Re: What would you do?

From: Andrew Folley (agfolley@hotmail.com)
Fri Dec 29 13:47:02 2006


Use of lovenox daily IM until 36 weeks. Switch over to heparin at that time. Plan vaginal birth. Consider induction and stop heaprin the night before. Reheparinize 24 hour post partum and start coumadin for 6 months. dc heparin when coumadin PT level 2-3x normal. Also recommend a greenfield filter for her either now during the pregnacy or postartum.

In addition do thrombophilia workup including homocystiene level, anti phospholipids, lupus, ana and typical antitrhombin 111 deficiency protein s and c etc.

>From: Bernard Cristalli <bcrist@club-internet.fr>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: What would you do?
>Date: Thu, 28 Dec 2006 08:04:17 -0600
>
>Then let the pregnancy go its normal way and discuss the way of delivery on
>time.
>A vaginal delivery would expose to a lesser risk than a CS. Lesser risk of
>hemorrhage and lesser risk of thrombo-embolic accidents.
>IMHO
>BC
>
>Dr Eberhard Lisse a écrit :
>>And then do what?
>>
>>el
>>
>>on 12/28/06 12:36 PM Bernard Cristalli said the following:
>>
>>>Wait till the cardio-pulmonary situation is stable.
>>>BC
>>>
>>

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