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Re: Placental thrombosis From: Efrain Ramirez (eramirezt@coqui.net) Mon Oct 30 15:46:10 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Question about placenta accreta" Previous message: Efrain Ramirez: "Re: Gyn: Recurrent dysplasia" In reply to: JD Stewart,MD: "Re: Placental thrombosis" Next in thread: RModugno@aol.com: "Re: Question about placenta accreta" Would you consider enoxaparin instead? Ef >At Mon, 30 Oct 2006, JD Stewart,MD wrote: > >Likely if they discovered the MTHFR heterozygous status, the >FVLeyden/Prothrombin/PA1 markers have been run as well. Possibly the >autoimmune SLE/AclAb/ Beta 2 Gly panel should be run, too if it hasn't. >If it was equivocal, rerunning the titers may be helpful as far as >pushing towards more aggressive anticoagulation. > >If she is positive for another marker, or IUGR as yet, moving to SQ >prophylactic heparin may be a reasonable step. > >Adding ASA QD shouldn't hurt either. > >I'm curious as to why a thrombophilic pregnant woman is on bedrest...is >there a hypertension problem? An aerobics instructor problem? Compliance >problem? > >At any rate, she is certainly at a risk to deliver early- consider >steroids at whatever recipe you are fond of... > >At Sat, 28 Oct 2006, Andrew Folley wrote: >> >>Any thoughts on a G5P1A3 with 1 living child and 2 miscarriages and a >>history of 16 week prior fetal demise admit with "placental thrombosis". >>Patient with dx of thrombophilia based on MTHFR heterozygous status. Echo >>showed thickend placenta 5 cm at 31 weeks. Dopplers normal but some >>"notching" of the uterine artery. Plan bedrest and folic acid b12 till term >>per MFMs. >>Any experiecne with this???? > >-- >JD. Stewart, MD >MFM up too late all night, every night > -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: RModugno@aol.com: "Re: Question about placenta accreta" Previous message: Efrain Ramirez: "Re: Gyn: Recurrent dysplasia" In reply to: JD Stewart,MD: "Re: Placental thrombosis" Next in thread: RModugno@aol.com: "Re: Question about placenta accreta"

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