Question

A 38 year old Aboriginal woman with rheumatic mitral stenosis and permanent atrial fibrillation is pregnant. She has moderate mitral stenosis and no prior thromboembolism. Which statement regarding anticoagulation is most appropriate?

Accepted Answer

Therapeutic anticoagulation with heparin in the first trimester and warfarin thereafter may be required based on risk assessment

Answer

No anticoagulation is required because she is young

Answer

Aspirin alone is sufficient

Answer

Warfarin is always contraindicated in pregnancy

Answer

Anticoagulation is unnecessary if rate control is achieved

Practice question

A 38 year old Aboriginal woman with rheumatic mitral stenosis and permanent atrial fibrillation is pregnant. She has moderate mitral stenosis and no prior thromboembolism. Which statement regarding anticoagulation is most appropriate?