Medicine an Surgery notes

Apr 24th, 2015
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Anticoagulation in Pregnancyand the puerperiumDr. Mohammed AbdallaEgypt, Domiat G. HospitalRISK CATEGORYHIGH RISKPr.TED +thrombophiliaPr.TED +family history.Recurrent TEDs.TED in current pregnancyProsthetic mitral valveLOW RISKONE previous TED.thrombophiliaINHERETED.Protein C deficiency.Protein S deficiencyAT3 deficiencyFactor V leidenmutationHomocystinuriaACQURED.APhSMyeloproliferative.disease.MalignancyNephroticsyndrome.who are the patients candidates forPROPHYLACTIC anticoagulation ?1-patients judged at low risk:these patients are though to be mostvulnerable from the time of deliverythroughout the puerperium which is theperiod of greatest risk. With low dose asprinantenatally.who are the patients candidates forPROPHYLACTIC anticoagulation ?2--patients judged at high risk:these patients receive antenatal ,intranatal,and postnatal anticoagulation. andthroughout the puerperium,.What are the Hazards ofanticoagulation during pregnancy? The platelet count should be monitoredon a monthly basis to detect heparininduced thrombocytopenia, which isassociated with further thromboticcomplications.What are the Hazards of anticoagulationduring pregnancy? Low molecular weight heparins are a promisingalternative because of their long half-lives which give amore predictable dose-effect and reduce the number ofdaily injections. The risk of heparin-induced thrombocytopaenia islower. At present, their leg

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