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Featured in NEJM Journal Watch: Watch for Clots During the "Fourth Trimester" — Physician’s First Watch

Medical News |
February 14, 2014

Featured in NEJM Journal Watch: Watch for Clots During the "Fourth Trimester"

By the NEJM Journal Watch Editors

Risk for thrombosis remains elevated for 12 weeks postpartum, according to a study in the New England Journal of Medicine. Eleanor Bimla Schwarz says that based on this study, she will "now consider offering thrombotic prophylaxis to high-risk women throughout the first 12 weeks after delivery," and she will encourage "postpartum patients to wait 12 weeks before using estrogen-containing contraception."

Reader Comments (1)

N CHARKES Physician, Internal Medicine, Temple University Hospital, Philadelphia PA

Sorry, but a thrombus is not a clot. A thrombus is an organized
grouping of platelets, red blood cells, fibrin. and other components,
forming in attachment to a wall, such as vascular endotheium.
A clot is a disorganized mass of blood. They are not the same.
Do not repeat this mistake.

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