title: Acute complications of unfractionated heparin thromboprophylaxis after cesarean delivery.
abstract: OBJECTIVE
  To explore the relative safety of heparin thromboprophylaxis by comparing complication rates of 2 retrospective cohort groups.
  
  
  METHODS
  After a change in departmental protocol to include 3 doses of unfractionated heparin for all patients undergoing cesarean deliveries, complication rates of cesarean deliveries before (n=501) and after (n=500) the policy change were compared.
  
  
  RESULTS
  Outcomes for postoperative hematocrit, estimated blood loss, platelet counts, and wound complications were not different between the 2 groups.
  
  
  CONCLUSIONS
  This regimen of heparin does not increase adverse acute postoperative outcomes, but more research is required to determine if it is efficacious in reducing rates of veinous thromboembolism.
authors.affiliation: Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, New York, USA. mateanzy@gmail.com
authors.forename: Michael
authors.initials: M
authors.lastname: Aziz
authors.affiliation: Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, New York, USA.
authors.forename: Sofya
authors.initials: S
authors.lastname: Kilshtok
authors.affiliation: Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, New York, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Wagner
authors.affiliation: Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, New York, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Ponterio
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects*; D016063:Blood Loss, Surgical; D002585:Cesarean Section / Q000009:adverse effects*; D015331:Cohort Studies; D005260:Female; D006400:Hematocrit; D006493:Heparin / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D010976:Platelet Count; D011183:Postoperative Complications / Q000517:prevention & control*; D011247:Pregnancy; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D054556:Venous Thromboembolism / Q000209:etiology / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants; D006493:Heparin