Antiphospholipid antibody syndrome-Management
If APLA is diagnosed based on H/O Abortion then aspirin along with low molecular weight heparin has to be given
Aspirin:
• Aspirin low doses= 50-100mg (80mg)
• Started-Urine Pregnancy Test (UPT) +ve
• Continued throughout Pregnancy
• Stopped 4-6 days before labor
Heparin:
Started- Only after confirmation of IU pregnancy
Continued throughout Pregnancy
Stopped at onset of labor
If APLA is diagnosed based on the criteria of Preterm Labor give only Aspirin @ the end of first trimester ;dose- 50-100mg (80mg).