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LWM heparinFrom: Betsy Hyde (elishyde@connix.com)Fri Jan 14 17:18:34 2000
>>The "standard" strategy for handling pregnant women in need of >>anticoagulation is to use heparin in early pregnancy, say until about 12-14 >>weeks, and then switch back to coumadin until a few weeks before delivery. >>Then switch to heparin peripartally, then back to coumadin postpartally. Of >>course, there are lots of variations as to how to do this. at what stage of pregnancy would you start LMW heparin if woman w/ +Factor V Leiden, etc? Assuming that the diagnosis was made based on poor ob hx (habitual ab) would you start at dx of pregnancy, confirmation of viability, 2nd trimester?
-- Betsy Hyde CNM Branford, CT
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