Prevention of venous thrombo-embolism 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. Conclusion: 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 thromboembohc events.