Thursday, April 5, 2012

Friday Seminar Replacement activity for 2/17/12

American Society of Hematology Live Webinar 2/22/12 8-9pm
Thrombotic complications in pregnancy: one patient, 2 perspectives (Hematology and Maternal Fetal Medicine joint webinar)
Moderator: Dr. Mary Cushman (Hematology)
Panel: Dr. Marjorie Meyer, Dr. Eleanor Capeless, Dr. Kelley McClean, (MFM)
            Dr. Neil Zakai , Dr. Chris Holmes (Hematology)
This webinar is a case presentation based discussion of different situations warranting or not warranting thromboprophylaxis in pregnancy. This included the perspectives of both the hematologist and the MFM specialist.
Pregnancy is a thrombogenic state and having other concurrent risk factors for clotting significantly increases the risk. Venous thromboembolism (VTE)  affects 1/1000 to 1/1600 pregnancies. Every pregnant patient needs to be screened for these risk factors and a detailed personal and family history helps us with the risk stratification. The cases were (1) Patient with a hereditary thrombophilia (Factor V Leiden mutation) with past personal history of deep venous thrombosis (DVT). (2) Management of VTE late in pregnancy (3) Patient with recurrent pregnancy loss (3 losses) with an uncomplicated term delivery in between, currently pregnant (early).
This webinar took me through evidence based indications of thromboprohylaxis and anticoagulation in pregnancy and management of these patients by a multidisciplinary approach involving hematologist, MFM specialist and a generalist ob/gyn. This was informative and well applied to my scope of practice. 
Renju Raj

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