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miscarriages and APAs and timing of heparinFrom: nancy (anonymous@obgyn.net)Wed, 28 Feb 2001 13:40:43 -0600 (CST)
Hello, Do any of the Dr.s know what the most likely time of miscarriage is in people with one or more positive APAs? I read somewhere that it is usually (86%)after fetal heart activity has been detected, while in the general population half the miscarriages occur before fetal heart activity. If so, what does that mean? Is it safe to wait until heart activity is seen before starting the heparin therapy? I am 39, have some positive APAs, & hx of 2 early miscarriages, (one choromosomally abnormal), and thank God, one healthy son (while taking asa, heparin,progesterone, and an estrogen patch - the kitchen sink!). My 4th pregnancy seems to be nonviable at almost 7 wks and my ACA is positive at 12, with upper nl being 10. I did not do the heparin, only the asa and progesterone. Was that a mistake and cause of this miscarriage??? It is just too hard to take heparin every month you're trying to get pregnant. Thanks! Nancy
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