National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism

VTE prevention: Patient selection and treatment planning throughout pregnancy

“…Bundles include standard assessment of risk during prenatal care, any admission to the hospital, and postpartum coupled with standard recommendations for treatment. [4][5][6] Multiple published guidelines are available for prevention of VTE in pregnancy, and they provide varying recommendations on patient selection and treatment. Many of these recommendations are based on low quality of evidence, making the choice of standard practice difficult.…”

“…Many hospitals use a standardized assessment for all inpatients, such as the Padua or Caprini VTE risk assessment scores. These can be modified for use in pregnant patients, although neither scoring system is currently validated for use in pregnancy 5. For any pregnant patient admitted to the hospital, mechanical prophylaxis is recommended.…”

US advice to give anticoagulants after caesarean under scrutiny

“…Some 45 experts with no industry ties joined Urato in signing a letter to the journal complaining that the recommendations were “a radical new approach to the care of our patients.”5 Urato told The BMJ , “There’s no evidence it’s safe or effective to put all new moms on blood thinners after a caesarean section. It’s an uncontrolled experiment.…”

“…In a response published in the same issue as Urato’s letter, the journal’s editor in chief Nancy C Chescheir wrote that representatives of the Council on Patient Safety, the parent body of the National Partnership, had made assurances that industry support would be disclosed in future manuscript submissions. She wrote, “I greatly appreciate the concern regarding potential conflicts of interest and take them very seriously.”6…”