Marik and Plante listed risk factors for venous thromboembolism following Cesarean section. These can help to identify a woman who may benefit from preventive measures. The authors are from Thomas Jefferson University in Philadelphia.
Regular risk factors for thromboembolism:
(1) age > 35 years
(2) body mass index (BMI) > 30 kg per square meter
(3) parity >= 4
(4) presence of grossly evident varicose veins
(5) presence of a current infection
(6) presence of pre-eclampsia during the pregnancy
(7) immobility for >= 5 days prior to the Cesarean section procedure
(8) emergency Cesarean section
(9) major concurrent illness
Major risk factors for thromboembolism:
(9) Cesarean hysterectomy
(10) history of thrombophilia and/or deep vein thrombosis
Number of Regular Risk Factors
Number of Major Risk Factors
Risk of Thromboembolism
0
0
low
1 or 2
0
moderate
3 or more
NA
high
NA
1 or 2
high
Risk of Thromboembolism
Intervention
low
none
moderate
compression stockings OR LMW heparin
high
compression stockings AND LMW heparin
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