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Re: Gyn: OCPsFrom: Peter Wein (p.wein@obsgyn-mercy.unimelb.EDU.AU)Sun Aug 30 20:19:16 1998
At 06:51 AM 28/08/98 -0500, you wrote: > >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 > How many women having major lower limb orthopaedic surgery need contraception, especially for the 6 weeks immediately post-op?????? Peter Wein Senior Lecturer Department of Obstetrics and Gynaecology University of Melbourne, Mercy Hospital for Women Clarendon Street, East Melbourne 3002 Australia Tel: +61 3 9270 2556 Fax: +61 3 9417 5406 Mobile: 0414 691690
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