A 40-year-old healthy primigravida with a history of previous deep venous thrombosis. Which of the following is the most appropriate management? A. Aspirin B. Heparin C. Enoxaparin... A 40-year-old healthy primigravida with a history of previous deep venous thrombosis. Which of the following is the most appropriate management? A. Aspirin B. Heparin C. Enoxaparin D. No anticoagulants
Understand the Problem
This question is asking about the most appropriate management for a healthy 40-year-old primigravida (first-time pregnant woman) with a history of previous deep venous thrombosis (DVT). It is important to consider how to manage the risk of DVT in pregnancy. The options provided include different anticoagulant medications and a choice of no anticoagulants.
Answer
Enoxaparin.
The final answer is Enoxaparin.
Answer for screen readers
The final answer is Enoxaparin.
More Information
Enoxaparin, which is a low molecular weight heparin, is often used during pregnancy for women with a history of thrombosis due to its safety and efficacy profile. This choice helps prevent thrombotic events without posing significant risk to the fetus.
Tips
A common mistake is to select aspirin, but it is not typically recommended for venous thromboembolism in pregnancy. Proper understanding of anticoagulants and their safety profiles is necessary, especially concerning pregnancy.
Sources
- Guidance for the treatment of deep vein thrombosis and pulmonary - pmc.ncbi.nlm.nih.gov
- Venous Thromboembolism in the Context of Pregnancy - hematology.org
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