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

Author:

Kazi Sajida1ORCID,McLeod Anne2,Berndl Anne3

Affiliation:

1. Division of Hematology, Department of Medicine, Sinai Health System, University of Toronto, Toronto, Ontario, Canada

2. Department of Haematology, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK

3. Division of Hematology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada

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.

Publisher

SAGE Publications

Subject

Obstetrics and Gynecology

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Pregnancy in Women with Disabilities;Queenan's Management of High‐Risk Pregnancy;2023-12

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