Anticoagulation in pregnancy and neuraxial blocks.
The peripartum management of the anticoagulated parturient represents a significant clinical challenge to both the obstetrician and the anesthesiologist. This review discusses the causes of thrombosis in the pregnant population, the anticoagulants used for prophylaxis, and treatment of these disorders, along with recommendations for neuraxial blockade in parturients who receive peripartum anticoagulation.
Kopp
Sandra L
SL
Department of Anesthesiology, Mayo Graduate School of Medicine, Rochester, MN 55905, USA. kopp.sandra@mayo.edu
Horlocker
Terese T
TT
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000009:adverse effects; D000925:Anticoagulants / Q000009:adverse effects* / Q000627:therapeutic use*; D005260:Female; D046748:Hematoma, Epidural, Spinal / Q000517:prevention & control; D006801:Humans; D009407:Nerve Block; D011247:Pregnancy / Q000502:physiology*; D011250:Pregnancy Complications, Hematologic / Q000188:drug therapy* / Q000517:prevention & control; D013927:Thrombosis / Q000517:prevention & control*
D000925:Anticoagulants