Postpartum haemorrhage and emergencies: anticoagulant in lactation: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Postpartum haemorrhage and emergencies: anticoagulant in lactation

Sample item

A breastfeeding woman who developed a deep vein thrombosis after delivery needs long-term oral anticoagulation. Which drug is acceptable?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Warfarin

Warfarin does not pass into breast milk in significant amounts and is considered compatible with breastfeeding. Heparins are also safe. Direct oral anticoagulants lack safety data in lactation and are generally avoided.

Option by option

  • A. Dabigatran

    Dabigatran is a direct oral anticoagulant and is avoided during lactation.

  • B. Apixaban

    Apixaban is a direct oral anticoagulant and is avoided during lactation for lack of safety data.

  • C. Warfarin (correct)

    Correct. Warfarin is compatible with breastfeeding.

  • D. Rivaroxaban

    Rivaroxaban is a direct oral anticoagulant and is avoided during lactation.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Warfarin. Warfarin does not pass into breast milk in significant amounts and is considered compatible with breastfeeding.

Why is "Dabigatran" not the answer?

Dabigatran is a direct oral anticoagulant and is avoided during lactation.

Why is "Apixaban" not the answer?

Apixaban is a direct oral anticoagulant and is avoided during lactation for lack of safety data.

Why is "Rivaroxaban" not the answer?

Rivaroxaban is a direct oral anticoagulant and is avoided during lactation.

What concept does this question test?

It tests Postpartum haemorrhage and emergencies: anticoagulant in lactation in OBG. Heparins are also safe. Direct oral anticoagulants lack safety data in lactation and are generally avoided.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Postpartum haemorrhage and emergencies: anticoagulant in lactation?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.