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Re: antiphospholipid antibody pregnancyFrom: Jay (anonymous@obgyn.net)Wed, 26 Jul 2000 16:49:54 -0500 (CDT)
At Wed, 26 Jul 2000, Lynn D. Montgomery, MD wrote: > >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 ;-) > Thank you for the information, it is quite helpful!
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