Peripartum and perioperative management of the anticoagulated patient.
Management of the pregnant patient requiring anticoagulation in the peripartum period represents a significant clinical challenge. The peripartum period includes the most thrombogenic pregnancy-associated state and the intrapartum and immediate postpartum periods, when hemorrhage is and important concern. Clinical decisions depend on the type of antepartum anticoagulation, obstetric factors, risk of hemorrhage, and the risk and implications of thrombosis.
Chasen
Stephen T
ST
Department of Obstetrics and Gynecology, Weill Medical College of Cornell University, 525 East 68th Street, New York, NY 10021, USA. stchasen@med.cornell.edu
D016362:Analgesia, Obstetrical; D000925:Anticoagulants / Q000008:administration & dosage* / Q000009:adverse effects*; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D006493:Heparin / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D036801:Parturition; D019990:Perioperative Care; D049590:Postpartum Period; D011247:Pregnancy; D014859:Warfarin / Q000008:administration & dosage / Q000009:adverse effects
D000925:Anticoagulants; D014859:Warfarin; D006493:Heparin