutic heparin in this setting and no randomised control trials have been undertaken to evaluate best practice. Aim: Using survey techniques, this study aimed to establish current practice in Australia and New Zealand regarding the use of therapeutic anticoagulation during the postnatal peripartum period. Methods: The survey consisted of 36 questions and was made available using the electronic Internet platform Survey Monkey. Results: For patients at low risk of rethrombosis, 91% and 78% of respondents would use low molecular weight heparin (LMWH) after standard vaginal delivery (SVD) and after caesarean section (CS), respectively, with the remaining respondents choosing to use unfractionated heparin (UFH). For patients at high risk of rethrombosis, 56% and 51% of respondents would use LMWH after SVD and CS, respectively, with the remaining respondents choosing to use UFH. For patients with MHVs, 29% and 26% of respondents would use LMWH after SVD and CS, respectively, with the remaining respondents choosing to use UFH. Conclusion: Although this study included a relatively small cohort of respondents, the results do indicate trends among therapeutic anticoagulation in the postnatal peripartum period. Research regarding the most efficacious anticoagulation management would help clinicians develop evidence-based protocols to guide best practice. |
| تدمد: | 2055-2335 1445-937X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::29a536aa42cdc1a10bf6a2313b44e926Test https://doi.org/10.1002/jppr.1617Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi...........29a536aa42cdc1a10bf6a2313b44e926 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20552335 1445937X |
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