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1 results

  • Case 65 - A 40-Year-Old with Severe Obesity and Painful Right Pedal Edema

  • from Section 7 - Postpartum
  • Edited by Peter F. Schnatz, The Reading Hospital, Pennsylvania, D. Yvette LaCoursiere, University of California, San Diego, Christopher M. Morosky, University of Connecticut School of Medicine, Jonathan Schaffir, The Ohio State University College of Medicine, Vanessa Torbenson, Mayo Clinic Alix School of Medicine, David Chelmow, Virginia Commonwealth School of Medicine
  • Book:
    Pregnancy Complications
    Published online:
    08 April 2025
    Print publication:
    01 May 2025, pp 199-201

  • Summary

    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.