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Revista Uruguaya de Medicina Interna

versión On-line ISSN 2393-6797


DEAMBROSI ORELLANA, Lucía Victoria et al. Use of thromboprophylaxis in the pregnant - puerperal period by Gynecologists and Gynecology Residents of Uruguay. Rev. Urug. Med. Int. [online]. 2022, vol.7, n.2, pp.55-64.  Epub 01-Jul-2022. ISSN 2393-6797.


One of the main causes of maternal morbity and mortality in the pregnant - puerperal period is venous thromboembolic disease. There is no consensus on the guidelines to address this illness. The main objective of this research was to know how Gynecologists and Gynecology Residents of Uruguay perform, in reference to considering potential risk factors, indication for thromboprophylaxis and the tools available.


An observational, descriptive, cross-sectional study carried out from July to October 2020, including Gynecologists and Gynecology Residents of Uruguay, through an anonymous online survey using the Survey Monkey platform.


A final n of 159 respondents was obtained. 57.3% of which referred to think systematically about risk factors for venous thromboembolic disease. The most popular guidelines for risk classification and indication of thromboprophylaxis were the American College of Obstestricians and Gynaecologists with 81.0% and the Royal College of Obstestricians and Gynaecologists with 13.0%. The most chosen therapeutic tool was low molecular weight heparin, and the least preferred one was intermittent pneumatic compression.


There are incoherences between the risk classification and the actual indication of thromboprophylaxis in different clinical situations. There´s still a non-negligible percentage of professionals that do not systematically consider risk factors for thromboembolic events during the pregnant-puerperal period.

Palabras clave : Thromboprophylaxis; pregnancy; puerperium; risk; indication.

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