References

Ahmed RE, Alfehaid LS, Almodaimegh H. Pregnant and the postpartum women's knowledge and awareness of venous thromboembolism. Int J Med Res Health Sci. 2019; 8:(7)15-21

Alharbi SA, Alamri B, Bafanaa A. Women's awareness of risk of DVT during pregnancy and puerperium: a cross-sectional study in Jeddah. Middle East J Fam Med. 2020; 18:(1)187-193 https://doi.org/10.5742/mewfm.2020.93746

Almodaimegh H, Alfehaid L, Alsuhebany N Awareness of venous thromboembolism and thromboprophylaxis among hospitalised patients: a cross-sectional study. Thrombosis J. 2017; 15:(1)1-8 https://doi.org/10.1186/s12959-017-0144-2

Alzoubi KH, Khassawneh BY, Obeidat B Awareness of patients who undergo cesarean section about venous thromboembolism prophylaxis. J Vasc Nurs. 2013; 31:(1)15-20 https://doi.org/10.1016/j.jvn.2012.07.001

Boulton AJ, Loka T, Sharif Z, Greenfield S. Public knowledge of deep vein thrombosis (DVT): a street survey in the suburbs of Birmingham, UK. Qual Primary Care. 2015; 23:(1)31-39

Department of Statistics Malaysia. Statistics on causes of death, Malaysia, 2021. 2021a. https://www.dosm.gov.my/v1/index.php?r=column/cone&menu_id=RU84WGQxYkVPeVpodUZtTkpPdnBmZz09 (accessed 31 October 2021)

Department of Statistics Malaysia. The source of Malaysia's official statistics. 2021b. https://www.dosm.gov.my/v1/index.php (accessed 18 April 2022)

Department of Statistics Malaysia. Current population estimates, Malaysia, 2021. 2021c. https://www.dosm.gov.my/v1/index.php?r=column/cthemeByCat&cat=155&bul_id=ZjJOSnpJR21sQWVUcUp6ODRudm5JZz09&menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhUUT09 (accessed 28 June 2022)

Devis P, Knuttinen MG. Deep venous thrombosis in pregnancy: incidence, pathogenesis and endovascular management. Cardiovasc Diagnosis Ther. 2017; 7:(S3)S309-S319 https://doi.org/10.21037/cdt.2017.10.08

Di Prima FA, Valenti O, Hyseni E Antiphospholipid Syndrome during pregnancy: the state of the art. J Prenatal Med. 2011; 5:(2)41-53

Diaz-Quijano FA, Martínez-Vega RA, Rodriguez-Morales AJ, Rojas-Calero RA, Luna-González ML, Díaz-Quijano RG. Association between the level of education and knowledge, attitudes and practices regarding dengue in the Caribbean region of Colombia. BMC Pub Health. 2018; 18:(1) https://doi.org/10.1186/s12889-018-5055-z

Doctor HV, Findley SE, Cometto G, Agenyadu GY. Awareness of critical danger signs of pregnancy and delivery, preparations for delivery, and utilisation of skilled birth attendants in Nigeria. J Health Care, Poor Underserved. 2013; 24:(1)152-170 https://doi.org/10.1353/hpu.2013.0032

Forgo G, Micieli E, Ageno W An update on the global use of risk assessment models and thromboprophylaxis in hospitalised patients with medical illnesses from the World Thrombosis Day steering committee: Systematic Rev Meta-Analysis. J Thromb Haemost. 2022; 20:(2)409-421 https://doi.org/10.1111/jth.15607

Hailu D, Berhe H. Knowledge about obstetric danger signs and associated factors among mothers in Tsegedie district, Tigray region, Ethiopia 2013: community based cross-sectional study. PLoS One. 2014; 9:(2) https://doi.org/10.1371/journal.pone.0083459

James AH. Venous thromboembolism in pregnancy. Arterioscler Thromb Vasc Biol. 2009; 3:326-331 https://doi.org/10.1161/ATVBAHA.109.184127

Jarab AS, Al-Azzam S, Badaineh R, Mukattash TL, Bsoul R. Awareness and perception of thromboembolism and thromboprophylaxis among hospitalised patients in Jordan. Curr Clin Pharmacol. 2019; 15:(1)72-80 https://doi.org/10.2174/1574884714666190823162055

Khan F, Vaillancourt C, Bourjeily G. Diagnosis and management of deep vein thrombosis in pregnancy. BMJ. 2017; 357:(May) https://doi.org/10.1136/bmj.j2344

Kim ES, Kim HY. Knowledge, awareness and risk of occurrence of venous thromboembolism of perinatal women. Korean J Women Health Nurs. 2019; 25:(2) https://doi.org/10.4069/kjwhn.2019.25.2.154

This condition is the top killer of pregnant and new mothers in Malaysia. 2020. https://www.thestar.com.my/lifestyle/health/2020/09/18/this-condition-is-the-top-killer-of-pregnant-and-new-mothers-in-malaysia (accessed 19 April 2022)

Kujovich JL. Hormones and pregnancy: thromboembolic risks for women. Br J Haematol. 2004; 126:443-454 https://doi.org/10.1111/j.1365-2141.2004.05041.x

Kushner A, West WP, Pillarisetty LS. Virchow Triad.Treasure Island (FL): StatPears Publishing LLC; 2021

Maryam M. Pulmonary thromboembolism in pregnancy: diagnostic imaging and related consideration. J Res Med Sci. 2013; 18:(3)255-259

McLendon K, Goyal A, Attia M. Deep venous thrombosis risk factors.Treasure Island (FL): StatPearls Publishing; 2022

McLintock C, Brighton T, Chunilal S Recommendations for the prevention of pregnancy-associated venous thromboembolism. Aust N Z Obstet Gynaecol. 2012; 52:(1)3-13 https://doi.org/10.1111/j.1479-828X.2011.01357.x

Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK.Oxford: National Perinatal Epidemiology Unit; 2019

Nichols KM, Henkin S, Creager MA. Venous thromboembolism associated with pregnancy: JACC focus seminar. J Am Coll Cardiol. 2020; 76:(18)2128-2141 https://doi.org/10.1016/j.jacc.2020.06.090

Oh GJ, Moon J, Lee YM Public awareness of stroke and its predicting factors in Korea: a national public telephone survey, 2012 and 2014. J Korean Med Sci. 2016; 31:(11)1703-1710 https://doi.org/10.3346/jkms.2016.31.11.1703

Okour A, Alkhateeb M, Amarin Z. Awareness of danger signs and symptoms of pregnancy complication among women in Jordan. Int J Gynecol Obstet. 2012; 118:(1)11-14

Okoye H, Nwagha T, Ezigbo E Low awareness of venous thromboembolism among the general population: a call for increased public enlightenment programs. J Prev Med Hygiene. 2021; 62:(3)E704-E708 https://doi.org/10.15167/2421-4248/jpmh2021.62.3.2159

Orfanoudaki IM. Review article: pulmonary embolism in pregnancy: suspicion, diagnosis and therapy. Obstet Gynecol Int J. 2019; 10:(1)1-13 https://doi.org/10.15406/ogij.2019.10.00407

Pomp ER, Lenselink AM, Rosendaal FR, Doggen CJ. Pregnancy, the postpartum period and prothrombotic defects: risk of venous thrombosis in the MEGA study. J Thrombosis Haemostasis. 2008; 6:(4)632-637 https://doi.org/10.1111/j.1538-7836.2008.02921.x

Previtali E, Bucciarelli P, Passamonti SM, Martinelli I. Risk factors for venous and arterial thrombosis. Blood Transfus. 2011; 9:(2)120-138 https://doi.org/10.2450/2010.0066-10

Rashad WA, Essa RM. Women's awareness of danger signs of obstetrics complications. J Am Sci. 2010; 6:(10)1299-1306

Salkind N. Cross-sectional design. In: Salkind N (ed). Thousand Oaks, CA: SAGE Publications, Inc; 2010

Shanahan M. Cross-sectional design. In: Mills A, Durepos G, Wiebe E (eds). Thousand Oaks, CA: SAGE Publications, Inc; 2010

Serpici A, Gürsoy A. Nurse-led patient training improves deep vein thrombosis knowledge and self-care practices. J Vasc Nurs. 2018; 36:(2)53-63 https://doi.org/10.1016/j.jvn.2018.03.002

Simcox LE, Ormesher L, Tower C, Greer IA. Pulmonary thromboembolism in pregnancy: diagnosis and management. Breathe. 2015; 11:(4)282-289 https://doi.org/10.1183/20734735.008815

Thromboembolism in pregnancy: practice essentials, background, pathophysiology. 2018. https://emedicine.medscape.com/article/2056380-overview (accessed 21 February 2021)

Sultan AA, West J, Grainge MJ Development and validation of risk prediction model for venous thromboembolism in postpartum women: multinational cohort study. BMJ. 2016; 355 https://doi.org/10.1136/bmj.i6253

Taber KS. The use of Cronbach's Alpha when developing and reporting research instruments in science education. Res Sci Educ. 2018; 48:1273-1296 https://doi.org/10.1007/s11165-016-9602-2

Thandar MM, Kiriya J, Shibanuma A Women's knowledge on common non-communicable diseases and nutritional need during pregnancy in three townships of Ayeyarwaddy region, Myanmar: a cross-sectional study. Trop Med Health. 2019; 47:(1)1-10 https://doi.org/10.1186/s41182-019-0137-x

Threapleton DE, Greenwood DC, Evans CEL Dietary fibre intake and risk of first stroke: a systematic review and meta-analysis. Stroke. 2013; 44:(5)1360-1368 https://doi.org/10.1161/STROKEAHA.111.000151

Wendelboe AM, McCumber M, Hylek EM Global public awareness of venous thromboembolism. J Thrombosis Haemostasis. 2015; 13:(8)1365-1371 https://doi.org/10.1111/jth.13031

Wendelboe AM, Langenfeld H, Ageno W Current practices of standardized risk assessment for venous thromboembolism: results from a global survey from the World Thrombosis Day steering committee. J Thrombosis Haemostasis. 2022; 20:(2)532-535 https://doi.org/10.1111/jth.15608

Youness EM, Gomaa S, Younis HM, Azer SZ. Effect of educational nursing program on reducing the incidence of venous thromboembolism among postpartum women. J Nurs Health Sci. 2016; 5:(4)53-62 https://doi.org/10.9790/1959-0504055362

Zaidun K. Hospital Universiti Sains Malaysia (HUSM): 25 years of excellent service. Malaysian J Med Sci. 2009; 16:(1)16-24

Pregnant women's knowledge of venous thromboembolism in Malaysia

02 August 2022
14 min read
Volume 30 · Issue 8

Abstract

Background

Venous thromboembolism is an acute condition resulting in maternal morbidity and death.

Aims

This study aimed to assess venous thromboembolism knowledge among pregnant women in Malaysia.

Methods

A cross-sectional study was conducted among 143 pregnant women recruited via convenience sampling. Data gathered included demographic characteristics and knowledge of venous thromboembolism. The Fisher exact test examined the association between knowledge and outcome factors.

Results

Of the 143 pregnant women, 95.8% had low knowledge about venous thromboembolism. A significant association was found between level of knowledge and employment status (P=0.003) and monthly household income (P<0.001).

Conclusion

The study's participants demonstrated a deficit of knowledge of venous thromboembolism among pregnant women in Malaysia. Healthcare policymakers and maternal health services should put in place policies to improve pregnant women's knowledge of the danger of venous thromboembolism and its associated risk factors.

Venous thromboembolism refers to the formation of a thrombus within a vein, which can occur anywhere in the venous system and is a life-threatening illness (James, 2009; Wendelboe et al, 2015). The two types of venous thromboembolism are deep-vein thrombosis and pulmonary embolism (Krishna, 2020), and it is the third leading cause of vascular mortality globally (Nichols et al, 2020). Virchow's triad describes three broad categories of factors that may predispose a person to the development of venous thrombosis: hypercoagulability, venous stasis and endothelial injury (McLintock et al, 2012; Kushner et al, 2021). Deep vein thrombosis affects the left lower limbs most frequently because the right common iliac artery puts pressure on the left common iliac vein, preventing blood from returning to the heart and causing blood clots (Devis and Knuttinen, 2017; Khan et al, 2017).

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