title: Successful planned pregnancy in a patient with St Jude medical prosthetic mitral valve.
abstract: A primiparous woman with a St Jude Medical (SJM) mitral valve prosthesis and receiving anticoagulant drug delivered a healthy male infant by spontaneous normal vaginal delivery. Oral warfarin was replaced by subcutaneous heparin at the 6th week of gestation and the dosage of heparin was adjusted to maintain a partial thromboplastin time between 2.0 and 2.5 times the control value. Treatment with heparin was administered during the first trimester and the last 5 weeks of gestation. Warfarin was used between the 13th and 32nd week. Successful pregnancy and delivery in patients with a SJM mitral valve prostheses is possible with careful maintenance of anticoagulation.
authors: Division of Pediatric Cardiology, Kinki University School of Medicine, Osaka, Japan. fukuda@kpcd.med.kindai.ac.jp
authors: Tsuyoshi
authors: T
authors: Fukuda
authors: Tatsuo
authors: T
authors: Yokoyama
authors: Masaki
authors: M
authors: Otaki
authors: Hidetaka
authors: H
authors: Oku
authors: Masami
authors: M
authors: Shiina
authors: Masahiko
authors: M
authors: Umemoto
mesh_terms: D000328:Adult; D002648:Child; D005193:Family Planning Services / Q000379:methods*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007231:Infant, Newborn; D008943:Mitral Valve; D011247:Pregnancy; D011256:Pregnancy Outcome