[Prophylaxis of thromboembolic disease in obstetrics after the French guidelines publication].
OBJECTIVE
This work is a study of the prophylaxis of maternal venous thromboembolism (VTE) after the publication of the French guidelines and a comparison between the practice and the guidelines.


METHODS
Inquiry into the practice of 193 anaesthetists from maternities of the Rhône-Alps area has been made.


RESULTS
Of the 48.2% anaesthetists who answered, 92.5% of them estimate that the caesarean is a risk factor of VTE; 87% prescribe an antithrombotic treatment and 6.5% treat differently the prophylactic caesareans and the urgent ones. The classification of the risk factors is identical to the guidelines for the age, the hypertension and the prophylactic caesarean (p<0.0001). For all the other factors, the risk is overestimated, leading to an over-treatment. Eighty percent of the anaesthetists read the guidelines and 84% give them a positive value. There is a better adequacy between the guidelines and the professionals from university hospitals as compared to the non university hospitals ones (p=0.0027).


CONCLUSIONS
Patients are managed approximately and very differently from one consultant to another. A facility of use of the guidelines will undoubtedly make it possible to obtain a more coherent attitude.
Chauleur
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C
Département de gynécologie-obstétrique, hôpital Nord, CHU de Saint-Etienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez, France. celine.chauleur@chu-st-etienne.fr
Vieira
C
C
Seffert
P
P
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D005602:France; D006801:Humans; D009774:Obstetrics / Q000592:standards*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D018570:Risk Assessment; D012307:Risk Factors; D054556:Venous Thromboembolism / Q000453:epidemiology / Q000517:prevention & control*