After cesarean section, the most appropriate thromboprophylaxis for a woman with BMI 35 and prior history of deep vein thrombosis is:

• A Compression stockings alone
• B Low-molecular-weight heparin for 7 days post-discharge
• C Unfractionated heparin for 48 hours only
• D Low-molecular-weight heparin for 6 weeks post-discharge ✓

Explanation

Women with prior VTE who undergo cesarean section are at high risk for thromboembolism (RCOG Green-top Guideline). Both prior VTE and obesity (BMI >30) are independent high-risk factors. RCOG recommends extended LMWH prophylaxis for 6 weeks postpartum in women with prior VTE. Compression stockings are additive but insufficient as sole prophylaxis in high-risk patients.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.