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Re: baby aspirin to prevent miscarriage

From: Dr (anonymous@obgyn.net)
Mon, 25 Aug 1997 22:19:21 -0500 (CDT)


At Mon, 25 Aug 1997, Mary wrote: >
>After a miscarriage, a year of trying to get pregnant with no success,
>and then another heartbreaking miscarriage, my reproductive
>endocrinologist ordered a bunch of blood tests to see why I am
>miscarrying. They're all back (except the karyotypes) and the only one
>that came back abnormal was some kind of clotting test. (I know the
>proper names, I just don't know which test it was.) So he has prescribed
>one baby aspirin every day. Nothing else.
>
>This makes me VERY nervous. How can such a little pill make any
>difference? I would think that I would need Heparin or something too.
>
>Luckily, we are not able to start trying to get pregnant again because I
>have to have a laparoscopy/hysteroscopy.
>
>I've heard of this baby aspirin therapy before, but it is just hard to
>believe it would help much.
--

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



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