Re: anticoagulation

From: Bernard Cristalli (bcrist@club-internet.fr)
Wed Apr 1 13:09:08 1998


Peter Wein wrote: >
> At 12:03 AM 01/04/98 -0600, you wrote:
> >I have a 22 year-old currently 10 weeks pregnant, first pregnancy. About 2
> > weeks ago she developed a deep vein thrombosis in the left calf and thigh. She's
> > been on Coumadin (warfarin) since then (with heparin the first three days), and
> > is now basically asymptomatic.
> >
> >So now the question is, how long should she stay on the Coumadin? 3 months? 6
> >months? The duration of the pregnancy?

>
> 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.
>

--

So is my opinion.

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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