Placental Vascular Pathologies, Venous Thromboembolism Diseases
Conditions
Keywords
venous thromboembolism diseases, placental vascular pathologies, antithrombotic treatment, symptomatic thromboembolic events, pregnant women, score, therapeutic strategies, heparin, aspirin, pregnancy pathology
Brief summary
The venous thromboembolism is one of the first causes of maternal mortality. Until 2003, only a few recommendations were available on the optimal use of antithrombotic therapy as a preventive measure against thromboembolism in pregnant women. In this study, we propose : 1. To gather the experts who took part in the French consensus conference and the local experts to create a score in accordance with the national and international consensus and to give some precise therapeutic strategies. 2. To evaluate the discriminant, feasible and useful character of this new score by a prospective multicentric study including 2000 pregnant women with a risk of thromboembolism or placental vascular pathology who will benefit from therapeutic strategies defined by the new score. .
Detailed description
Purpose : To create a score inspired by our first experience i.e. simple, standardized and quickly usable in day-to-day practice to individualize antithrombotics prescription to women at risk.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* multiparous or primiparous parturients followed in one of the participating centers * Presenting at least one risk factor of venous thromboembolic pathology and/or placental vascular pathology
Exclusion criteria
* parturient that can't be followed * unknown familial or personal previous history * Parturient with a contraindication to use of the treatment recommended by the therapeutic strategy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occuring of symptomatic thromboembolic events and/or placental vascular pathology, any other pregnancy pathology requiring hospitalization, any complications from the antithrombotic treatment | first, second or third trimester during pregnancy or post-partum |
Countries
France