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from Section 7 - Postpartum
Published online by Cambridge University Press: 08 April 2025
Pregnant and postpartum patients have a four- to five-fold increased risk of venous thromboembolism (VTE) compared to the general population, accounting for almost 10% of all maternal deaths. Therefore, it is important to screen all pregnant patients for risk factors in order to provide appropriate prophylaxis. When VTE is diagnosed, appropriate treatment with low molecular weight or unfractionated heparin is required. Anticoagulation should be paused prior to any planned labor induction or cesarean delivery to decrease risk of neuraxial anesthesia or intrapartum hemorrhage. Patients with VTE in pregnancy should be tested for acquired and inherited thrombophilias.
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