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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >Thromboprophylaxis for caesarean section--how can uptake and coverage be improved?
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Thromboprophylaxis for caesarean section--how can uptake and coverage be improved?

机译：剖宫产的血栓预防-如何改善摄取和覆盖率？

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摘要

The objective of this study was to determine the proportion of patients requiring thromboprophylaxis and evaluate adherence to local protocols on thromboprophylaxis after caesarean section. This was a retrospective audit of 200 consecutive patients undergoing caesarean section between January and March 2002. The study was carried out at two obstetric units in Hull. We evaluated the proportion of patients requiring prophylaxis, appropriate and inappropriate treatment given and those omitted from receiving prophylaxis. Adherence to a risk assessment protocol was also assessed. The majority of women (84.5%) had at least one risk factor for thromboembolism. Use of a checklist did not increase the appropriate use of thromboprophylaxis and did not reduce inappropriate use. The checklist was used appropriately in only 54% of cases. Thromboprophylaxis has not been associated with problems if given after operation, thus the inappropriate administration is probably not a serious mistake. Universal prophylaxis with low molecular weight heparin would prevent at-risk women being missed and should be considered.
机译：这项研究的目的是确定需要进行血栓预防的患者比例，并评估剖宫产术后对血栓预防的局部治疗方案的依从性。这是对2002年1月至2002年3月间连续200例接受剖腹产手术的患者的回顾性审计。这项研究是在赫尔的两个产科部门进行的。我们评估了需要预防，给予适当和不适当治疗以及未接受预防的患者比例。还评估了对风险评估方案的依从性。大多数女性（84.5％）具有至少一种血栓栓塞危险因素。使用清单不会增加对血栓预防的适当使用，也不会减少不适当的使用。仅在54％的情况下才使用该清单。如果在手术后进行血栓预防，则不会带来任何问题，因此，不适当的给药可能不是一个严重的错误。低分子量肝素的普遍预防将防止高危女性被遗漏，应予以考虑。

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