Pregnancy complication - Venous thromboembolism Flashcards

1
Q

How many risk factors for VTE would prompt consideration of VTE prophylaxis with LMWH?

A

3 or more

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2
Q

What are risk factors for VTE in a pregnant woman?

A
  • Age > 35 years
  • BMI > 31
  • Smoker
  • Parity > 3
  • Multiple pregnancy
  • Assisted reproduction
  • Haematological disease - Sickle cell, thrombophilia, past thromboembolism
  • Pre-eclampsia

There are many more than this…

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3
Q

If somone was high risk for VTE, what measures would you take in managing them?

A

Antenatal thromboprophylaxis with LMWH - enoxaparin

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4
Q

If someone was intermediate risk of VTE during pregnancy, how would you manage them?

A

Consider antenatal prophylaxis with LMWH

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5
Q

What thromboprophylaxis is needed for women following C-section?

A

LMWH heparin for 7 days postpartum

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6
Q

What LMWH is usually used as thromboprophylaxis in pregnancy?

A

Enoxaparin

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7
Q

How would you manage a massive PE in a pregnant woman?

A
  • Consider need for thrombolysis vs percutaneous embolectomy
  • Consider LMWH - twice daily enoxaparin
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8
Q

Should LMWH be continued through labour?

A

No - stop it and keep woman well hydrated

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9
Q

How long should you wait until LMWH is started again following an epidural?

A

>4h

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