Prevention and Treatment of Venous Thromboembolism in Pregnancy.
Clinical Obstetrics and Gynecology, 08/09/2012
JAMES A. H.– This paper outlines practical approach to the prevention and treatment of thromboembolism in pregnancy. During pregnancy, women have a 4– to 5–fold increased risk of thromboembolism. Candidates for anticoagulation in pregnancy include women with current thrombosis, a history of thrombosis, risk factors for postpartum thrombosis, and some women with thrombophilia and a history of poor pregnancy outcome. Although, there are no large trials of anticoagulants in pregnancy and recommendations for their use are based on case series and the opinion of experts, observational studies demonstrate the benefit of heparins in reducing the risk of recurrent thromboembolism in pregnancy.