{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:31:07Z","timestamp":1786123867107,"version":"build-2736575974"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Appl Thromb Hemost"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Venous thromboembolism (VTE) is a leading cause of maternal morbidity and mortality, during postpartum period. It may be mitigated through pharmacological and non-pharmacological interventions. However, adherence to prevention measures and patient education remain critical to optimizing outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pre\u2013post observational study. The pre-intervention (PRE) phase was a retrospective review of postnatal women receiving pharmacological prophylaxis without counseling (January\u2013December 2024), in the post-intervention (POST) phase eligible women received standardized pharmacist-led discharge counseling (January\u2013December 2025). Medication adherence, complications, and VTE events were assessed via structured telephone interviews. The primary outcome was adherence to VTE prophylaxis; secondary outcomes included confirmed or suspected VTE, and patient satisfaction in the post-intervention group only.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 459 postnatal women were included. Adherence to VTE prophylaxis was higher in the POST group (91.2% vs. 77.8%; p &lt; 0.001), while reported complications showed a trend of lower incidence (11.5% vs. 18.2%; p = 0.045). The incidence of confirmed or suspected VTE was lower but not statistically significance (1.1% vs. 3%; p = 0.2). No reported difficulties with medication administration in the POST group. Patient satisfaction was high (99.6%). In exploratory analysis, elective cesarean section was the only factor significantly associated with VTE occurrence (p = 0.026).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Structured pharmacist-led discharge counseling significantly improved adherence to postpartum VTE prophylaxis, reduced treatment-related complications, and was associated with high patient satisfaction. The observed trend in reduction of VTE suggests potential clinical benefit. Pharmacist-led education during postnatal care may be associated with higher self-reported adherence of VTE prevention strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10760296261476825","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:39:06Z","timestamp":1785890346000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pharmacist-Led Discharge Counseling and Adherence to Postpartum Venous Thromboembolism Prophylaxis: A Pre\u2013Post Observational Study"],"prefix":"10.1177","volume":"32","author":[{"given":"Manal A.","family":"Behisi","sequence":"first","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reem F.","family":"Bamogaddam","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amani Z.","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajar A.","family":"Almutairi","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiman M.","family":"Fallatah","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuddah M.","family":"Assiri","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim M.","family":"Alalmai","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munirah H.","family":"Alohaydib","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nada A.","family":"Nawab","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ohoud M.","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omamah S.","family":"Aldosari","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8387-1829","authenticated-orcid":false,"given":"Waleed Tharwat","family":"Aletreby","sequence":"additional","affiliation":[{"name":"King Saud Medical City"},{"name":"Riyadh First Health Cluster, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2022.02.002"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2025.109561"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-143-10-200511150-00006"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.1998.770207.x"},{"issue":"5","key":"e_1_3_4_6_2","first-page":"730","article-title":"Incidence, clinical characteristics, and timing of objectively diagnosed venous thromboembolism during pregnancy","volume":"94","author":"Gherman RB","year":"1999","unstructured":"Gherman RB, Goodwin TM, Leung B, Byrne JD, Hethumumi R, Montoro M. 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