-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: OB- DVT prophylaxis From: Betsy Hyde (elishyde@mindspring.com) Sat Jul 7 17:51:30 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: D. Ashley Hill: "Re: OB- DVT prophylaxis" Previous message: RModugno@aol.com: "Re: When Government Becomes Your Doctor" In reply to: Garry E. Siegel, M.D.: "Re: OB- DVT prophylaxis" Next in thread: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: OB- DVT prophylaxis" On Jul 7, 2007, at 7:28 AM, Garry E. Siegel, M.D. wrote: > > Obviously, a low-risk, routine laboring patient is at risk for DVT, > just > as a elective/scheduled C/Section is, and that doesn't add in other > factors such as obesity or thrombophilia. That said, available > interventions--LMW Heparin (Lovenox) and Sequential Compression > Devices > haven't been tested in this population (if my memory serves), and, > perhaps importantly, I think that many pregnant patients would be > reluctant to get the Lovenox when laboring, and SCD hose just don't > seem > too practical for laboring patients, to say nothing of comfort. All our elective sections and most of our non-emergent sections have venodyne boots applied in the OR, and they are kept on until the woman is ambulatory. Women with BMI >40 have postpartum lovenox, and women with BMI>30 and an additional risk factor have PP lovenox. No one gets lovenox during labor, and women on lovenox during pregnancy due to past history VTE/thrombophilia etc are switched to regular heparin around 36 weeks. The department has a flow sheet on thrombophilias/current/past hx of VTE etc that details who gets antepartum prophylaxis /treatment as well as PP therapy etc. -- Betsy Hyde CNM Branford, CT Next message: D. Ashley Hill: "Re: OB- DVT prophylaxis" Previous message: RModugno@aol.com: "Re: When Government Becomes Your Doctor" In reply to: Garry E. Siegel, M.D.: "Re: OB- DVT prophylaxis" Next in thread: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: OB- DVT prophylaxis"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Thu Oct 2 04:57:04 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.