VTE in pregnancy Flashcards
1
Q
risk factors for VTE in pregnancy
A
on top of normal VTE risks
>36 years multiple pregnancy pre-eclampsia parity ≥3 C-section >24hr labour PPH >1L preterm or stillbirth OHSS in 1st trimester hyperemesis
2
Q
symptoms of pregnancy VTE
A
same as normal VTE
DVT - leg swelling, redness, pain and heat, edema, pyrexia
PE - pleuritic chest pain, SoB, reduced lung expansion, haemoptysis, LoC
3
Q
CTPA should be used to investigate suspected VTE in pregnancy - T or F
A
false, too much radiation
4
Q
how to investigate VTE in pregnancy?
A
compression doppler, VQ scan, CXR
5
Q
what medication is given for VTE
A
LMWH
6
Q
how long should medication be given for VTE pregnancies
A
until 6 weeks after birth
7
Q
why should anticoagulation be stopped before labour
A
risk of bleeding into epidural space