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Am J Perinatol 2022; 39(01): 061-066
DOI: 10.1055/s-0040-1714390
Original Article

Sequential Compression Device Adherence is Low in Hospitalized Antepartum Patients

Kelly S. Yamasato
1   Department of Obstetrics, Gynecology, and Women's Health, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii
,
Nicole B. Kurata
1   Department of Obstetrics, Gynecology, and Women's Health, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii
,
Sara C. Harris
1   Department of Obstetrics, Gynecology, and Women's Health, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii
,
Marguerite L. Bartholomew
1   Department of Obstetrics, Gynecology, and Women's Health, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii
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Abstract

Objective This study was aimed to describe sequential compression device (SCD) adherence and its associations with SCD education in hospitalized antepartum women.

Study Design This study included antepartum, nonlaboring women admitted from 2016 to 2018, 1 year before and after an SCD education intervention. SCD use was assessed through the Kendall SCD 700 series compliance meter, which tracks the time the SCD machine takes within the monitoring interval. Recruitment occurred after 60 to 80 hours of monitoring, at which time a patient survey was completed. SCD use was the percentage of time the machine was on during monitoring. Mann–Whitney U and Chi-square tests were used to compare associations between SCD use, education, and pharmacologic prophylaxis.

Results Among 125 recruited women, 123 provided adherence data, 69 before and 54 after the education. Median SCD use was 17.3% before and 20.7% after (p = 0.71). Pharmacologic prophylaxis use was similar between the two periods and was not associated with SCD use. Among 121 surveys, the most common reason as to why SCDs were not worn was prevention of walking (52/121 [43.0%]).

Conclusion Using a novel monitoring technique, we found low-SCD use among antepartum inpatients, which was neither affected by education nor concurrent pharmacologic prophylaxis. Improving mobility with SCDs may improve use in this population.

Key Points

  • SCD use was low in this cohort of hospitalized antepartum patients.

  • A patient/nursing education intervention was not associated with SCD adherence.

  • Concurrent pharmacologic VTE prophylaxis was not associated with SCD adherence.

Keywords

care quality - education - obstetric thromboembolism - pregnancy - sequential compression device


Publication History

Received: 15 May 2020

Accepted: 16 June 2020

Article published online:
23 July 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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