Re: Lupus and pregnancy

From: Lynn Montgomery, MD (apgar10@qwest.net)
Wed Jun 21 11:50:58 2006


Would start low-dose ASA (81 mg) daily. Stop at 36 weeks to allow platelet function to return to normal. Would also periodically assess interval fetal growth. Lynn

_____

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod, Darryl G Maj 48 MDOS/SGOBO Sent: Wednesday, June 21, 2006 3:21 AM To: Multiple recipients of list OB-GYN-L Subject: Lupus and pregnancy

I am seeing a 26 yo G2P1 with a known diagnosis of SLE. She recently had some bloodwork done that showed a positive lupus anticoagulant. She had previously been negative for LAC. She now is pregnant at about 5 weeks.

She has no prior poor obstetrical outcomes, no prior history of DVT nor family history of DVT.

Would you

a) do nothing and observe

b) start baby aspirin

c) start baby aspirin and heparin

Thanks,

Glen

//SIGNED//

D. Glen Elrod, Maj., USAF, MC

Obstetrician/Gynecologist

Chief of Obstetrics

48 MDOS/SGOBO

RAF Lakenheath, England

Telephone DSN: 314-226-8130

Comm: +44 (0) 1638 52 8130

Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer.





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Thu Oct 2 04:53:37 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.