Recommendations for preventing VTE
To help reverse the rise in VTE incidence rates, several major health organizations have published treatment guidelines.
The American College of Obstetricians and Gynecologists (ACOG) guidelines recommend the use of intermittent pneumatic compression (IPC) devices before C-section for pregnant women who are not already receiving VTE prevention measures.
ACOG also recommends the continued use of IPC until the patient is ambulatory and anticoagulation therapy is restarted, when anticoagulation therapy is needed after delivery.
For pregnant women with additional risk factors, dual modalities are recommended. Therapeutic anticoagulation is recommended for women with acute thromboembolism during the current pregnancy or those at high risk of VTE, such as women with mechanical heart valves.
The guidelines identify risk factors to watch for including history of VTE, obesity, hypertension and smoking.