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Would you recommend anticoagulation in subsequent pregnancies after symptomatic postpartum R ovarian vein thrombosis?
Thrombophilia workup was negative. Would you use prophylactic or therapeutic anticoagulation?
Answer from: at Academic Institution
The 2018 ASH guidelines recommend the following: For women not already receiving long-term anticoagulant therapy who have a history of VTE, the panel makes the following recommendations: Unprovoked VTE (strong recommendation, low certainty): and provoked VTE, hormonal risk factor (strong recommendat...
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Answer from: at Community Practice
Since the first thrombosis was provoked by pregnancy, I would use prophylactic lovenox in the third trimester and at least 6 weeks post-partum.