Use of aspirin and low-molecular-weight heparin to prevent recurrence of maternal floor infarction in women without evidence of antiphospholipid antibody syndrome.
During pregnancy, maternal floor infarction (MFI) and massive perivillous fibrin deposition (MFD) often cause fetal growth restriction and death, both being markedly increased by occlusion of the maternal intravenous circulation. Incident rates have been reported to be in the range of 0.09-0.5% and recurrent MFI/MFD might be more frequent in early-onset cases. Thus, prevention measures are necessary for high-risk women who have had MFI/MFD as complications in a previous pregnancy. In this report, the use of oral low-dose aspirin at the early trimester and low-molecular-weight heparin drip infusion from the mid-second trimester was examined for this purpose.
Makino
Aiko
A
Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. aikomaki@med.nagoya-cu.ac.jp
Suzuki
Yoshikatu
Y
Yamamoto
Tamao
T
Sato
Takeshi
T
Kojima
Kazuhisa
K
Suzumori
Kaoru
K
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D016736:Antiphospholipid Syndrome; D001241:Aspirin / Q000627:therapeutic use*; D005260:Female; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use*; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000517:prevention & control*; D008279:Magnetic Resonance Imaging; D017773:Pelvic Floor / Q000098:blood supply*; D010920:Placenta / Q000000981:diagnostic imaging / Q000473:pathology; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000517:prevention & control*; D055502:Secondary Prevention; D016216:Ultrasonography, Prenatal
D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight; D010975:Platelet Aggregation Inhibitors; D001241:Aspirin