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[Women's experience following prophylactic low molecular weight heparin treatment post-cesarean section].

Authors :
Deruelle P
Debalme C
Garcia-Lebailly K
Di Giusto C
Sentilhes L
Source :
Gynecologie, obstetrique, fertilite & senologie [Gynecol Obstet Fertil Senol] 2024 Sep; Vol. 52 (9), pp. 505-510. Date of Electronic Publication: 2024 Mar 02.
Publication Year :
2024

Abstract

Objective: To assess women's experiences with skin-related side effects following subcutaneous low molecular weight heparin (LMWH) injections after a cesarean section, and to analyze their impact on treatment adherence.<br />Method: A questionnaire was developed in collaboration with Cesarine, a patients' association, to explore various aspects of LMWH administration, including prevention methods, cutaneous side effects, treatment compliance, perceived constraints, apprehension, and understanding of treatment benefits. Additionally, women's opinions on an alternative oral administration approach were solicited, taking into consideration breastfeeding contraindication. The questionnaire was on the Facebook® page and blog of the association.<br />Results: One hundred and sixty-four women participated in the survey. Among them, 139 women (84.8%) reported bruising, while 117 (71.3%) reported pruritus, erythema, or nodules at the injection site. Treatment discontinuation was observed in 36 cases (22%), decided mostly by the women themselves (77.8%). The main reasons cited for discontinuation were discomfort during injection (71.4%), skin reactions (31.4%), and a perceived lack of effectiveness (54.3%). Furthermore, 88 women (53.7%) wanted to quit the treatment prematurely, citing similar reasons. Thirty-three women (20.1%) reported oversights. For most women, the treatment was perceived as burdensome and caused apprehension. An alternative oral administration method was of interest to 131 women (79.9%). However, only 28 (17.8%) would have accepted if the medication was incompatible with breastfeeding.<br />Conclusion: Cutaneous side effects of LMWH injections, as well as injection process itself, have a negative impact on adherence in the postpartum period following a c-section. These findings highlight the need to explore alternative to improve women's compliance and comfort.<br /> (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Details

Language :
French
ISSN :
2468-7189
Volume :
52
Issue :
9
Database :
MEDLINE
Journal :
Gynecologie, obstetrique, fertilite & senologie
Publication Type :
Academic Journal
Accession number :
38437947
Full Text :
https://doi.org/10.1016/j.gofs.2024.02.027