![]() | Only 14 pages are availabe for public view |
Abstract Recommendations for thromboprophylaxis following delivery All women should be assessed after delivery for the risk factors : All women should be encouraged to mobilise both during labour and postpartum. Dehydration should be avoided. Women with two or more persisting risk factors listed in Table 1 should be considered for LMWH for 7 days after delivery. Women with three or more persisting risk factors listed in Table 1 should be given graduated compression stockings in addition to LMWH. All women with class-three obesity: body mass index (BMI) > 40kg/m2, should be considered for thromboprophylaxis with LMWH for 7 days after delivery. All women who have had an emergency caesarean section (category 1, 2 or 3) should be considered for thromboprophylaxis with LMWH for 7 days after delivery. All women who have had an elective caesarean section (category 4) who have one or more additional risk factors (such as age over 35 years, BMI greater than 30) should be considered for thromboprophylaxis with LMWH for 7 days after delivery. All women with asymptomatic heritable or acquired thrombophilia should be considered for LMWH for at least 7 days following delivery, even if they were not receiving antenatal thromboprophylaxis. This could be extended to 6 weeks if there is a family history or other risk factors present. Women with VTE before the current pregnancy should be offered LMWH for 6 weeks following delivery. |