A. Thrombophilia screen
B. Stop heparin
C. Offer termination of pregnancy
D. Low molecular weight heparin for 7 days post-partum
E. Low molecular weight heparin for now and 10 days post-partum
F. Screen for antiphospholipid antibodies
G. Close observation for additional risk factors
H. Close observation for additional risk factors + low molecular weight heparin for 7 days post-partum
I. Close observation for additional risk factors + low molecular weight heparin for 6 weeks post-partum
J. Graduated elastic compression stockings
K. Low molecular weight heparin 10 days post-partum
L. Low molecular weight heparin antenatally + 7 days post-partum
M. Warfarin from 12 weeks
For each scenario described below, choose the single most appropriate management from the above list of options. Each option may be used once, more than once, or not at all.
1. A 33 year old woman with BMI =32, attends the antenatal clinic at 32 weeks gestation. She is known to be smoker and has uncontrolled high blood pressure. She is being admitted. Regarding her thromboprophylaxis, you are required to give your opinion?