WOMENS-HEALTH Messages for March, 2000: Re: baby aspirin to prevent miscarriage

Re: baby aspirin to prevent miscarriage

From: Alison (anonymous@obgyn.net)
Wed, 29 Mar 2000 15:02:03 -0600 (CST)

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At Tue, 26 Aug 1997, Mary wrote: >
>Thanks so much for your quick reply! That was my first post, so I wasn't
>sure if or when I would get an answer. You have made me feel better,
>although after the year I've had I think I'll always be a bit nervous
>about pregnancy. Anyway, thanks a million. I trust my doctor but I
>didn't want to make him feel like I was questioning his judgement or
>doubting him. Thanks for the good luck, too. We need it!
>
>I guess aspirin is really a miracle drug, huh? One question: When you
>say "a very low dose is ... to begin as soon as the pregnancy is known"
>are you talking about heparin or aspirin? And are you referring to the
>"particular disease" or my situation. I am already taking a baby
>aspirin a day.
>
>At Mon, 25 Aug 1997, Dr wrote:
>
>>Aspirin is very effective in preventing some miscarriages and some late
>>pregnancy losses. Adding heparin is justified only in a particular
>>disease. A very low dose is enough (100 mg a day) to begin as soon as
>>the pregnancy is known.
>>How does it work? *That* is a good question.
>>Aspirin is an anti platelet drug. Its mild effect seems to be enough.
>>Anyway the way it works is not important if it works. And it does.
>>Trust.
>>
>>--
>>Bernard Cristalli MD CNGOF
>>AIHP - ACCA
>>Paris - France
>>http://www.obgyn.net/corresp/cristalli.htm
>>Just came across this forum, it has been a mine of information for me. After one perfectly healthy pregnancy and delivery 8 years ago, in the last 3 years I have had 3 miscarriages - all at 7 weeks. I am now 9 weeks pregnant and my doctor wants me to take Heparin and baby aspirin for the rest of my pregnancy. I tested negative for everything apart from Factor V Leiden. I have no history of blood clots or thrombosis, have not taken the contracteptive pill for 18 years and am extremely reluctant to do twice daily injections. From some of the messages it seems that in my position baby aspirin is sufficient, which i have started taking. Any advice? I have been for three doctor visits and have seen three different doctors, they lost a blood sample and my files. I do not have much faith in them or the clinic, but unfortunately due to the American insurance system, I have no other choice but to go to them, as they are the only ones that take my military insurance. It seems to me, that in England (I am English) doctors are not so quick to prescribe Heparin, any truth in this?

--
Alison Hanover

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