{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T13:00:20Z","timestamp":1785934820800,"version":"3.56.0"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T00:00:00Z","timestamp":1726099200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This research aimed to determine postpartum females\u2019 self-reported adherence to and experience with short-term thromboprophylaxis using enoxaparin injection, after counselling by pharmacists. It also sought to assess their knowledge of thromboprophylaxis, injection techniques, and confidence in self-injecting.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This prospective cohort study was conducted at a public tertiary hospital in Malaysia from March to June 2023. Self-injection-na\u00efve postpartum females who were initiated on thromboprophylaxis and counselled by a pharmacist were conveniently sampled. Knowledge regarding thromboprophylaxis, injection readiness, and technique were assessed one day after the counselling session. A telephonic interview was conducted at the end of the 10-day therapy to determine adherence and adverse effects experienced.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Key findings<\/jats:title>\n                  <jats:p>A total of 259 subjects were successfully followed up, with 87.6% (n = 227) adherent to the therapy. Nonadherence was predominantly due to forgetfulness; four had their treatment withheld due to bleeding. One-third of subjects experienced localised pain and bruising. Subjects answered a median of 5\/7 knowledge questions and recalled a median of 8\/10 injection steps correctly, with those who read the information leaflet provided after counselling scoring significantly higher (P = .02). The majority declared moderate confidence in their ability to self-inject. Subjects who intended to self-inject (P &amp;lt; .01) and were more confident (P = .02) demonstrated better injection technique.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Postpartum females counselled by pharmacists largely adhered to short-term enoxaparin for thromboprophylaxis. The impact of the counselling session may be enhanced by addressing their psychological readiness to self-inject, awareness of adverse effects identification, mitigation, and management, as well as setting reminders to prevent forgetfulness to inject.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ijpp\/riae050","type":"journal-article","created":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T07:53:54Z","timestamp":1726300434000},"page":"507-514","source":"Crossref","is-referenced-by-count":1,"title":["Postpartum thromboprophylaxis with enoxaparin: a prospective cohort study on patients\u2019 adherence, injection experience, and information retention after counselling by pharmacists"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4892-8660","authenticated-orcid":false,"given":"Boon Phiaw","family":"Kho","sequence":"first","affiliation":[{"name":"Pharmacy Department, Sarawak General Hospital, Ministry of Health Malaysia , Tun Ahmad 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,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fen Ting","family":"Kow","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Sarawak General Hospital, Ministry of Health Malaysia , Tun Ahmad Zaidi Adruce Road, Kuching, Sarawak 93586 ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Ooi","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Sarawak General Hospital, Ministry of Health Malaysia , Tun Ahmad Zaidi Adruce Road, Kuching, Sarawak 93586 ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying Min","family":"Kan","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Sarawak General Hospital, Ministry of Health Malaysia , Tun Ahmad Zaidi Adruce Road, Kuching, Sarawak 93586 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