Should Anticoagulant Therapy Be Altered During Labour and Delivery?
In order to avoid an unwanted anticoagulant effect during delivery, LMWH should be stopped as soon as a woman is in established labour or thinks she is in labour. For elective delivery, LMWH should be stopped 24 hours before induction of labour or caesarean section. Bleeding complications appear to be very uncommon with LMWH. Postnatal Anticoagulation How Should Anticoagulation Be Managed Postnatally? C – Therapeutic anticoagulant therapy should be continued for the duration of the pregnancy and for at least 6 weeks postnatally and until at least 3 months of treatment has been given in total. Prevention of Post-thrombotic Leg Syndrome What Measures Can Be Employed to Prevent the Development of Post-Thrombotic Syndrome? A – Graduated elastic compression stockings should be worn on the affected leg for 2 years after the acute event, if swelling persists, to reduce the risk of post-thrombotic syndrome. Postnatal Clinic Review At the postnatal review, an assessment should be made of post-t
