Challenges of Thromboprophylaxis In Pregnancy: A 12 Months Audit and A Review of The Literature

The presentation is going to comprise of two
parts: The first part will be about the role of the nurse
in management of women and girls with inherited
bleeding Disorder (IBD) in a comprehensive care
centre. The role of the nurse within the
multidisciplinary team is to provide educational and
emotional support to the women and the facilitate and
coordinate person-centred care. This will be followed
by presentation of an audit that was carried out on
antenatal thromboprophylaxis in a single centre. Over
the recent decades, there is increasing focus on women
with inherited bleeding disorders (WBD) which has
brought more patients into Haemophilia Treatment
Centres (HTC) around the globe. These women
require input of a multidisciplinary team to improve
outcomes in their gynaecological and obstetric care.
Nurses play a pivotal role in patient and family
education and in the coordination of the
multidisciplinary team. Carriers of Haemophilia and
women with IBD experience heavy menstrual bleeding,
bleeding from dentistry, surgery, injury or childbirth.
Symptoms are treated leading to full and active lives.
The nurse is often the point of contact for women who
are pregnant, to organise and schedule attendance at a
multidisciplinary clinic. The nurse is able to offer
regular monitoring of the outcome of interventions in
an ongoing relationship with the woman.
The number of WBD in HTC has increased and the
nurse should play an active role in outreach and
education in the developing world where the numbers
of identified WBD falls further below the expected
numbers based on prevalence.