Thromboprophylaxis following cesarean delivery: One site prospective pilot study to evaluate the application of a risk score model

Risk Stratification and Prophylaxis of Venous Thromboembolic Events in Obstetrics

“…We must be cognizant of the few important risk factors for the occurrence of post-cesarean VTE (e.g., age, obesity, malignancy, immobilization and past history of VTE), [15,16] so we can offer the best prophylaxis for it, rather than always providing pharmacologic prophylaxis, considering its possibly associated perioperative bleeding risk. Perhaps a future investigation can look at the effectiveness of various tools used for risk stratification to identify appropriate VTE prophylaxis methodology.…”

Prophylaxis and treatment of venous thrombosis and pulmonary embolism in pregnancy

“…Without additional risk factors, however, antithrombotic prophylaxis with lowmolecular weight heparin after caesarean section is not generally indicated according to current guidelines [2]. In the presence of other risk factors such as thrombophilia, positive family history of thrombotic events, and postoperative immobilization, postpartum medical antithrombotic prophylaxis should be administered [24].…”

Cesarean Delivery Technique

“…A recent prospective cohort study created a model to identify patients who would benefit from additional thromboprophylaxis, based on major risk factors such as history of VTE, and minor risk factors such as weight, parity, and immobility (Table 1). 28 This model was found to effectively identify women who needed prophylaxis while avoiding unnecessary pharmacological prophylaxis in low-risk women.…”