Venous thromboembolic disease and pregnancy: prevention and treatment

Christine BIRON-ANDREANI Laboratoire d’Hématologie Montpellier, France ABSTRACT The management of venous thromboembolism (VTE) during pregnancy is challenging for several reasons. In this article, we address the following questions: in pregnant women, how do we (i) treat VTE once a diagnosis is confirmed? (ii) assess the risk of VTE, and (iii) manage women with a high risk of VTE? When anticoagulants are required in pregnancy and the puerperium, low-molecular-weight heparin (LMWH) is now the preferred drug, but optimal dosage and monitoring remain unresolved issues. In addition, there is a paucity of reliable information about the risk of VTE in women with…

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