A 40-year-old woman, gravida 4 para 3, attends the GP at 12 weeks of gestation. She had a previous pulmonary embolism 5 years ago associated with oral...

Question

A 40-year-old woman, gravida 4 para 3, attends the GP at 12 weeks of gestation. She had a previous pulmonary embolism 5 years ago associated with oral contraceptive use. She has a BMI of 28 kg/m². Which is the single most appropriate management regarding venous thromboembolism prophylaxis?

Accepted Answer

Refer for haematology assessment and commence low-molecular-weight heparin from the first trimester

Answer

Commence aspirin 150 mg daily throughout pregnancy

Answer

Commence low-molecular-weight heparin from 28 weeks until 6 weeks postpartum

Answer

No thromboprophylaxis required as the previous VTE was provoked

Answer

Commence warfarin from the second trimester

uk-drcog MCQ (SBA): VTE Prophylaxis in Pregnancy

A 40-year-old woman, gravida 4 para 3, attends the GP at 12 weeks of gestation. She had a previous pulmonary embolism 5 years ago associated with oral contraceptive use. She has a BMI of 28 kg/m². Which is the single most appropriate management regarding venous thromboembolism prophylaxis?