Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, 622 West 168th Street, PH 16-66, New York, NY 10032, United States.
Semin Perinatol. 2019 Jun;43(4):187-188. doi: 10.1053/j.semperi.2019.03.001. Epub 2019 Mar 9.
How to best reduce maternal risk from obstetric venous thromboembolism (VTE) is a relatively controversial topic. In comparison, for other leading causes of maternal mortality and severe morbidity such as obstetric hemorrhage and hypertension, there is general agreement on recommendations. While obstetric VTE poses a unique epidemiological and public health challenge, a number of recommendations related to care improvement and patient safety can be made. This edition of Seminars in Perinatology focuses on (i) overview of clinical research and epidemiology that can serve as a basis for informed decision making regarding VTE prophylaxis strategies, (ii) VTE prophylaxis implementation from a leadership perspective, (iii) future directions for research on obstetric VTE, and (iv) critical care management of obstetric VTE.
如何最大限度地降低产科静脉血栓栓塞症（VTE）给产妇带来的风险是一个颇具争议的话题。相比之下，对于产科出血和高血压等导致产妇死亡和严重发病的其他主要原因，人们对于相关建议已经基本达成共识。尽管产科 VTE 带来了独特的流行病学和公共卫生挑战，但仍有许多与护理改善和患者安全相关的建议可以提出。本期《围产医学研讨会》重点关注（i）可为 VTE 预防策略的制定提供依据的临床研究和流行病学综述，（ii）从领导力角度看 VTE 预防的实施，（iii）产科 VTE 研究的未来方向，以及（iv）产科 VTE 的重症监护管理。
