A 36 week pregnant women with a prosthetic valve replacement for mitral stenosis is on warfarin therapy. 

Her INR is 3.

what is the next  appropriate step in management?

  • #cardiology
  • #nursing
  • #fmt
  • #gynaecology - ivf

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Dr. Anuradha

Switch over to either low molecular heparin or to heparin till delivery after that switch to warfare

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