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Low Molecular weight Heparin in pregnancyFrom: John & Sylvia Robertson (jsrobert@uniserve.com)Fri Aug 29 17:32:48 1997
Have a patient who had a very traumatic pregnancy with PE requiring ICU admission and ventilation. Although she is quite inteligent and aware of the potential risks of a future pregnancy she is still contemplating one. She is also somewhat resistant to 9(+) months of heparin which she has been told is necessary. I have revied some of the OBGYN-L discussion on Low Molecular Weight Heparin (LMW Heparin) and have done a lit search using the engine provided by OBGYN.net (Thank you Roberta and sponsors!) and have come up with 2 recent articles on approx 40 and 60 patients respectively. This seems fairly experimental to me at present, but I am interested in other peoples experiences and thoughts. Thanks In another vien (pun intended), after the recent discussion on abuse in women, I have recently started to ask all new patients about past or present abuse and am getting more posative responses than negative ones. Unlike the original poster I practice in a mostly farming community that is considered to be a bit of a bible belt. It is obviously much more common than I had originally thougt. Thank you to the original poster for prodding me into taking a more complete history. John J.G.M. Robertson MD, 109-9181 Main St. Chilliwack, B.C., Canada, V2P 4M9 (604) 793-9988, Fax 793-9987 e-mail jgmr@unixg.ubc.ca
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