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. Author manuscript; available in PMC: 2023 Jul 25.
Published in final edited form as: Heart. 2020 Nov 24;107(17):1390–1397. doi: 10.1136/heartjnl-2020-317397

Table 5.

Characteristics of bleeding events during pregnancy

Trimester Anticoagulation at time of bleeding event Severity of bleeding event (CTCAE* grade) Treatment
First (n=10) Aspirin 4 1 8 Observation/uterotonic 8
Prophylactic heparin 2 2 1 medications 1
Therapeutic heparin 3 Volume replacement/blood 1
VKA 1 transfusion/factor complex
Interventional treatment
Second (n=10) (APH n=8, PPH n=2) Aspirin 4 1 6 Observation/uterotonic 5
Therapeutic heparin 1 3 2 medications 1
VKA 2 Volume replacement/blood 3
Combo§ 3 transfusion/factor complex
Interventional treatment
Third (n=18) (APH n=4, PPH n=14) None 3 1 9 Observation/uterotonic 11
Aspirin 5 2 5 medications 5
Prophylactic heparin 1 4 3 Volume replacement/blood 1
Therapeutic heparin 6 transfusion/factor complex 2
VKA 1 Interventional treatment
Combo§ 1 surgery
Type of event
Antepartum haemorrhage (n=17) Aspirin 6 1 11 Observation/uterotonic 11
Prophylactic heparin 3 2 3 medications 2
Therapeutic heparin 3 3 1 Volume replacement/blood 2
VKA 3 transfusion/factor complex
Combo§ 2 Interventional treatment
Postpartum haemorrhage (n=16) None 3 1 10 Observation/uterotonic 11
Aspirin 5 2 3 medications 4
Prophylactic heparin 1 4 1 Volume replacement/blood 2
Therapeutic heparin 5 transfusion/factor complex
VKA 1 Interventional treatment
Combo§ 1
Intracranial haemorrhage (n=1) Combo§ 1 III 1 Interventional treatment 1
Other (n=4) Aspirin 2 I 2 Observation/uterotonic medications 2
Therapeutic heparin 2 IV 2 Unknown 2
*

NIH/NCI Common Terminology Criteria for Adverse Events.

Heparin here refers to either unfractionated heparin or low molecular weight heparin.

Vitamin K antagonist.

§

Combination of anticoagulation/antiplatelet medications.

APH, antepartum haemorrhage; PPH, postpartum haemorrhage.