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Anticoagulation in pregnancy — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsAnticoagulation in pregnancyGPhC CRA

A woman taking warfarin for a previous venous thromboembolism tells the pharmacist she is 7 weeks pregnant. She has not yet contacted her anticoagulation clinic. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Advise urgent contact with the anticoagulation clinic or prescriber today

Warfarin can harm the fetus and anticoagulation in pregnancy usually requires specialist management, commonly with low molecular weight heparin where indicated. The patient needs urgent advice because abrupt changes can also create thrombosis risk. Aspirin is not an equivalent treatment for venous thromboembolism prevention. DOACs are not OTC medicines and are generally avoided in pregnancy.

Reference: BNF; NICE CKS