Guidance for the treatment and prevention of obstetric-associated venous thromboembolism
Open accessAbstract
Venous thromboembolism (VTE), which may manifest as pulmonary embolism (PE) or deep vein thrombosis (DVT), is a serious and potentially fatal condition. Treatment and prevention of obstetric-related VTE is complicated by the need to consider fetal, as well as maternal, wellbeing when making management decisions. Although absolute VTE rates in this population are low, obstetric-associated VTE is an important cause of maternal morbidity and mortality. This manuscript, initiated by the Anticoagulation Forum, provides practical clinical guidance on the prevention and treatment of obstetric-associated VTE based on existing guidelines and consensus expert opinion based on available literature where guidelines are lacking.
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Warfarin has teratogenic effects.
“Switching treatment from VKA to therapeutic dose LMWH or UFH is recommended as soon as pregnancy is confirmed, ideally before the sixth week of gestation due to the teratogenic effects of warfarin.66”
From EULAR recommendations for the management of antiphospholipid syndrome in adults (2019) · cites this paper as [66]
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EULAR recommendations for the management of antiphospholipid syndrome in adults
Tektonidou, M. G., Andreoli, L., Limper, M., Amoura, Z., Cervera, R., Costedoat-Chalumeau, N., Cuadrado, M. J., Dörner, T., Ferrer-Oliveras, R., Hambly, K., et al. (2019) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2019-215213 · Cited by 1,261 · see citing works
ACOG Practice Bulletin No. 196: Thromboembolism in Pregnancy
(2018) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000002706 · Cited by 515 · see citing works
Top 10 pearls for the recognition, evaluation, and management of maternal sepsis
Shields, A., de Assis, V., & Halscott, T. (2021) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000004471 · Cited by 76 · see citing works
Dargaud, Y., Rugeri, L., Fleury, C., Battie, C., Gaucherand, P., Huissoud, C., Rudigoz, R. C., Desmurs‐Clavel, H., Ninet, J., & Trzeciak, M. C. (2017) · Journal of Thrombosis and Haemostasis · doi:10.1111/jth.13660 · Cited by 44 · see citing works
- Authors
- Bates, S. M., Middeldorp, S., Rodger, M., James, A. H., & Greer, I.
- Affiliations
- Thrombosis and Atherosclerosis Research Institute (CA)
- University of Amsterdam (NL)
- University of Ottawa (CA)
- University of Manchester (GB)
- Corresponding author
- Bates, Shannon M.
- Venue
- Journal of Thrombosis and Thrombolysis
- Published
- 2016-01
- Volume
- 41
- Issue
- 1
- Pages
- 92-128
- ISSN
- 0929-5305 (ISSN-L)
- 1573-742X
- PMC
- PMC4715853
- OpenAlex
- W2311203793
- Cited by
- 441
- References
- 193
- Citations by year
- 2026: 27 · 2025: 30 · 2024: 31 · 2023: 49 · 2022: 39 · 2021: 46 · 2020: 46 · 2019: 46 · 2018: 41 · 2017: 81 · 2016: 5
- FWCI
- 57.72
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Thrombosis and Thrombolysis (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- DukeSpace (Duke University) (submittedVersion, cc-by-nc-nd)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Research Portal (Queen's University Belfast) (submittedVersion, cc-by)
- Funders
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- GlaxoSmithKline
- Sanofi
- Heart and Stroke Foundation of Canada
- University of Ottawa
- Daiichi-Sankyo
- LEO Pharma
- Eli Lilly Canada
- Janssen Pharmaceuticals
- Daiichi Sankyo Europe
- Topics
- Health Sciences › Medicine › Internal Medicine › Venous Thromboembolism Diagnosis and Management
- Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
- Health Sciences › Medicine › Neurology › Cerebral Venous Sinus Thrombosis
- Keywords
- venous thromboembolism, pregnancy complications, pulmonary embolism, deep vein thrombosis, anticoagulation, thromboprophylaxis, maternal morbidity, maternal mortality, fetal well-being, clinical management guidelines
- MeSH terms
- Female, Humans, Pregnancy, Pregnancy Complications, Cardiovascular, Practice Guidelines as Topic, Venous Thrombosis, Venous Thromboembolism
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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