[Prevention of venous thromboembolism in obstetric & gynecology--an update].
BACKGROUND
Thromboembolic events are quite common in obstetrics and gynecology and constitute a significant cause for morbidity and mortality. Recently, a decline in complication rates has been observed following the implementation of effective preventive measures.


OBJECTIVE
This article aims to review the different prevention and treatment methods and to evaluate their efficiency. Furthermore, the article strives to forge a structured approach and form appropriate protocols for our population.


RESULTS
Many studies have shown that the extensive use of preventive treatment is safe, clinically effective and valuable from the cost-benefit perspective. Nevertheless, most surveys performed around the world showed that the number of surgeons that use prophylactic treatment is lower than expected. In our department, we have engaged in a discussion with our hematologist and created protocols with simple and clear flow-charts for DVT and PE prevention, both in gynecological operations and in obstetrics.


CONCLUSIONS
The implementation of a clear departmental policy will increase the awareness and the use of preventive treatment and will potentially decrease morbidity and mortality from thromboembolic events.
Ben-Meir
Assaf
A
Department of Obstetric and Gynecology, Hadassah Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel.
Varon
David
D
Gielchinsky
Yuval
Y
Rojansky
Nathan
N
D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000453:epidemiology / Q000517:prevention & control*; D013923:Thromboembolism / Q000453:epidemiology / Q000517:prevention & control*; D014680:Veins