1. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism.
- Author
-
DʼAlton ME, Friedman AM, Smiley RM, Montgomery DM, Paidas MJ, DʼOria R, Frost JL, Hameed AB, Karsnitz D, Levy BS, and Clark SL
- Subjects
- Anticoagulants adverse effects, Cesarean Section, Consensus, Female, Heparin, Low-Molecular-Weight adverse effects, Humans, Parturition, Peripartum Period, Practice Guidelines as Topic, Pregnancy, Pregnancy Complications, Cardiovascular epidemiology, Risk Assessment, Thrombocytopenia chemically induced, Thrombocytopenia diagnosis, Time Factors, Venous Thromboembolism epidemiology, Anticoagulants administration & dosage, Heparin, Low-Molecular-Weight administration & dosage, Pregnancy Complications, Cardiovascular prevention & control, Venous Thromboembolism prevention & control
- Abstract
Obstetric venous thromboembolism is a leading cause of severe maternal morbidity and mortality. Maternal death from thromboembolism is amenable to prevention, and thromboprophylaxis is the most readily implementable means of systematically reducing the maternal death rate. Observational data support the benefit of risk-factor-based prophylaxis in reducing obstetric thromboembolism. This bundle, developed by a multidisciplinary working group and published by the National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care, supports routine thromboembolism risk assessment for obstetric patients, with appropriate use of pharmacologic and mechanical thromboprophylaxis. Safety bundles outline critical clinical practices that should be implemented in every maternity unit. The safety bundle is organized into four domains: Readiness, Recognition, Response, and Reporting and Systems Learning. Although the bundle components may be adapted to meet the resources available in individual facilities, standardization within an institution is strongly encouraged.
- Published
- 2016
- Full Text
- View/download PDF