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    Obstet Gynecol. 2011 Aug;118(2 Pt 2):432-3.

    Clopidogrel use throughout pregnancy in a patient with a drug-eluting coronary stent.

    Myers GR, Hoffman MK, Marshall ES.

    Source

    Christiana Care Health System, Newark, Delaware, USA. gmyers@christianacare.org

    Abstract

    BACKGROUND:

    Little information regarding the potential implications of drug-eluting stents and clopidogrel on pregnancy exists.

    CASE:

    We report a case of a 27-year-old woman who received a drug-eluting coronary stent for an acute myocardial infarction and was started on clopidogrel as treatment. She was on clopidogrel when she conceived and delivered a child by cesarean. Her postpartum course was complicated by postoperative bleeding requiring transfusion.

    CONCLUSION:

    This case highlights the perinatal and peripartum concerns of these interventions in women of childbearing age. It suggests that cesarean delivery is associated with an elevated risk of perioperative bleeding and may best be approached like other surgical procedures, with the optimal timing of surgery, when feasible, being 5 or more days after the discontinuation of clopidogrel.

    PMID:
    21768844
    [PubMed - indexed for MEDLINE]

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