A woman with antithrombin deficiency and recent sinus venous thrombosis during her last pregnancy is under LMWH treatment. Cesarean section is programmed for next week and she is going to be treated with antithrombin III concentrates pre and postpartum for a few days. Is antithrombin III concentrate safe for breastfeeding? Since it is necessary to continue anticoagulation after delivery, and LMWH is not a treatment of choice for her, we plan to continue treatment with acenocoumarol (sintrom) or rivaroxaban. I know that acenocoumarol is safer for breastfeeding but since she prefers rivaroxaban what is your opinion concerning breastfeeding? Should she stop breastfeeding if she chooses rivaroxaban?
Thank you in advance.
Thank you in advance.
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