Prevention and Management of Thromboembolism in Pregnancy When Heparins Are Not an Option
| Autor: | Andra H. James |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Drug
medicine.medical_specialty medicine.drug_class media_common.quotation_subject Drug Resistance Low molecular weight heparin Drug resistance 030204 cardiovascular system & hematology Mechanical heart-valve Drug Hypersensitivity 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Pregnancy Thromboembolism medicine Humans 030212 general & internal medicine Intensive care medicine media_common Heparin business.industry Pregnancy Complications Hematologic Contraindications Drug Anticoagulants Obstetrics and Gynecology Heparin allergy medicine.disease Heart Valve Prosthesis Female business medicine.drug |
| Zdroj: | Clinical Obstetrics & Gynecology. 61:228-234 |
| ISSN: | 0009-9201 |
| DOI: | 10.1097/grf.0000000000000357 |
| Popis: | Heparins, unfractionated heparin, and low molecular weight heparin, are the preferred anticoagulants in pregnancy. There are circumstances, however, in which an alternative to heparin should be considered. These circumstances include, the presence of heparin resistance, a heparin allergy manifesting as heparin-induced skin reactions or heparin-induced thrombocytopenia, and the presence of a mechanical heart valve. From time to time, the obstetrician is called on to make recommendations about anticoagulants in pregnancy, including in circumstances in which an alternative to heparin has been suggested or is necessary. In this article, these circumstances are reviewed and alternative anticoagulants are discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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