postnatal thromboprophylaxis

Question 1

Women with multiple risk factors for venous thromboembolism should be considered for postnatal thromboprophylaxis. Those with four or more risk factors are usually recommended 6 weeks of postnatal thromboprophylaxis however individual risk assessment should be carried out.

Answer 1

Previous VTE
Thrombophilia
Medical comorbidities (e.g. cancer, heart failure, systemic inflammatory conditions)
Age >35
BMI >30
Parity >3
Smoking
Multiple pregnancy
Pre-eclampsia
Caesarean section
Prolonged labour
Operative delivery
Preterm birth
Stillbirth
Postpartum haemorrhage >1000mL
Other surgical procedure carried out
Immobility
Systemic infection

Question 2

tx of choice for prophylaxis

Answer 2

low molecular weight heparin must be administerd