Canterbury DHB

Context

Treatment

DVT or Pulmonary Embolus

Treatment with heparin should be commenced as for non pregnant patient. Thrombolytic therapy is contraindicated during pregnancy or during the first few days after delivery. Heparin treatment should be continued until delivery. LMWH is the preferred heparin preparation during pregnancy. LMWH anti-Xa therapeutic range is 0.3-1.0 iu/mL at peak time point (4 hours post-dose).

After delivery warfarin can be introduced. Warfarin is excreted into breast milk in very low amounts but is not considered to be a risk to the suckling infant. Alternatively the woman may wish to continue with LMWH therapy during the puerperium. Treat for a minimum of six months total therapy.

About this Canterbury DHB document (5212):

Document Owner:

Mark Smith (see Who's Who)

Issue Date:

August 2016

Next Review:

August 2018

Keywords:

Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document. Disclaimer

Topic Code: 5212