Deep vein thrombosis practice

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Obstetrics and Gynaecologycommon

A 31-year-old woman at 10 weeks of pregnancy develops unilateral calf swelling and pleuritic discomfort. Ultrasound confirms a proximal femoral deep-vein thrombosis, and she is haemodynamically stable. She has no renal impairment, active bleeding or history of heparin-induced thrombocytopenia. Which anticoagulant is most appropriate?