Reading: Uptake of Pharmacological Prophylaxis for Venous Thromboembolism in Postpartum Women After I...

Download

A- A+
Alt. Display

Original Articles

Uptake of Pharmacological Prophylaxis for Venous Thromboembolism in Postpartum Women After Introduction of Formal Risk Assessment Tool – A Quasiexperimental Study

Authors:

K. Muhunthan ,

Faculty of Medicine, Jaffna, LK
X close

K. Guruparan,

Faculty of Medicine, Jaffna, LK
X close

S. Jothiji,

Faculty of Medicine, Jaffna, LK
X close

B. Aranee

Faculty of Medicine, Jaffna, LK
X close

Abstract

Risk estimation and prophylactic treatment of maternal morbidity and mortality due to thromboembolism through a standard formal VTE risk assessment tool with numerical scoring is more effective in clinical decision making and management than not using a scoring system. This study was designed to assess the risk factors and prospectively measure the uptake of pharmacological prophylaxis for postpartum VTE before and after introducing a standard risk assessment scoring tool.

 

Methods

The study was conducted in 200 postpartum women aged 18–39 without randomization. They were prospectively followed before and after introduction of a standard formal venous thromboembolism risk assessment tool with numerical scoring. Individual risk scoring and the uptake of pharmacological prophylaxis for venous thromboembolism were analysed descriptively. Data was collected from the postpartum mothers’ case notes in the postnatal ward without interfering the clinical practice of the ward.

 

Results

Of the 100 postpartum mothers 43 were entitled for postpartum pharmacological prophylaxis for venous thromboembolism and of them 19% (8/43) were treated with enoxaparin when a risk assessment tool with numerical scoring was not used. This uptake rate was 74% (29/39) among the subsequent 100 postpartum mothers after a risk assessment tool with numerical scoring was introduced which was statistically significant. This significant improvement of the uptake of pharmacological prophylaxis was mainly observed in the group which scored 2 points than who scored ≥3 during the risk scoring. Among the 82 postpartum women who were entitled for pharmacological prophylaxis for postpartum VTE parity of ≥3 was the single most common risk factor being 40% and the elective and emergency caesarean section being 32% and 26%.

 

Conclusion

Uptake rate of pharmacological prophylaxis for postpartum VTE in mothers can be significantly improved by using a standard risk assessment tool rather than using clinical judgement alone.
How to Cite: Muhunthan K, Guruparan K, Jothiji S, Aranee B. Uptake of Pharmacological Prophylaxis for Venous Thromboembolism in Postpartum Women After Introduction of Formal Risk Assessment Tool – A Quasiexperimental Study. Jaffna Medical Journal. 2020;32(1):23–7. DOI: http://doi.org/10.4038/jmj.v32i1.89
Published on 14 Aug 2020.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus