Anticoagulation During Pregnancy

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Cardiac valve prostheses, anticoagulation, and pregnancy.

A series is presented of 7 women who underwent cardiac valve replacement and who ultimately became pregnant. The only infant death was that of a premature baby whose mother received oral anticoagulants until delivery. The remaining 6 babies were normal and survived. One mother died suddenly on the fourth postpartum day and was found to have a periprosthetic clot on postmortem examination. Altho...

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Anticoagulation in pregnancy and the puerperium.

For the management of acute thrombotic events in pregnancy therapeutic doses of low molecular weight heparins (LMWH) may be used, unless the shorter half-life of intravenous unfractionated heparin (UH) and predictable reversibility by protamine are important. Treatment should be continued up until delivery and into the puerperium. Pregnant women who have had an acute thrombotic event should be ...

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Abdominal Pain during Pregnancy

بیشتر زنان حامله بدلیل تغییرات معده و روده در دوران حاملگی دچار دردشکم می شوند. انتظار می رود که تهوع، سوزش سردل و یبوست وجود داشته باشد و بعنوان رویدادهای مشخصی دوران حاملگی در نظر گرفته شوند. دردهای شکمی می توانند بدخیم و مشکل ساز باشند. درد پهلو با بالای شکم می تواند نشان دهنده آپاندیسیت یا کله سیستیت که دو علت شایع برای عمل جراحی شکم در زنان حامله می باشند با نشان دهنده اتساع بیش از حد حال...

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eComment: Are low molecular weight heparin effective in mechanical valve prosthesis anticoagulation during pregnancy?

We read with great interest the report by Carnero-Alcazar and co-workers regarding the successful mechanical mitral valve replacement due to pros-thetic valve thrombosis in a first trimester pregnant woman w1x. Two percent of all pregnant women suffer from some kind of cardiac pathology. Although this incidence varies in different countries, cardiac disease is the leading cause of death in preg...

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Anticoagulation During Pregnancy: Evolving Strategies With a Focus on Mechanical Valves.

Pregnancy is associated with a hypercoagulable state. Women requiring anticoagulation need careful attention throughout pregnancy and the post-partum period. The choice of anticoagulant therapy, the degree of monitoring, and the therapeutic target should be modulated by balancing the risks and the benefits to the mother and fetus. Many of the available anticoagulant agents may be used safely in...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2016

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2016.06.076