Guideline

Recommendations for thromboprophylaxis in obstetrics and gynaecology

Elise Schapkaitz, P R de Jong, B F Jacobson, H R Büller

Abstract


Background. Venous thromboembolism (VTE) is associated with considerable morbidity and mortality in the absence of thromboprophylaxis.

Method. The Southern African Society of Thrombosis and Haemostasis reviewed the available literature and comprehensive evidencebased guidelines on the prevention of VTE in obstetrics and gynaecology. A draft document was produced and revised by consensus agreement by a panel of professionals from various specialties. The recommendations were adjudicated by an independent international expert to avoid local bias.

Results and conclusion. We present concise, practical thromboprophylaxis guidelines for the clinical management of patients in obstetrics and gynaecology. Recommendations reflect current best practice, which it is hoped will lead to improved anticoagulation practice in this group of patients


Authors' affiliations

Elise Schapkaitz, Department of Molecular Medicine and Haematology, National Health Laboratory Service and University of Witwatersrand, Johannesburg

P R de Jong, Dept of Obstetrics and Gynaecology, University of Cape Town and Christiaan Barnard Memorial Hospital, Cape Town, South Africa

B F Jacobson, Department of Molecular Medicine and Haematology, National Health Laboratory Service and University of Witwatersrand, Johannesburg, South Africa

H R Büller, Department of Vascular Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands

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Keywords

Pregnancy, Thromboprophylaxis, Guidelines

Cite this article

South African Journal of Obstetrics and Gynaecology 2018;24(1):27-31. DOI:10.7196/sajog.1312

Article History

Date submitted: 2018-01-22
Date published: 2018-05-17

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