Thromboembolic Disease
Conditions
Keywords
Thromboembolic disease, Thromboprophylaxis, Post-partum period, Pregnancy, low molecular heparin
Brief summary
The purpose of this study is to determine the current level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol during the post-partum period. The institutional protocol is based on national and international guidelines.
Detailed description
Venous thromboembolism (VTE) became the 4th cause of maternal mortality and the 2nd direct cause of maternal mortality in France. The re are only few randomized studies on the thromboprophylaxis during the post-partum period. This expose some discrepancy between French guidelines, French Society of Anesthesia & Intensive Care Medecine (SFAR) and National College of French Gynecologists and Obstetricians (CNGOF ). The duration and adequate dose of low molecular heparin prescriptions are unclear. The level of adequacy of thromboprophylaxis prescriptions at Centre Hospitalier Sud Francilien with the SFAR recommendations appears to be less than 50 % in a preliminary unpublished study. Since this assessment, institutional protocol synthesizing thromboprophylaxis guidelines during the post-partum was exposed and validated among medical staff (both anaesthesiologists ang obstetricians).
Interventions
collection of medical data from patients' medical records
Sponsors
Centre Hospitalier Sud Francilien
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Inclusion criteria
* \>18 ages * Who had given birth at Centre Hospitalier Sud Francilien * Hospitalized during the puerperium at Centre Hospitalier Sud Francilien * Being informed of the clinical trial and had offered any opposition for data collection
Exclusion criteria
* Curative treatment of thrombosis by Low molecular-weight or unfractioned heparin during pregnancy or post-partum period * Curative anticoagulant therapy for any cause
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol during the post-partum period | at one year | Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol during the post-partum period |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol after spontaneous or induced vaginal delivery. | at one year | Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol after spontaneous or induced vaginal delivery. |
| Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol after a elective or urgent caesar section | at one year | Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol after a elective or urgent caesar section |
| causes of non-compliant prescriptions with the institutional protocol. | at one year | Identify the causes of non-compliant prescriptions with the institutional protocol. |
Countries
France
Outcome results
None listed