Author(s): Nascimento,Claudia Mac Donald Bley ; Machado,Andréa Maria Novaes ; Guerra,João Carlos de Campos ; Zlotnik,Eduardo ; Campêlo,Dirceu Hamilton Cordeiro ; Kauffman,Paulo ; Waksman,Hilton ; Wolosker,Nelson ; Podgaec,Sérgio ; Hamerschlak,Nelson
Date: 2019
Origin: Oasisbr
Subject(s): Thrombophilia; Antiphospholipid syndrome; Venous thromboembolism; Pregnancy; Abortion, habitual; Pregnancy complications; Contraception; Venous thrombosis
ABSTRACT Objective To standardize the investigation and clinical management of women with laboratory and/or clinical abnormalities suggestive of thrombophilia, in order to optimize antithrombotic approach and indication of laboratory tests. Methodology A discussion was carried out among 107 physicians (gynecologists/obstetricians, hematologists and vascular surgeons) present at a forum held at the Hospital Israelita Albert Einstein, in São Paulo (SP), Brazil. As a minimum criterion, 80% agreement was established in the voting to each recommendation of conduct in the final document. The cases in which there was agreement below 80% were discussed again, reaching a consensual agreement of conduct for the document writing. Conclusion The standardization of an institutional consensus of suggestions of clinical approach contributes to a better management of the group to be evaluated and minimizes risks of intercurrent events. This was the first national consensus on the investigation of thrombophilia in women.
