Thursday, August 8, 2013

Previous VTE with No thrombophilia:

  • Low molecular weight heparin for 6 weeks after delivery is recommended

  • Value of antenatal thromboprophylaxis is controversial.

  • However, if the previous VTE was oestrogen-related (pregnancy or OCP) or high BMI, antenatal thromboprophylaxis should be considered

  • Women with more than one VTE, one VTE plus VTE in a first degree relative or VTE in an unusual site(e.g. - axillary) should receive antenatal thromboprophylaxis continued for 6 weeks post-partum

  • Most VTE occurs antenatally but the risk per day is greatest in the weeks immediately following delivery

  • Previous VTE is not contra-indication to regional anaesthesia in labour

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