Re: Lovenox
From: jayacy jayankar (jayacy@gmail.com)
Tue Apr 8 01:01:47 2008
hello
how are you.
yes am the same person your guessing.
where u now.
hows your son must be a big boy.
do revert
thanx for pickin me up
regards
jc
On 4/8/08, poongulali selvamuthu <pselvamuthu@yahoo.com> wrote:
>
> 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.<
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> >
> > >
> >
>