Sezaryen Sonrası Tromboflaksisinin Uygulanan Olguların Değerlendirilmesi

Bıyık, İsmail

doi:10.31067/0.2020.276

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…The VTE risk is greater in the postpartum period, and especially in the first two postpartum weeks (3). In a meta-analysis of the relationship between caesarean delivery and VTE, caesarean section delivery was reported to be an independent risk factor for VTE, and the estimated incidence of VTE was 0.003% which was seen to be a 4-fold increase compared with vaginal delivery (4).…”

Section: Introductionmentioning

confidence: 99%

A comparison of the safety of two different enoxaparin doses for thromboprophylaxis following cesarean section

Şahin¹,

ŞAHİN²

2022

JECM

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Enoxaparin, from the low molecular weight heparin group, is used as thromboprophylaxis in patients with risk factors following caesarean section. The aim of this study was to investigate the effect of enoxaparin doses on the formation of deep vein thrombosis (DVT), wound site infection (WSI), wound site hematoma (WSH) and hemogram results of patients on the 10th postoperative day. A retrospective examination was made of the files of patients who had undergone a caesarean section operation and been administered enoxaparin as postpartum thromboprophylaxis for 10 days postoperatively. Two groups were formed of 16 patients who received enoxaparin at dose of 60mg/day and 25 patients who received 40mg/day. The groups were compared in respect of age, weight, gravida, gestational week at the time of operation, the leukocyte (Wbc), hemoglobin (Hb), and platelet (Plt) values on postoperative days 1 and 10, and the development of DVT, WSI, and WSH on postoperative day 10. The development of WSI and WSH was determined to be significantly higher in the group that received 60mg/day enoxaparin than in the group that received 40mg/day (p=0.007, p=0.008). With the use of 60mg/day enoxaparin, no change was observed in the Wbc and Hb values on the postoperative 10th day compared to the 1st day (p=0.128, p=0.947), and a significant reduction was determined in Plt values (p=0.014). With an increase in the dose of enoxaparin used as thromboprophylaxis following caesarean section in patients with risk factors, there was seen to be an increase in the formation of WSI and WSH. Compared to a dose of 40mg/day, the use of 60mg/day enoxaparin reduced serum Wbc, did not change Hb, and increased Plt values. Dose adjustment should be made for the drug used as caesarean postoperative thromboprophylaxis in patients with indications, taking the side-effects of enoxaparin into consideration.

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Section: Introductionmentioning

confidence: 99%

A comparison of the safety of two different enoxaparin doses for thromboprophylaxis following cesarean section

Şahin¹,

ŞAHİN²

2022

JECM

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Can YouTube videos be instructive for self-injection of enoxaparin subcutaneously in patients?

SALTALI,

ÜNDAR

2023

Journal of Teacher Education and Lifelong Learning

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Enoxaparine is a thromboembolic drug that should be learned by subcutaneous self-administration in patients who use it regularly. The aim of this study is to examine the most watched videos about the application of enoxaparine on Youtube in terms of quality, reliability, usefulness and comprehensiveness. The reason for examining the videos of the broadcasts on Youtube in the study is that Youtube is a digital information source that people can access easily. In the evaluation of the videos, the video power index was calculated based on both views and likes. The quality of the videos was evaluated according to the Global Quality Score-GQS score, and the reliability was evaluated according to the DISCERN scale scores. A total of 400 videos were watched in the study and analyzes were carried out with the remaining 34 videos after the exclusion criteria. 16 of these videos were uploaded by patients, 13 by healthcare professionals, and 5 by other individuals/institutions. 25 (73.5%) of the videos contain useful information and 9 (26.5%) misleading information. According to the quality scores of the videos calculated by GQS scoring, 15 were low, 6 were medium, and 13 were high quality videos. It was determined that the reliability and comprehensiveness scores of the videos were moderate. The results of the research revealed that Youtube videos are not an adequate instructional resource regarding the quality, safety and comprehensiveness of teaching self-injection of enoxaparine.

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Sezaryen Sonrası Tromboflaksisinin Uygulanan Olguların Değerlendirilmesi

Cited by 2 publications

References 14 publications

A comparison of the safety of two different enoxaparin doses for thromboprophylaxis following cesarean section

A comparison of the safety of two different enoxaparin doses for thromboprophylaxis following cesarean section

Can YouTube videos be instructive for self-injection of enoxaparin subcutaneously in patients?

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