Abstract
ROLE OF LOW DOSE ASPIRIN AND LOW MOLECULAR WEIGHT HEPARIN IN UNEXPLAINED CASES OF RECURRENT PREGNANCY LOSS

*Dr. S. Bhanu Rekha, M.D

ABSTRACT

Objective: To assess the effectiveness of low dose Aspirin and low molecular weight Heparin in unexplained cases of recurrent pregnancy loss. Materials and Methods: This study was conducted in a private hospital in mahabubnagar from June 2017 to May 2019. A total of 40 pregnant ladies who had previous 2 and or more pregnancy losses in the early (before 20 weeks) or late (after 20weeks) pregnancy period were included in the study. These pregnant women were properly evaluated in regard to the history of previous period of gestation of loss, previous scans in regard to documentation of fetal pole and gestation, cardiac activity, anomaly scan and growth scan and any special investigations in previous pregnancies and present pregnancy. Results: 40 pregnant women with previous 2 and more unexplained pregnancy losses who were evaluated and found negative with major causes of pregnancy losses were treated with low dose aspirin and low molecular weight heparin till term. This could give us a 92% live birth rate which is quite satisfactory. Conclusions: Use of low dose aspirin and low molecular weight heparin seems to be a good choice of drugs in treating the unexplained recurrent pregnancy losses.

Keywords: Recurrent pregnancy loss, low dose aspirin, Low molecular weight heparin.


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