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Re: DVT and Pregnancy From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk) Mon Feb 26 08:50:15 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Griffiths Malcolm: "Re: Progesterone IUD" Previous message: art fougner, md: "Re: multiple myeloma with vaginal bleeding" Maybe in reply to: Steven W Crawford: "DVT and Pregnancy" Next in thread: Griffiths Malcolm: "Re: DVT and Pregnancy" I'm happy for anyone to disagree! However is there any evidence to support a more aggressive policy? I feel almost certain (but can't put a finger on it) that I have seen something published recently that says aspirin is enough until labour/delivery. -----Original Message----- From: eramirez@icepr.com [mailto:eramirez@icepr.com] Sent: 23 February 2001 22:34 To: Multiple recipients of list OB-GYN-L Subject: 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 ********************************************************************** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This footnote also confirms that this email message has been swept by MIMEsweeper for the presence of computer viruses. ********************************************************************** Next message: Griffiths Malcolm: "Re: Progesterone IUD" Previous message: art fougner, md: "Re: multiple myeloma with vaginal bleeding" Maybe in reply to: Steven W Crawford: "DVT and Pregnancy" Next in thread: Griffiths Malcolm: "Re: DVT and Pregnancy"

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