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Re: anticoagulationFrom: Ahmed Talaat (a.s.talaat@mds.qmw.ac.uk)Wed Apr 1 02:43:35 1998
At Wed, 01 Apr 1998, Peter Wein wrote: > >At 12:45 AM 01/04/98 -0600, you wrote: >>In message <199804010623.QAA00782@ariel.ucs.unimelb.EDU.AU> writes: >>> >>> She shouldn't be on warfarin at all - especially in the first trimester! It >>> is teratogenic, although he exact risk is uncertain, and there is a risk of >>> fetal bleeding ( e.g. inracranial) at any time in pregnancy because it >>> crosses the placenta. >> >>That's one I got. >> >>Do they celebrate April Fool's Day in Australia? :-) >> >>--------------------------------------------------------------------------- >> >>--------------------------------------------------------------------------- >>Bob Woolley >>--------------------------------------------------------------------------- >>St. Paul, Minnesota >> >>"THE PRESIDENT HAS KEPT ALL OF THE PROMISES HE INTENDED TO KEEP." >> -Clinton aide George Stephanopolous speaking on "Larry King Live" >> >I have got much experience in the management of haematological disorders during pregnany. It is very awful to give warfarin in the first trimester or the last trimester. However, during the second trimester you can give warfarin with a very low risk of having maternal osteoporotic and osteoplytic changes. Regarding the foetal risk, my point of view is so balanced between weighing the risk of thromboembolic disorders and the intrauterine fetal effects of warfarin.
>Yes - we do - but I got this after midday - and we have a custom that
-- Dr. A.S. Talaat lecturer of Obstetrics and Gynaecology El-Minya University Hospital Egypt Clinical visitor at the Royal London Hospital, UK
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