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Re: Fwd: Maternal Floor Infarction From: Hugo D. Ribot Jr. (hribot@mindspring.com) Thu Mar 20 15:16:08 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: KaReRo@aol.com: "Cancel subscription" Previous message: Ozren Mamula: "Re: severe post partum symptoms" Maybe in reply to: RModugno@aol.com: "Fwd: Maternal Floor Infarction" RModugno@aol.com wrote: > Any ideas on this condition? Candidate for empiric therapy with aspirin + or > - heparin? Robert: If you look in the archives of this forum, I had a pt with the identical clinical situation and placental histology. She lost *two* at 22-24 weeks. An MFM consultant opined that a uterine artery spasm or chronic high resistance situation may be contributing. This was documented by 1st trimester uterine artery Doppler flow studies showing absent end diastolic flow.This has resolved on follow up Doppler after initiation of Ca++ channel blocker therapy. Thus far on this, her third pregnancy I've got her to 33+ weeks, doing well by all accounts with weekly NSTs/fundal height measurements/ultrasounds. She has been on the following regimen from the 6th week:- ASA 81mg po qd Subcutaneous heparin 5000 units tid nifedipine 120mg [long acting] qd Hope this helps Hugo -- Hugo D. Ribot Jr., M.D., FACOG 958-A Joe Frank Harris Parkway, Suite 102 Cartersville, GA 30120 (770) 386-4824 voice 386-4220 fax hribot@mindspring.com Private practice in a 2 M.D., 2 C.N.M. situation Next message: KaReRo@aol.com: "Cancel subscription" Previous message: Ozren Mamula: "Re: severe post partum symptoms" Maybe in reply to: RModugno@aol.com: "Fwd: Maternal Floor Infarction"

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