{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T15:06:04Z","timestamp":1761663964026,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T00:00:00Z","timestamp":1568246400000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Obesity increases risk of venous thromboembolism (<jats:styled-content style=\"fixed-case\">VTE<\/jats:styled-content>) in obstetric patients regardless of delivery mode and for up to six\u00a0weeks postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to examine postpartum pharmacological <jats:styled-content style=\"fixed-case\">VTE<\/jats:styled-content> prophylaxis practices for obese women at an Australian tertiary referral hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Medical records were retrieved for obese obstetric patients who delivered during May 2016\u2013May 2017. Records were examined for demographic data, <jats:styled-content style=\"fixed-case\">VTE<\/jats:styled-content> risk factors, and <jats:styled-content style=\"fixed-case\">LMWH<\/jats:styled-content> (low\u2010molecular\u2010weight heparin) use. Due to lack of specific Australian or local guidelines, practice was evaluated using recommendations from the Royal College of Obstetricians and Gynaecologists (<jats:styled-content style=\"fixed-case\">RCOG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>). Patients with <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> (body mass index) &lt;30, incomplete\/unavailable medical records, and those discharged from other health services were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and eight postpartum patients (70 caesareans, 38 vaginal deliveries) with a <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\u00a0\u2265\u00a030\u00a0kg\/m<jats:sup>2<\/jats:sup> were reviewed. Of these patients, 53 (49.1%) had a <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\u00a0\u2265\u00a040\u00a0kg\/m<jats:sup>2<\/jats:sup>. Ninety\u2010eight of 108 (90.7%) patients had \u22652 <jats:styled-content style=\"fixed-case\">VTE<\/jats:styled-content> risk factors including a <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\u00a0\u2265\u00a030\u00a0kg\/m<jats:sup>2<\/jats:sup>. One hundred and three of 108 (95.4%) patients were indicated for postpartum <jats:styled-content style=\"fixed-case\">VTE<\/jats:styled-content> prophylaxis with <jats:styled-content style=\"fixed-case\">LMWH<\/jats:styled-content>, and 77 of 103 (74.8%) patients received it. Three of five patients meeting criteria for \u22656\u00a0weeks of <jats:styled-content style=\"fixed-case\">LMWH<\/jats:styled-content> thromboprophylaxis had it prescribed. Of the 72 patients whose weight exceeded 90\u00a0kg and who also received <jats:styled-content style=\"fixed-case\">LMWH<\/jats:styled-content>, 32 (44.4%) were prescribed a weight\u2010adjusted dose.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">VTE<\/jats:styled-content> prophylaxis practices using <jats:styled-content style=\"fixed-case\">LMWH<\/jats:styled-content> in obese postpartum patients, including weight\u2010adjusting doses and extended\u2010course prescribing, appear variable. Limited literature, recommendation discrepancies, and varied awareness of recommendations may be contributing factors. Further education and research regarding this high\u2010risk cohort are warranted.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13054","type":"journal-article","created":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T22:45:12Z","timestamp":1568328312000},"page":"376-381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Venous thromboembolism prophylaxis of the obese postpartum patient: A cross\u2010sectional study"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4890-9374","authenticated-orcid":false,"given":"Christine E.","family":"Gilmartin","sequence":"first","affiliation":[{"name":"The Royal Women's Hospital Pharmacy Department The Royal Women's Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Briony A.","family":"Cutts","sequence":"additional","affiliation":[{"name":"Department of Obstetrics The Royal Women's Hospital Melbourne Victoria Australia"},{"name":"Department of Haematology The Royal Children's Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huda","family":"Ismail","sequence":"additional","affiliation":[{"name":"The Royal Women's Hospital Pharmacy Department The Royal Women's Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,12]]},"reference":[{"unstructured":"Maternal deaths in Australia 2016 [report]. Australian Institute of Health and Welfare. Australian Government 2018. [Cited 2018 Dec 18]. Available from:https:\/\/www.aihw.gov.au\/getmedia\/558ae883-a888-406a-b48f-71f562db3918\/aihw-per-99-printable-PDF-of-web-report.pdf.aspx","key":"e_1_2_6_2_1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_3_1","DOI":"10.1016\/j.ajog.2007.08.041"},{"doi-asserted-by":"publisher","key":"e_1_2_6_4_1","DOI":"10.1097\/AOG.0000000000000230"},{"key":"e_1_2_6_5_1","first-page":"CD001689","article-title":"Prophylaxis for venous thromboembolic disease in pregnancy and the early postnatal period","volume":"2","author":"Bain E","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"unstructured":"Reducing the Risk of Venous Thromboembolism during Pregnancy and the Puerperium. Green\u2010top Guideline No. 37a [guideline on the internet]. Royal College of Obstetricians & Gynaecologists 2015. [Cited 2018 Dec 2018]. Available from:https:\/\/www.rcog.org.uk\/globalassets\/documents\/guidelines\/gtg-37a.pdf.","key":"e_1_2_6_6_1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_7_1","DOI":"10.1111\/1471-0528.15150"},{"doi-asserted-by":"publisher","key":"e_1_2_6_8_1","DOI":"10.1007\/s11239-015-1309-0"},{"doi-asserted-by":"publisher","key":"e_1_2_6_9_1","DOI":"10.1136\/bmj.i6253"},{"unstructured":"Perinatal data visualisations [report on the internet]. Australian Institute of Health and Welfare. Australian Government 2018. [Cited 2018 Dec 18]. 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