Re: Lovenox
From: poongulali selvamuthu (pselvamuthu@yahoo.com)
Mon Apr 7 22:16:15 2008
Hi Dr.Jayacy,
Sorry for this separate mail.Did you do your ost
graduation at SRMC.
Regards,
Poongulali
--- jayacy jayankar <jayacy@gmail.com> wrote:
> hello
>
> I read all your views and it interseting to know the
> different
> management options,things sometimes which u can't go
> by the book or
> guidelines.
> Could anyone tell me up to which gestation can low
> dose aspirin be given,and
> in case while on medication the woman has PPROM will
> this cause cardiac
> problems for the newborn.
>
> Thank you
> jaycy
>
> iOn 3/20/08, Henry Gregor <henrygregor@yahoo.com>
> wrote:
>
> > Thanks for your help.
> >
> > Hank
> >
> > *Meghan Hayes <Meghan_Hayes@brown.edu>* wrote:
> >
> > Controversy continues, but this represents current
> expert opinion:
> >
> > Prophylaxis for women with prior venous
> thromboembolism would be:
> > 1st 20 weeks: enoxaparin 40 mg subcutaneously (SC)
> every 24 hrs or 30 mg
> > every 12 hrs
> >
> > 20 to ~36 weeks: enoxaparin 40 mg SC every 12 hrs
> >
> > 36 (earlier if multiples, PTL, etc) to induction:
> unfractionated heparin
> > 10 000 units SC every 12 hrs, hold at the first
> indication of labor
> > (shorter duration of action, may be reversed with
> protamine IV)
> >
> > 12-24 hours postpartum to 6-8 wks PP: enoxaparin
> 40 mg SC every 24 hours
> >
> > In women with antiphospholipid antibody syndrome +
> h/o VTE, full dose,
> > ie, 1 mg per kg SC q12 with antifactor Xa
> monitoring would be
> > appropriate. Women known to have antithrombin
> deficiency + h/o VTE (if
> > not recommended to use lifelong therapeutic
> anticoagulation) likely have
> > increased risk and warrant enoxaparin 1 mg/kg/day
> antepartum and
> > postpartum.
> >
> > See: Rodger M, Rosene-Montella K, Barbour LA.
> Acute Thromboembolic
> > Disease. In: Rosene-Montella K, Keely E, Barbour
> LA, Lee RV, eds.
> > Medical Care of the Pregnant Patient, 2nd ed.
> 2008.
> >
> > Meghan Hayes
> > Obstetric Medicine
> > Brown University
> >
> > At Tue, 18 Mar 2008, Henry Gregor wrote:
> > >
> > >I have two pregnant patients w/past hx of DVT in
> prior pregnancy, on
> > heparin prophylaxis in current pregnancy and local
> pharmacies are awaiting
> > replacements on heparin stocks returned after
> recent recall actions. ...
> > what dose Lovenox would be advised...30 or 40 mg
> SC?
> > >
> > > Thanks
> >
> > ------------------------------
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now.<http://us.rd.yahoo.com/evtQ733/*http://mobile.yahoo.com/;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ>
> >
>
