Factor V Leiden and Regional Anesthesia in Pregnancy

What are your guys thoughts? Last week I had a 22yo VERY NON-COMPLIANT patient with history of FVL present in labor. Patient was "seen" by MFM and heme-onc, sporadically. Her history of FVL included MULTIPLE blood clots including thrombotic events even during periods of compliance with anticoagulation. Per her notes in between clotting episodes she had been put on numerous meds including Lovenox and Xarelto. Back in 2015 she had in intracardiac thrombus which hwas usrgically removed... Factor V Leiden and Regional Anesthesia in Pregnancy
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