VTE in Pregnancy Flashcards
1
Q
Why does VTE risk increase in pregnancy?
A
Hypercoagulable state
- increased fibrinogen
- decreased protein S
2
Q
What are risk factors for VTE in pregnancy?
A
Smoking Parity >3 Age >35 Reduced mobility Multiple pregnancy Pre-eclampsia Varicose veins FHx Previous VTE
3
Q
When is prophylaxis started in pregnancy?
A
28 weeks if >3 RFs
1st trimester if >4 RFs
4
Q
What is used for thromboprophylaxis in pregnancy?
A
LMWH
Until 6 weeks post partum
5
Q
What happens to LMWH during labour?
A
Stopped
6
Q
What can be used instead of LMWH?
A
Mechanical prophylaxis
- TED stockings
- IPC
7
Q
How is suspected/confirmed VTE managed?
A
LMWH
