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Master thesis

Suivi des grossesses et des accouchements des patientes sous traitement anticoagulant à la maternité régionale A. Pinard de Nancy

Abstract : This is a descriptive retrospective study of 75 women who received anticoagulant therapy during their pregnancy. Indications, modalities of anticoagulant therapy have been compared to French recommendations. Complications of this anticoagulant therapy have been carefully notified and deliveries and anesthesia procedures have been described. Low Molecular Weight Heparins (LMWH) was used in 90.33% of ours patients. The rate of complications with LMWH use during pregnancy was not higher than for controls. LMWH are discontinued 24 hours before labor induction or cesarean section and no substitution for unfractionned heparin is made for patients receiving low-dose of LMWH. This method is safe and rates of complications, cesare an sections and deliveries without anesthesia are not increased. For women treated with adjusted doses of anticoagulants, management of deliveries and anticoagulant therapy is delicate and reveals heterogeneity of our practices. Thirty-two percent of women did not receive therapy according to referenced recommendations. Rate of complications is quite low but this percentage should make us to discuss our professional practices and diffusion of recommendations.
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Master thesis
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https://hal.univ-lorraine.fr/hal-01732600
Contributor : Colette Orange <>
Submitted on : Wednesday, March 14, 2018 - 3:09:00 PM
Last modification on : Friday, October 23, 2020 - 4:58:44 PM
Long-term archiving on: : Tuesday, September 4, 2018 - 1:58:41 PM

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  • HAL Id : hal-01732600, version 1

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Magali Salou. Suivi des grossesses et des accouchements des patientes sous traitement anticoagulant à la maternité régionale A. Pinard de Nancy. Sciences du Vivant [q-bio]. 2007. ⟨hal-01732600⟩

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