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Re: DVT and Pregnancy From: Efrain Ramirez (eramirez@icepr.com) Fri Feb 23 15:32:49 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Cryotherapy in the Frozen North" Previous message: Efrain Ramirez: "Re: some questions about vaginal discharge,amniositis,premature birth" In reply to: Griffiths Malcolm: "Re: DVT and Pregnancy" Next in thread: J. Hellriegel: "Re: DVT and Pregnancy" Reply: J. Hellriegel: "Re: DVT and Pregnancy" I don't agree with Malcom - prior DVT is an indication for prophylatic low dose heparin -I would give her heparin as you did - increase to 8,000 BID at 20 weeks - no problem in labor - Lovenox is an alternative -- costly - give calcium with Vit D. Antiembolic stockings are Ok - At Fri, 23 Feb 2001, Griffiths Malcolm wrote: > >I don't think I or my colleagues would have had this patient on Heparin >through pregnancy. We would simply have dad her on low-dose heparin. > >However if you have decided to use it there are no real special precautions >at this dosage needed. > >If she has CS, I'd use anti-embolism stockings of pneumatic calf compression >(or both) as well. > >-----Original Message----- >From: Steven W Crawford [mailto:scrawfmd@zoomnet.net] >Sent: 22 February 2001 22:44 >To: Multiple recipients of list OB-GYN-L >Subject: DVT and Pregnancy > >Dear List Members, > >I have a 22 yo G1 at 35 weeks gest, who has been on Heparin 5,000 units >SQ. BID since 18 weeks gestation. > >She is on Heparin due to her history of a left leg DVT a couple of years >ago. > >What should I do at time of delivery? Stop Heparin soon? Any >difference in management if she has a c-section versus a vaginal >delivery? > >Thank you very much for your help! > >Steven Crawford, MD >OB/GYN >Ohio -- "Life is neither the notes nor the silence between the notes, but the music that arises out of sound and silence felt as a living whole. Stop choosing...between chaos and order, and live at the boundary between them, where rest and action move together..." David Whyte Next message: Efrain Ramirez: "Re: Cryotherapy in the Frozen North" Previous message: Efrain Ramirez: "Re: some questions about vaginal discharge,amniositis,premature birth" In reply to: Griffiths Malcolm: "Re: DVT and Pregnancy" Next in thread: J. Hellriegel: "Re: DVT and Pregnancy" Reply: J. Hellriegel: "Re: DVT and Pregnancy"

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