Please note the two referral routes depending on whether the woman is pregnant or planning to conceive.
For pregnant women, this advice refers to those needing ongoing anticoagulation: warfarin & VKAs, low molecular weight heparin, fondaparinux, direct oral anticoagulants (DOACs).
- Pregnant: see below – requires urgent or semi-urgent referral. Please note that the haematology on call consultant should be phoned for advice about pregnant women on oral anticoagulants as outlined below.
- Preconception: patients should be referred to the Department of Haematology at RIE or SJH for counselling. For patients on long-term warfarin or other anticoagulants, please seek initial advice from the clinician managing the patient’s underlying condition, but also refer to the haematology clinic.
C.M & L.W 27-03-24
Who to refer:
URGENT: Pregnant and on warfarin, VKA or direct oral anticoagulant (DOAC):
telephone haematology consultant on call at RIE or SJH directly for advice, and involve locality consultant obstetrician
SEMI-URGENT: Pregnant and on therapeutic low molecular weight heparin or fondaparinux – please send urgent referral to haematology / obstetric clinic in RIE or SJH
How to refer:
Preconception: via Sci Gateway to Department of Haematology at RIE or SJH
Pregnant and on warfarin, VKA or DOAC:
phone haematology consultant on call via RIE or SJH switchboard
Pregnant and on therapeutic LMWH or fondaparinux: send letter to Department of Haematology RIE or SJH.
Primary care investigations
- Clinical history and documentation of results of imaging are most important
