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Prior DVTFrom: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Fri Apr 22 06:37:46 2005
I have a 30 yo G1P1 whose prior pregnancy was complicated by chorio/failure to progress and resulted in a section. At 4 weeks postpartum she developed a DVT. In looking at her Doppler study it appears that the clot went from hip to ankle. It included common femoral, deep femoral, superficial femoral, popliteal, ant/post tibial and peroneal vein. She was on coumadin afterwards for 6 months. Her complete thrombophilia workup was negative. She now has had her IUD out and wants to try and get pregnant. I know that prophylaxis is recommended during the next pregnancy, but does anyone have an idea of what her RISK of recurrence would be? Would that risk be higher than a less involved DVT? I have read anywhere between 4-12% recurrence. Thanks, Glen
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