Multidisciplinary care of the pregnant patient with or at risk for venous thromboembolism: a recommended toolkit from the Foundation for Women and Girls with Blood Disorders Thrombosis Subcommittee

Bethany Samuelson Bannow; Jerome J Federspiel; David E Abel; Logan Mauney; Rachel P Rosovsky; Shannon M Bates

doi:10.1016/j.jtha.2023.03.015

Multidisciplinary care of the pregnant patient with or at risk for venous thromboembolism: a recommended toolkit from the Foundation for Women and Girls with Blood Disorders Thrombosis Subcommittee

J Thromb Haemost. 2023 Jun;21(6):1432-1440. doi: 10.1016/j.jtha.2023.03.015. Epub 2023 Mar 25.

Authors

Bethany Samuelson Bannow¹, Jerome J Federspiel², David E Abel³, Logan Mauney⁴, Rachel P Rosovsky⁵, Shannon M Bates⁶

Affiliations

¹ The Hemophilia Center at Oregon Health and Science University, Portland, Oregon, USA. Electronic address: samuelsb@ohsu.edu.
² Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina, USA.
³ Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon, USA.
⁴ Department of Obstetrics and Gynecology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
⁵ Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
⁶ Department of Medicine, McMaster University, Hamilton, Ontario, Canada.

PMID: 36972785
PMCID: PMC10192106 (available on 2024-06-01)
DOI: 10.1016/j.jtha.2023.03.015

Abstract

The care of pregnant persons with/at risk of venous thromboembolism is complex and often challenging. Although guidelines have been published regarding the use of specific therapies, such as anticoagulants; in this population, none have provided guidance on how to coordinate multidisciplinary care of these patients. Here we provide an expert consensus on the role of various providers in the care of this patient population, as well as necessary resources and suggestions for best practices.

Keywords: anticoagulants; deep-vein thrombosis; pregnancy; pulmonary embolism; venous thromboembolism.

MeSH terms

Anticoagulants / adverse effects
Female
Humans
Pregnancy
Pulmonary Embolism* / epidemiology
Risk Factors
Thrombosis*
Venous Thromboembolism* / diagnosis
Venous Thromboembolism* / therapy
Venous Thrombosis* / epidemiology

Substances

Anticoagulants

Abstract

MeSH terms

Substances

Grants and funding