 |
 |
 |
|
|
|||
|
|
||||
|
||||
|
Re: Heparin during pregnancy, do I really need it???From: R. (anonymous@obgyn.net)Mon, 29 Mar 1999 13:47:28 -0600 (CST)
At Sun, 28 Mar 1999, Thomas wrote: > >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). > Just in case you need one more opinion, I concur with both Dr. Ind and Dr. McIntosh. Twice daily injections of Heparin sound terrible, but most ladies who have done it say hey it's a breeze after they've gotten started. Thrombo-embolic phenomena are teh number one cause of Maternal Death in North America today.
--
R.Daniel Braun, MD FACOG
Clinical Professor of Obstetrics and Gynecology
Indiana University School of Medicine
Indianapolis, IN
"Heisenberg might have slept here."
Unknown or maybe Indecisive Unknown
|
| |
Women's Insurance Checklist from Auto Insurance Quote home | medical professionals | women | industry | forums | internationale-mail | about us | advertising | our sponsors | contact us | disclaimer | This information is provided for educational purposes only. Please read the disclaimer. ©1996-2008, all rights reserved. Do not reproduce without permission of MediSpecialty.com |
![[ Pregnancy & Birth Forum ]](/pregnancy-birth/pnb_forum_L.gif)