This is fascinating, Alison, and backs up my hunch that perceptions of 'risk' are rather vague and conflicting. Thank you so much. I hope you will be publishing your work? It sounds as though it will make a really important contribution to the debate.
Very best wishes
Mary
Mary Stewart
Consultant midwife
Room J334
Chelsea and Westminster Hospital NHS Foundation Trust
369 Fulham Road
London SW10 9NH
Tel: 07872 423085
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Alison Cooke
Sent: Friday, February 04, 2011 1:43 PM
To: [log in to unmask]
Subject: Re: VTE risk factors
Dear Mary,
I have just completed my MRes looking at advanced maternal age. I am
not aware that any existing studies have included venous
thrombo-embolism as an age related risk factor. The studies that are
available are conflicting, all but one are retrospective, most include
small samples and have no control for confounders such as obesity,
smoking, underlying medical conditions etc. Further studies are
required.
The prospective study by Cleary-Goldman actually suggested that
outcomes were quite favourable in this population. The only clear
increased risks appear to be stillbirth after 38 weeks, chromosomal
anomolies and infertility.
Alison
Quoting "Stewart, Mary" <[log in to unmask]>:
> Hi everyone
>
> Does anyone have any thoughts on potential risk factors for venous
> thrombo-embolism? We are in the process of updating the guidelines
> for our unit, and have been having lengthy discussions about what
> might constitute a risk factor. Maternal age is a particular
> sticking point. It has been suggested that maternal age >35, along
> with one or more risk factors (woman who smokes etc) constitutes
> 'risk' and women should be recommended TED stockings and low
> molecular weight heparin. This seems excessive, to be honest, but
> I'm interested to know what happens in other units.
>
> Many thanks for your help and thoughts
>
> Mary
>
> Mary Stewart
> Consultant midwife
> Room J334
> Chelsea and Westminster Hospital NHS Foundation Trust
> 369 Fulham Road
> London SW10 9NH
>
> Tel: 07872 423085
>
>
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--
Alison Cooke
Research Midwife
Central Manchester University Hospitals NHS Foundation Trust
and The University of Manchester
5th Floor, Research
St Mary's Hospital
Oxford Road
Manchester
M13 9WL
Tel +44 (0)161 276 5469
Email: [log in to unmask]
[log in to unmask]
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Please notify us immediately by reply e-mail and then delete this message from your system.
Please do not copy it or use it for any purposes,
or disclose its contents to any other person: to do so could be a breach of confidence.
Any views expressed in this message are those of the individual sender,
except where the sender specifically states them to be the views of the Trust.
Thank you for your co-operation.
This footnote confirms that the message has been swept for computer viruses by
McAfee VirusScan Enterprise Edition: whilst every care is taken to avoid the transmission
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any E-mail messages or attachments.
Chelsea and Westminster Hospital NHS Foundation Trust
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