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Re: antiphospholipid antibody pregnancy

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 26 Jul 2000 15:06:15 -0500 (CDT)


At Wed, 26 Jul 2000, Jay wrote: >
>We are trying to get pregnant and my wife has been diagnosed with APS. I
>have been doing research on it and have found that baby aspirin and
>heparin are usually prescribed. Our doctor already has my wife on a
>baby aspirin and pre-natal vitamins. My question is, when does someone
>usually start the heparin, at the time of conception or six weeks
>(heartbeat). Our doctor is getting varying opinion on this.
>
>thanks for your help.
>
>--
>Jay
>

Jay, It really is a varied thing and depends on the previous manifestation of the antiphospholipid antibodies (APA). In other words, what prompted the testing, i.e. was there a bad pregnancy outcome, was it recurrent pregnancy loss. Additionally, it also depends on the lab testing performed.

For those patient who I determine warrant heparin therapy, I begin the heparin at the time of positive pregnancy test. However, there is really no ground lost by waiting until 6 weeks for confirmation of fetal cardiac activity... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)




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