The effect of thromboembolic prophylaxis after cesarean section in patients with hypertensive disorders

Abstract

OBJECTIVE This study aims to compare the effect of thromboembolic prophylaxis in patients diagnosed with hypertensive disorders of pregnancy undergoing cesarean section. METHODS Three hundred and eighty-six patients were included in the study. The patients were divided into groups according to the type of hypertensive disorders of pregnancy and whether thromboembolism prophylaxis was applied or not. The thromboembolic event incidence and other pregnancy outcomes were compared. RESULTS Nonadministration of thromboprophylaxis was recorded in 210 patients. Eleven patients had thromboembolic events (5%). Among 176 patients who received thromboprophylaxis, only two patients (1%) had a thromboembolic event (p<0.05). CONCLUSION There is an increased tendency to thromboembolism in pregnancy. The incidence increases in the presence of hypertension accompanying pregnancy. In our study, the importance of thromboembolism prophylaxis on peri-postnatal complications in patients with hypertensive disorders of pregnancy was emphasized.

Post-Caesarean Rehabilitation: Evaluation Of Practices

“…The essence of these measures lies in their ability to significantly reduce the length of hospital stays and mitigate the risks associated with prolonged bed rest, such as thromboembolic events and paralytic ileus. In the context of Caesarean sections, early rehabilitation is particularly pivotal due to its potential to rapidly reestablish the physiological state of the parturient, thereby facilitating a nurturing mother-child bond (4). With the recognition of its benefits, numerous maternity hospitals have adopted early rehabilitation protocols, achieving notable advancements in parturient comfort despite the challenges inherent in altering established practices and strategies (5).…”