Table 2.
Isolating at home | Inpatient | |||||
---|---|---|---|---|---|---|
Low‐risk pregnancy and low risk for VTE | Risk factors for VTE and not receiving TP | Receiving TP | Hospitalized for non‐COVID‐19‐ related reason, but asymptomatic or minor symptoms such as anosmia | Pneumonia requiring supplementary oxygen but not ventilation | Pneumonia requiring mechanical ventilation | |
Antepartum | Encourage hydration and mobilization | Conduct risk assessment and consider TP on individual basis | Continue TP | Conduct risk assessment and consider TP on individual basis | Give TP (LMWH) | Give TP (LMWH); dose according to local critical care protocol |
Peripartum | Not applicable | Follow local policy for interruption of anticoagulation prior to delivery | Follow local policy for interruption of anticoagulation prior to delivery | Follow local policy for interruption of anticoagulation prior to delivery | Follow local policy for interruption of anticoagulation prior to delivery | Follow local policy for interruption of anticoagulation prior to delivery |
Postpartum (while in hospital) | Usual care | Conduct risk assessment and consider TP on individual basis | Continue usual TP | Conduct risk assessment and consider TP on individual basis | Give TP (LMWH) | Give TP (LMWH); dose according to local critical care protocol |
Postpartum (upon discharge) | Usual care; encourage hydration and mobilization | Usual care and consider TP on individual basis; encourage hydration and mobilization | Decision based on primary indication for TP; encourage hydration and mobilization | Conduct risk assessment and consider TP on individual basis; encourage hydration and mobilization | Conduct risk assessment and consider extended TP on individual basis; encourage hydration and mobilization | Conduct risk assessment and consider extended TP on individual basis; encourage hydration and mobilization |
LMWH, low molecular weight heparin; VTE, venous thromboembolism.