Anticoagulation Regimens in Pregnancy

This article explores current recommendations for anticoagulation therapy in pregnancy, including antepartum, intrapartum , and postpartum guidelines. The authors review various screening strategies used to assess whether a patient is an appropriate candidate for anticoagulation during pregnancy and the postpartum period . The article includes dosing regimens, optimal surveillance, and medication reversal. The authors also address the challenges of transitioning between low-molecular-weight heparin and unfractionated heparin. Finally, there is a discussion of intrapartum anticoagulation management, especially as it relates to the administration of regional anesthesia , and the indications for and timing of thromboprophylaxis following delivery.