The anticoagulant of choice in pregnancy is
(Heparin) (562-KDT) (598-KDT6th)HEPARIN - is the anticoagulant of choice during pregnancy because it does not cross BBB or placentaAdverse effects1. Bleeding due to overdoses is the most serious complications2. Thrombocytopenia is another common problem3. Transient and reversible alopecia is infrequent4. Osteoporosis5. Hypersensitivity reactionsCONTRAINDICATIONS1. Bleeding disorders, thrombocytopenia2. Severe hypertension (risk of cerebral haemorrhage) threatened abortion, piles, GI ulcers (aggrevated bleeding)3. SABE, large malignancies, Tuberculosis (hemoptesis)4. Ocular and neuro-surgery, lumber puncture5. Chronic alcoholics, cirrhosis, renal failure6. Aspirin and other antiplatelet drugs, should be used very cautiously during heparin therapy
Heparin
Warfarin
Dicumarol
Phenindione
Hematology