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[Is it necessary to revise the guidelines on prevention of thrombembolic disease in pregnancy?].

AIM OF THE STUDY
Analysis of the issue of thrombembolic complications in pregnant women.


TYPE OF THE STUDY
Current concepts review.


SETTING
Department of Obstetrics and Gynecology 2nd Medical Faculty of Charles University and Teaching Hospital Motol, Prague.


METHODS
Analysis of practical implementation of the guideline on the thrombembolic complication prevention during pregnancy. Notes on individual conditions and situations from the viewpoint of thrombembolic complication risk, using "evidence based medicine". Comparison of the Czech and Anglo-American guidelines.


CONCLUSIONS
There is no general consensus on implementation of the guideline on thrombembolism prevention in pregnant women in the Czech Republic and many mistakes may be found in this respect. Although the issue falls primarily into the competence of haematologists, there is a number of situations that must be resolved by the obstetrician.