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

Abstract : 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.
Type de document :
Article dans une revue
Gynécologie Obstétrique et Fertilité, Elsevier Masson, 2008, 36 (1), pp.23-34. 〈10.1016/j.gyobfe.2007.07.043〉
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Soumis le : jeudi 10 décembre 2009 - 14:16:41
Dernière modification le : jeudi 28 juin 2018 - 14:36:25

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

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