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FRCPath Haem Part 1 MCQ-Haemostasis 147

A 28-year-old woman with a mechanical mitral valve is 7 weeks pregnant. She is taking warfarin 6 mg daily (INR 2.5–3.5). Most Appropriate step?

  • Continue warfarin until 36 weeks gestation

  • Continue warfarin throughout pregnancy

  • Stop warfarin and use unfractionated heparin

  • Switch immediately to LMWH with Anti Xa monitoring

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