Re: Coumadin and pregnancy

From: james connerth (babydoc@apex.net)
Fri Jan 14 11:50:40 2000


Lots of new lit. coming out on LMWH in preg for acute Rx and prophylaxis--all looks good-costs about 500/wk for acute rx--no need to follow PTT's.Have used it once so far with good results.

"Gerald P. Rodriguez" wrote:

> Although I have not seen any literature on the use of low molecular weight
> heparin (Lovenox) in pregnancy, if I were in your shoes or her
> obstetrician's shoes, I would vigorously pursue this as a possibility since
> this seems to be becoming the standard for the treatment of thrombophlebitis
> and thromboembolic disease--at least on the outpatient population.
>
> Gerald P. Rodriguez

>> ----- Original Message -----
> From: Jerry R. Rowe MD <md2b99@yahoo.com>
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net>
> Sent: Friday, January 14, 2000 10:20 AM
> Subject: Coumadin and pregnancy
>
> > I need some advice from other medical professionals on a sugject.
> >
> > My step daughter is 21 and had a congenital defect in her heart repaired
> > 3 years ago. She now needs a replacement of her mitral valve with a
> > mechanical one.
> >
> > She is conserned about not geing able to have children and has found
> > several internet articles and chat areas that talk about women haveing
> > sucessful pregnancies while on coumadin.
> >
> > Therefore, I have three questions I would like to pose to my colleges as
> > a group.
> >
> > 1. Is there an absolute contraindication to pregnancies and coumadin
> > therapy?
> >
> > 2. What are the possilbe consequences of a pregnancy with a mitral
> > valve replacement.
> >
> > 3. Could she use sq hepain/lovenox while pregnant?
> >
> > Thanks;
> >
> > Jerry R. Rowe MD
> >





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