Thromboprophylaxis and delivery

Question 1

Regional unaesthetic and LMWH

Answer 1

• Avoid 12 hours after the previous
  prophylactic dose of LMWH
• Not be given for 4 hours after use of spinal anaesthesia
• Epidural catheter not to be removed within 12 hours from last injection
• Therapeutic dose: no regional for 24 hrs

Question 2

Women at high risk and thromboprophylaxis

Answer 2

• TEDS
• Flotrons
• Consider unfractionated heparin