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February 21, 2005British Journal of HaematologyOpen Access

Low molecular weight heparin in pregnancy: current issues

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Key result

Low molecular weight heparin is widely used and considered safer than unfractionated heparin for venous thromboembolism in pregnancy, though robust clinical trials are urgently needed.

Why the study?

Does low molecular weight heparin provide safe and effective prophylaxis and treatment for venous thromboembolism in pregnancy compared to unfractionated heparin?

Population

Pregnant and puerperal women requiring prophylaxis or treatment for venous thromboembolism

Comparison

Low molecular weight heparin (LMWH) vs Unfractionated heparin (UFH)

Design

Review

Authors

IGIan GreerQueen's University BelfastBHBeverley J. HuntUniversity of London

Discussion

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Implication

Supports LMWH preference for VTE in pregnancy; leaves open standardized dosing and monitoring pending RCTs.

Structured PICO

Does low molecular weight heparin provide safe and effective prophylaxis and treatment for venous thromboembolism in pregnancy compared to unfractionated heparin?

P
Population
Pregnant and puerperal women requiring prophylaxis or treatment for venous thromboembolism
I
Intervention
Low molecular weight heparin (LMWH)
C
Comparator
Unfractionated heparin (UFH)

While LMWH is the preferred anticoagulant in pregnancy due to safety and practical advantages over UFH, robust clinical trials are urgently needed to establish standardized dosing and monitoring protocols.

Limitations

  • Lack of an evidence base
  • Clinical practice has grown largely through small trials, observational studies, personal experience and anecdote
  • Reliance on small trials, observational studies, and anecdote

Cite This Study

Greer et al. (2005) conducted a review in Venous thromboembolism in pregnancy. Low molecular weight heparin (LMWH) vs. Unfractionated heparin (UFH) was evaluated. Low molecular weight heparin is widely used and considered safer than unfractionated heparin for venous thromboembolism in pregnancy, though robust clinical trials are urgently needed.

synapsesocial.com/papers/6a0fbfeb96ccf432805fc314https://doi.org/10.1111/j.1365-2141.2004.05304.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Anticoagulation of Pregnant Women With Mechanical Heart Valves2003 · 183 citations
  2. 2Emergency redo mitral valve replacement in a 27-year-old pregnant female with a clotted prosthetic mitral valve, preoperative fetal demise and postoperative ventricular assist device: a case report2001 · 13 citations
  3. 3Cancer-Associated Thrombosis2003 · 357 citations
  4. 4Antenatal use of enoxaparin for prevention and treatment of thromboembolism in pregnancy2000 · 102 citations
  5. 5Heparin-Induced Thrombocytopenia in Patients Treated with Low-Molecular-Weight Heparin or Unfractionated Heparin1995 · 2,348 citations