Anticoagulation Therapy During Pregnancy

When patients appear to be hemodynamically stable low molecular weight heparin can be substituted in anticipation of discharge from the hospital. Postpartum these patients should receive at least six weeks of therapy or a minimum duration of therapy of three to six months depending on the clinical scenario. Some advocate periodic assessment of anti-factor 10a levels four to six hours after injection but other studies have shown that few women actually require increased doses when weight base doses are given.