Question

A 32-year-old woman with a mechanical mitral valve is 8 weeks pregnant and taking Warfarin. She attends the antenatal clinic. What is the most appropriate advice regarding her anticoagulation?

Accepted Answer

Discuss switching from Warfarin to low molecular weight heparin during pregnancy

Answer

Continue Warfarin throughout pregnancy without change

Answer

Stop all anticoagulation due to teratogenicity

Answer

Switch to Aspirin alone

Answer

Switch to a direct oral anticoagulant such as Rivaroxaban

Practice question

A 32-year-old woman with a mechanical mitral valve is 8 weeks pregnant and taking Warfarin. She attends the antenatal clinic. What is the most appropriate advice regarding her anticoagulation?