What is the recommended thromboprophylaxis for all women having a cesarean birth?

The recommended thromboprophylaxis for all women having a cesarean birth is the placement of pneumatic compression devices. These devices are effective in reducing the risk of venous thromboembolism (VTE) by promoting venous return and circulation in the lower extremities during and after surgery. During a cesarean birth, women are at increased risk for developing blood clots due to factors such as immobility, the surgical procedure itself, and potential hormonal changes related to pregnancy and postpartum status.

Pneumatic compression devices work by applying intermittent pressure on the legs, which helps to prevent stasis of blood and mitigate the risk of clot formation. This form of mechanical prophylaxis is recommended as a primary preventative measure in the immediate postoperative period for women who have undergone cesarean delivery, particularly for those who may have other risk factors for VTE.

In contrast, other methods such as intravenous heparin or oral anticoagulants like Coumadin are typically reserved for women with specific risk factors or those identified as high-risk for thromboembolic events. Doppler studies are diagnostic tools used to assess venous blood flow and would not serve as a prophylactic measure. Therefore, the use of pneumatic compression devices is recognized as the