Mitigating the Risk of Deep Venous Thrombosis in Post-Cesarean Recovery Period: Evidence-Based Insights
Nagwa Ibrahim Elfeshawy, Lamiaa Rabie Kamal Goma, Amany Mohamed Wahdan, El- Shaimaa El-Ansary
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Background: Post-cesarean recovery period is a crucial time for women at riskfor deep venous thrombosis (DVT). Pain, anesthesia, fatigue, and dizziness arefactors that limit women's ability to move and exercise. Implementing evidencebasedpreventive measures plays an important role in enhancing women'scompliance with DVT preventive practices and mitigating the risk of DVT. Aim:To evaluate the effect of implementing evidence-based practices on mitigating therisk of deep venous thrombosis in post-cesarean recovery period. Design: Aquasi-experimental research design (two groups pretest- posttest). Setting: Thestudy was conducted at the antenatal clinics and post-natal wards (9, 10, 15, and18) of Mansoura University Hospitals, Mansoura City, Egypt. Subjects: Onehundred and six post-cesarean women were selected as a purposive sample.Tools: Four tools were utilized: a structured interview questionnaire, Autar DVTrisk assessment scale, DVT preventive measure questionnaire, and DVTmanifestation sheet. Results: There was a highly statistically significantdifference between both groups regarding the DVT total knowledge before andafter implementing the evidence-based practices (P≤0.001). Manifestations ofDVT showed a significant reduction in the intervention group compared to thecontrol group. Also, compliance with DVT preventive measures achieved asatisfactory level (86.8% in the intervention group compared to 13.2% in thecontrol group) during follow-up. Conclusion: Implementing evidence-basedpreventive measures significantly improved women's DVT knowledge, reducedDVT manifestations, and enhanced compliance with DVT preventive practices,which positively mitigate the risk of DVT. Recommendation: Incorporating astructured DVT awareness session for DVT-risk women scheduled for a cesareansection, enhancing their compliance with DVT preventive measures.
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