Postpartum education about measures to prevent thrombosis; which statement indicates need for further education?

• A. I should apply my antiembolism stockings after breakfast.
• B. I should avoid prolonged standing or sitting in one position.
• C. I should perform regularly scheduled exercise such as walking.
• D. I should avoid using pillows under my knees to prevent pressure in the back of my knee area.

Answer: (A)

Preventing thrombosis after delivery hinges on keeping blood moving in the legs. The most effective steps are early ambulation, regular leg exercises (like ankle pumps and short walks), and wearing antiembolism stockings as prescribed to promotevenous return. It’s also important to avoid positions that slow blood flow, such as standing or sitting in one position for long periods, and to steer clear of placing pillows under the knees, since knee flexion with a pillow can compress veins behind the knee and hinder circulation.

The statement about applying antiembolism stockings after breakfast shows a misunderstanding of timing. Stockings should be put on promptly, ideally before you start moving around—often while still in bed or right after waking—to maximize venous return during the early postpartum period. They should be worn as prescribed, with skin checked daily and removed briefly for hygiene and inspection.