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A Case of 32 YR G3P1L1A1/PREV NVD/LCB 10 YRS/GA ? 18W+ 2 D/Known case of DVT on T.acitrom 3 mg od came with USG showing f/s/o hydrops fetalis/IUD On admission PT 32 , INR 2.7 T.acitrom stopped ,inj vit K given for 3 days PT- 16.7 INR -1.27 expulsion of dead born boy fetus of wt 300 grams On PAD 1 ,patient started on inj HEPARIN 5000u IV QID and T.ACITROM 4mg OD PT ? 21 INR 1.84 Later patient switched to T.Acitrom 4 mg OD PT-17.5 INR 1.44 ,hence T.Acitrom 5mg OD Given and discharged with PT 33.3 INR 2.79 CONCLUSION -.Obstetric-associated VTE is an important cause of maternal morbidity and mortality . During pregnancy, the risk of VTE is increased five to tenfold compared to non-pregnant women . Treatment and prevention of VTE is complicated by the need to consider fetal, as well as maternal, wellbeing when making management decisions.