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Women's views, adherence and experience with postnatal thromboprophylaxis
Boriana Guimicheva1, Jignesh P Patel2, Lara N Roberts3
1Department of Haematological Medicine, King's Thrombosis Centre, King's College Hospital Foundation NHS Trust, UK; Department of Women's Health, King's College Hospital Foundation NHS Trust, UK.
Thrombosis Research
|December 1, 2018
Summary
Postnatal thromboprophylaxis adherence is high for enoxaparin but low for anti-embolic stockings (AES). Patient education on AES importance is crucial for preventing venous thromboembolic events.
Area of Science:
- Obstetrics and Gynecology
- Vascular Medicine
- Patient Adherence Research
Background:
- Current guidelines recommend postnatal thromboprophylaxis for many women after childbirth.
- Limited data exists on patient adherence and experiences with pharmacological and mechanical thromboprophylaxis methods.
Purpose of the Study:
- To assess adherence and experiences with postnatal thromboprophylaxis among women.
- To evaluate the effectiveness and patient acceptance of enoxaparin, anti-embolic stockings (AES), and intermittent pneumatic compression devices (IPCD).
Main Methods:
- A questionnaire pack and diary were used to collect data from women requiring postnatal thromboprophylaxis.
- Data explored beliefs about enoxaparin, AES, and IPCD, and recorded enoxaparin injection times and AES usage.
- Statistical analysis was performed using SPSS.
Main Results:
- High adherence (82.4%) was reported for enoxaparin therapy.
- Sub-optimal adherence to AES was reported, with 24% never wearing them post-discharge due to mobility, heat, or circulation concerns.
- Intermittent pneumatic compression devices (IPCD) showed high acceptance post-cesarean section.
Conclusions:
- While enoxaparin adherence is good, AES adherence is questionable post-discharge, potentially limiting their effectiveness.
- Clinical staff should emphasize the importance of adherence to all forms of postnatal thromboprophylaxis to prevent venous thromboembolic events.