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Acute complications of unfractionated heparin thromboprophylaxis after cesarean delivery
Michael Aziz1, Sofya Kilshtok2, Amanda Wagner2
1Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, New York, USA. mateanzy@gmail.com
Objective:
To explore the relative safety of heparin thromboprophylaxis by comparing complication rates of 2 retrospective cohort groups.
Study Design:
After a change in departmental protocol to include 3 doses of unfractionated heparin for all patients undergoing cesarean deliveries, complication rates of cesarean deliveries before (n=501) and after (n=500) the policy change were compared.
Results:
Outcomes for postoperative hematocrit, estimated blood loss, platelet counts, and wound complications were not different between the 2 groups.
Conclusion:
This regimen of heparin does not increase adverse acute postoperative outcomes, but more research is required to determine if it is efficacious in reducing rates of veinous thromboembolism.
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