[Prophylaxis of thromboembolic disease in obstetrics after the French guidelines publication]

C. Chauleur (1) , Cristina Vieira (2) , P. Seffert

1 GRT - Groupe de recherche sur la thrombose, pharmacologie des antithrombotiques et situations à risque
2 Eléments transposables, évolution, populations

OBJECTIVES: This work is a study of the prophylaxis of maternal venous thromboembolism (VTE) after the publication of the French guidelines and a comparison between the practice and the guidelines. POPULATION AND METHODS: Inquiry into the practice of 193 anaesthetists from maternities of the Rhône-Alps area has been made. RESULTS: Of the 48.2% anaesthetists who answered, 92.5% of them estimate that the caesarean is a risk factor of VTE; 87% prescribe an antithrombotic treatment and 6.5% treat differently the prophylactic caesareans and the urgent ones. The classification of the risk factors is identical to the guidelines for the age, the hypertension and the prophylactic caesarean (p<0.0001). For all the other factors, the risk is overestimated, leading to an over-treatment. Eighty percent of the anaesthetists read the guidelines and 84% give them a positive value. There is a better adequacy between the guidelines and the professionals from university hospitals as compared to the non university hospitals ones (p=0.0027). DISCUSSION AND CONCLUSIONS: Patients are managed approximately and very differently from one consultant to another. A facility of use of the guidelines will undoubtedly make it possible to obtain a more coherent attitude.

Domains: Pharmacology

C. Chauleur, Cristina Vieira, P. Seffert. [Prophylaxis of thromboembolic disease in obstetrics after the French guidelines publication]. Gynécologie Obstétrique & Fertilité, 2008, 36 (1), pp.23-34. ⟨10.1016/j.gyobfe.2007.07.043⟩. ⟨ujm-00440346⟩