Do Not Order These Tests On Pregnant Women
Hot on the heels of the Choosing Wisely campaign of “do nots” for GPs, the Royal Australasian College of Physicians has released a new list of tests doctors should avoid ordering on pregnant women.
The recommendations come from the Society of Obstetric Medicine in Australia and New Zealand (SOMANZ), and include the advice that the D-dimer test should not be used to diagnose venous thromboembolism in pregnant women as it is unreliable.
Even though women are five times more likely to develop venous thromboembolism in pregnancy, other investigative tests should be used if a clot is suspected as D-dimer concentrations normally rise in pregnancy regardless of whether thrombosis has occurred, making abnormal results ‘incredibly unreliable’.
Another recommendation included in the RACP’s top five low value practices and interventions is to not test ...
The Royal Australasian College of Physicians [Internet]. Sydney NSW. RACP. Society of Obstetric Medicine of Australia and New Zealand Top 5 low-value practices and interventions; [about 3 screens]. Available from: https://evolve.edu.au/recommendations/somanz