PREGNANCY-BIRTH Messages for March, 1999: Re: Heparin during pregnancy, do I really need it???

Re: Heparin during pregnancy, do I really need it???

From: Thomas (anonymous@obgyn.net)
Sun, 28 Mar 1999 12:06:53 -0600 (CST)

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Reply: R.: "Re: Heparin during pregnancy, do I really need it???"

I would agree with Dr McIntosh

I have been discussing this lately with Dr Raj Rai who has done most of the work on Factor V Leiden in pregnancy. Quite simply, there has not yet been an adequate study looking at blood clots in pregnancy with heparin nor the other problems that it may be associated with such as fetal loss and growth restriction. However, the reason for this is that Factor V Leiden deficiency was the last 'thrombophilia' to be discovered and therefore the last to be tested. A study is presently underway though. However, we do know from other studies of other 'thrombophilias' that heparin not only improves the risks to the mother as Dr McIntosh explained, but also improves the risk to the baby. Therefore, I would want my wife to have it in your situation.

>If you were my sister, or my wife, I would strongly urge you to take the
>heparin. The first sign that you had anything wrong could be sudden
>death from a massive blood clot in your lungs. This may only have a
>1-2% incidence, but is it worth running that risk if there is a safe and
>effective treatment? And that's just the risk of death, not lesser
>morbidities. You are prone to making unwanted blood clots, both from
>heredity and from pregnancy. I have a 16 year old in the hospital right
>now, 10 days postpartum, who almost died from a pulmonary embolism, that
>does not have as many risk factors as you do.
>
>If you were told that you had 1 chance in 4 of having an auto accident
>during one specific trip to the market, I bet you would take extra care
>to wear your seat belt. Why is this any different?
>
>--
>William D. McIntosh, MD
>Clarksville, TN
>
>This is for educational purposes only. It is not intended
> to replace consultation and examination by your physician
> or other health care provider.
>

-- Thomas Ind MB BS MD MRCOG London UK

For every complex problem there is a simple solution...and it's wrong. (H L Mencken).

Next message: Thomas: "Re: Severe pelvic pain"
Previous message: William D. McIntosh, MD: "Re: Heparin during pregnancy, do I really need it???"
In reply to: William D. McIntosh, MD: "Re: Heparin during pregnancy, do I really need it???"
Next in thread: R.: "Re: Heparin during pregnancy, do I really need it???"
Reply: R.: "Re: Heparin during pregnancy, do I really need it???"

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