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Published on: December 9, 2022
Factors limiting women's adherence to venous thromboembolism prophylaxis after cesarean section in the Gaza Strip: A
Belal Aldabbour1, Ola Abu Sidgh1, Israa Haboush1
1Faculty of Medicine, Islamic University of Gaza, Gaza, State of Palestine.
Objectives:
We evaluate the rates and limitations of women's adherence to low molecular weight heparin (LMWH) after cesarean section (CS) in the Gaza Strip.
Methods:
Women who underwent CS were recruited consecutively. Communication offered to women, adherence to Venous thromboembolism (VTE), and its limiting factors were surveyed.
Results:
281 women participated (mean age 27.9 years). 51.95% fully adhered to VTE prophylaxis. Causes of suboptimal adherence were: 51.1% did not feel VTE prophylaxis was important, 37.8% due to high drug cost, and 11.1% didn't receive a prescription for LMWH at discharge. Poor communication was evident as 48.8% of the sample did not receive any instructions about the technical method of LMWH injection, 45.6% did not receive any information about the clinical significance of heparin, and 74.7% were unaware of LMWH side effects.
Conclusion:
There is inadequate adherence to VTE prophylaxis after CS among Gaza women, mostly due to a lack of appropriate communication but also due to drug costs.
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