COVID-19 Updates

  • 1.  PROPHYLACTIC ANTICOAGULATION

    Posted 04-10-2020 12:25
    In your respective institutions, do you administer prophylactic anticoagulation to COVID positive pregnant/postpartum patients due to concerns of microembolism & DIC?

    ------------------------------
    Caroline Stella
    White Plains Hospital Maternal-Fetal Medicine
    ------------------------------


  • 2.  RE: PROPHYLACTIC ANTICOAGULATION

    Posted 04-13-2020 07:49
    Yes, we are administering thromboprophylaxis to our pregnant women with COVID pneumonia who require admission. Full anticoagulation dose is given to patients with severe respiratory complications requiring support, since microemboli have been implicated in pulmonary dysfunction in these cases and large emboli have been described in cases with advanced disease.

    ------------------------------
    Daniel Lasser
    ------------------------------

    Original Message


  • 3.  RE: PROPHYLACTIC ANTICOAGULATION

    Posted 04-13-2020 11:22
    Appreciate your response!  Here in NY, the protocols vary. Some centers automatically administer thromboprophylaxis on admission if COVID positive, while some centers start thromboprophylaxis only on COVID positive patients with severe respiratory symptoms.

    ------------------------------
    Caroline Stella
    ------------------------------

    Original Message