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Master Thesis

Thromboprophylaxie par héparine de bas poids moléculaire en post-partum

Abstract : Introduction: Venous thromboembolism is still the second leading cause of direct maternal mortality, which makes its prevention essential. The main objective was to check whether guidelines of French Society Anesthesia and Intensive Care and French National College of Gynaecologist and Obstetricians are on line with the low molecular weight heparin thromboprophylaxis prescribed in practice during postpartum.
Methods: A quantitative and retrospective obstetrical record study over 300 patients who delivered between October 25th and December 9th 2019, has been led in the Sud-Francilien Hospital in Corbeil-Essonnes. The recommended and actually prescribed post-partum thromboprophylaxis were then analyzed and compared.
Results: In this way, we have been able to underline that the agreement, between low molecular weight heparin thromboprophylaxis actually prescribed and the recommendations, was only within 30 to 40%. This gap was in excess for cesareans sections and in default for vaginal deliveries.
Conclusion: A special attention should be paid to venous thromboembolism’s risks factors for each patient, whatever the mode of delivery.
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Submitted on : Thursday, April 15, 2021 - 5:53:11 PM
Last modification on : Saturday, December 4, 2021 - 4:00:31 AM
Long-term archiving on: : Friday, July 16, 2021 - 7:13:12 PM


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  • HAL Id : dumas-03199626, version 1


Élise Roussel. Thromboprophylaxie par héparine de bas poids moléculaire en post-partum. Gynécologie et obstétrique. 2020. ⟨dumas-03199626⟩



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