Anticoagulation in Pregnancy

Anticoagulation is becoming increasingly important in the field of obstetrics and it is permitting carrying to term and without complications any pregnancies that require it. It is a complicated issue, and no strict protocols have been established, so it is important for both doctor and patient to be perfectly familiar with the antithrombotic prophylaxis indications. Taking the latest protocols published as reference, we have developed this program, which will act as an easy guide for the doctor in order for him or her to be able to prepare a personalised report on the recommended treatment / most adequate therapeutic recommendation for each patient. Preconception advice is also addressed.Ricardo Savirón Cornudella, M.D.

Authors:
Ricardo Savirón Cornudella, M.D. (1). Cristina Lou Mercadé, M.D. (2). Rosa Cornudella Lacasa, M.D. (2). (1)Villalba General Hospital. Madrid (Spain). (2)Lozano Blesa Hospital. Zaragoza (Spain).

Advisory Committee

ZaragozaBarcelonaValencia

Hospital Clínico Universitario Lozano Blesa

Haematology Service
Luis Palomera Bernal, M.D.

Obstetrics Service
Ernesto Fabre González, M.D.

Hospital Universitario Miguel Servet

Obstetrics Service
Javier Tobajas Homs, M.D.
José Manuel Campillos Maza, M.D.
Sergio Castán Mateo, M.D.

Internal Medicine Service
Luis Saez Comet, M.D.

Hospital Vall D'Hebron

Haematology Service
Amparo Santamaría Ortiz, M.D.

Obstetrics Service
Manel Casellas Caro, M.D.

Hospital Universitario

Anaesthesia Service
Dr. Juan Vicente Llau Pitarch

Protocols

RCOG – Reducing the risk of thrombosis and embolism during pregnancy and the puerperium. Green-top Guideline no. 37. November 2009. The acute management of thrombosis and embolism during pregnancy and the puerperium.Green-top Guideline no. 37b. February 2007. Reviewed 2010.

RCOG – The Invesgtigation and Treatment of Couples with Recurrent First-Trimester and Second-Trimester Miscarriages. Green-top guideline No.17. April 2011.

CHEST – Bates SM, Greer IA, Middeldorp S, Veenstra DL, Prabulos AM, Vandvik PO; American College of Chest Physicians. VTE, Thrombophilia, Antithrombotic Therapy, and Pregnancy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; Feb; 141 (2 Suppl); e691S-e736S.

SEGO (2012) – Enfermedad tromboémbolica venosa en la gestación. Protocolos Asistenciales en Obstetricia. October 2012. proSEGO.

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