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Re: Gyn: OCPsFrom: Gail Waldby, MD (gwaldby@main.basec.net)Fri Aug 28 06:50:59 1998
I have not seen any article that specifically addresses the issue of OCP's post-op in a patient on Coumadin as prophylaxis for DVT/PE after ortho surgery. Have you? My impression of this issue is that the OCP's make the patient high risk, so you treat them as high risk with subcu heparin for non-ortho surgery and Coumadin for ortho surgery. I don't think you have to discontinue the OCP's if you use the appropriate prophylaxis for their degree of risk. The average patient on OCP's would lack one of the major causes of DVT/PE risk which is age over 40 and increasing age over 40 (that is the 80 year old has a much greater risk because of age than the 41 year old). Gail Waldby, MD Huron Clinic SD Betsy Hyde wrote:
> I am also reading the
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