{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T18:21:20Z","timestamp":1755800480506,"version":"3.44.0"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the uptake of a multidisciplinary team approach in obstetric disseminated intravascular coagulopathy (DIC) management in a low\u2010 to middle\u2010income country.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional observational study, in which a semi\u2010structured and pre\u2010tested questionnaire was used to collect data on the uptake by Nigerian obstetricians of the multidisciplinary team approach to obstetric DIC management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 171 obstetricians responded, 82 (48.0%) were consultants and 89 (52.0%) were specialist registrars. Most (165; 96.5%) practiced in tertiary healthcare facilities and the multidisciplinary team approach was the most preferred (162; 94.7%) management approach. In all, 142 (83.0%) supported the invitation of hematologists always in the management whereas 115 (67.3%) participants recommended that involvement of specialists in the treatment should be when clinical presentation was suggestive of DIC. No significant association existed between years of obstetric practice and adoption of a multidisciplinary team\u2010based approach (<jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20099.590; <jats:italic>P<\/jats:italic>\u2009=\u20090.252).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A multidisciplinary approach is widely adopted in the management of obstetric DIC, with hematologists being a key member of the team.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15758","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T05:43:16Z","timestamp":1719553396000},"page":"779-783","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multidisciplinary approach to obstetric disseminated intravascular coagulopathy management in low\u2010income country: A survey"],"prefix":"10.1002","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0467-3195","authenticated-orcid":false,"given":"Theresa U.","family":"Nwagha","sequence":"first","affiliation":[{"name":"Department of Haematology and Immunology, College of Medicine University of Nigeria Ituku Ozalla Campus  Enugu Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4505-8217","authenticated-orcid":false,"given":"Helen C.","family":"Okoye","sequence":"additional","affiliation":[{"name":"Department of Haematology and Immunology, College of Medicine University of Nigeria Ituku Ozalla Campus  Enugu Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7339-566X","authenticated-orcid":false,"given":"Angela O.","family":"Ugwu","sequence":"additional","affiliation":[{"name":"Department of Haematology and Immunology, College of Medicine University of Nigeria Ituku Ozalla Campus  Enugu Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9406-8927","authenticated-orcid":false,"given":"Augustine N.","family":"Duru","sequence":"additional","affiliation":[{"name":"Department of Haematology and Immunology, College of Medicine University of Nigeria Ituku Ozalla Campus  Enugu Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ifeanyi E.","family":"Menuba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, College of Medicine University of Nigeria Ituku Ozalla Campus  Enugu Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3342-434X","authenticated-orcid":false,"given":"Emmanuel O.","family":"Ugwu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, College of Medicine University of Nigeria Ituku Ozalla Campus  Enugu Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ifeanyichukwu U.","family":"Ezebialu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Chukwuemeka Odumegwu Ojukwu University Teaching Hospital  Awka Anambra State Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aloysius O.","family":"Ugwu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Lagos University Teaching Hospital  Idi\u2010Araba Lagos State Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen C.","family":"Eze","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Federal Medical Center Abuja  Abuja Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v22i1.24"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1076029618806424"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2005.05.003"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jth.14523"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.03.054"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aep303"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12959-016-0117-x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200006000-00013"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccell.2004.02.007"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jth.14946"},{"issue":"3","key":"e_1_2_10_12_1","first-page":"CD008577","article-title":"Haematological interventions for treating disseminated intravascular coagulation during pregnancy and postpartum","volume":"2011","author":"Mart\u00ed\u2010Carvajal AJ","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2147\/JBM.S273047"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crwh.2022.e00403"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/141506"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2007.00568.x"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2017.08.026"},{"key":"e_1_2_10_18_1","first-page":"bcr2015211462","article-title":"An example of prompt and appropriate multidisciplinary management leading to an exceptionally good outcome: a case complicated by amniotic fluid embolism","volume":"2015","author":"Patel D","year":"2015","journal-title":"Case Rep"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.15758","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T08:55:31Z","timestamp":1755680131000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.15758"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,28]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1002\/ijgo.15758"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.15758","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"type":"print","value":"0020-7292"},{"type":"electronic","value":"1879-3479"}],"subject":[],"published":{"date-parts":[[2024,6,28]]},"assertion":[{"value":"2024-01-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}