Healthcare

Biography

Biography: Ediscyll Lorusso

Abstract

The prothrombotic state of pregnancy is part of the normal physiological adaptation and is thought to have evolved in order to meet the haemostatic challenges of childbirth. It has also been attributed to some women’s predisposition to maternal venous thromboembolic (VTE) disease and this in itself remains one of the leading causes of maternal deaths in Europe and the USA (Van De Velde, 2013). A recent introduction of VTE risk assessments and national venous thromboembolism prophylaxis guidance for use during childbearing had resulted in an initial fall in maternal deaths compared to previously reported trends (CEMACE, 2011 & Knight, 2014). Of the women who died of VTE in the UK, 56% of them received substandard care (CEMACH, 2011 & Knight, 2014). A package of poor VTE risk assessment, inadequate thromboprophylaxis and a failure to robustly investigate women’s newly presented symptoms suggestive of VTE, all contributed to that substandard care (CEMACE, 2011). Of the women who died of pulmonary embolism, 79% of them had identifiable VTE risk factors (RCOG, 2009). Engagement with VTE prophylaxis requires childbearing women who have been assessed as having a high risk of developing thrombosis to self-administer a low molecular weight heparin (LMWH) by subcutaneous injection, with drug Dalteparin the primary LMWH stocked by this hospital trust. Currently 34% of all postnatal women at St George’s hospital require VTE prophylaxis. As adequate