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Gynaecology & Obstetrics General obstetrics f01b0492

Sarita, a 30-year-old woman develops a deep vein thrombosis in her left calf on the fouh postoperative day following cesarean section done for fetal distress. The patient is staed on heparin and is scheduled to begin a 6 weeks course of warfarin therapy. The patient Is a devoted mother who wants to breastfeed her baby. What is the advice which is given to the patient?

A
Patient may continue breast feeding at her own risk
B
Patient should breast feed her baby only If her INR is at <2.5
C
Warfarin is absolutely contraindicated during lactation
D
Warfarin is not a contraindication for lactation
High-Yield Explanation
The anticoagulant (warfarin, LMWH or unfractionated heparin) is safe for breastfeeding.Reference: DC Dutta&;s Textbook of Obstetrics, 8th edition, page no:510

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