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British Journal of Anaesthesia, 2002, Vol. 89, No. 2 331-334
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

High-dose tinzaparin in pregnancy and the need for urgent delivery

S. K. Backe and G. R. Lyons*

St James’s University Hospital, Beckett Street, Leeds LS9 7TF, UK*Corresponding author: The Royal Hospitals, Grosvenor Road, Belfast BT12 6BA, UK

The prolonged anticoagulant effects of high-dose low molecular weight heparin (LMWH) pose problems in pregnant women when unanticipated delivery is required. We present two pregnant women on therapeutic doses of LMWH whose labour did not progress smoothly. The Thrombelastograph® coagulation analyser was used to assess the coagulation status periodically. It influenced surgical and anaesthetic management and there was a safe outcome.

Br J Anaesth 2002; 89: 331–4


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