aspirin during pregnancy

syasyafina

salam semua,
Sya nk tanye, sya ada positive ANA (antinuclear antibody). Doctor suggest mkn low dose aspirin, 75mg, once positive urine pregnancy test,

Jadi sya nk tau juge, okay ke amek aspirin ni seawal 4 minggu pregnancy ye?? dier kasi presciription utk 3 bulan terus.. so mcm cuak plak nk start, ye la, aspirin kan byk side effect, ingat nk habiskan folic acid dlm 2 bulan lebih lagi baru nak start amek aspirin.. x pe ke mcm tu ye??

kalo siapa2 yg ada pengalaman, atau doktor O&G buley beri nasihat kat sya?

terima kasih

Arissa_Sofea

salam semua,
Sya nk tanye, sya ada positive ANA (antinuclear antibody). Doctor suggest mkn low dose ...
syasyafina Post at 16-2-2012 01:22

This is just my opinion
Im training to be a cardiologist
So tak arif sangat pasal Obstetrics
Just my ilmu from medicine jer...

Positive ANA ni high probability untuk develop autoimmune disease seperti lupus.
Autoimmune disease ader risks menyebabkan clotting dan miscarriage.
aspirin sejenis anti-inflammatory, diberi kepada pregnant ANAs untuk calm down any autoimmune infllamation
There's no major harm makan Aspirin low dose- it's a preventative measure...

However, Aspirin has antiplatelet effect... Maksudnyer dia boleh block aktiviti platelet
Platelet important untuk stop bleeding.
So, bila mkn Aspirin ni darah ni 'nipis' sikit.. Kalau bleeding lmbat sket nk stop.

So, kalau bleeding tu bolehla stop ambik Aspirin... Nosebleed ke, gumbleed ker, and especially
Kalau bleeding from vagina...
Kena check cepat2 la, takut miscarriage...
Mmg Aspirin ni tujuan nk prevent miscarriage dlm ANA positive.
Tp bila dh start berlaku bleeding
Kena stop jugakla

risk vs benefit laa...
Kena timbang timbangkan

Tapikan, positive ANA ni byk jer dlm population...
Ade jer yg ok tak mkn Aspirin..

Kalau ader org yg expert in obstetrics, sila betulkan ehh...

dr Cak Aaa or Dr reddevil kalau salah tolong betulkan yerr

syasyafina

Reply 2# Arissa_Sofea


   thanx for your response arissa, dh alang2 cardiologist in training tu, sya nk tanye, before this, i miscarried, n the result of baby's autopsy is dier ada isolated non-compacted ventricle.. this is too advanced, n during my medical school memang ler tak pernah dengor benda ni, doctor smalam kate it's one of jenis2 cardiomyopathy, my baby was lost at 20+4 weeks gestation..
so ada possibility utk recurrence ke ye?? she was saying to get the geneticist, n cardiologist to discuss this pregnancy with me during my care nnt.. sebab this case is familial.. but to my knowledge takde cases like this in my family before..

n ANA positive is found in the routine blood they did for late miscarriage, all other antibodies are negative, but she still wants to introduce aspirin.. the post mortem also didn't show any signs of autoimmune/antibody attack on the baby or in the placenta..

is it okay utk makan celup2 instead of daily?? sya mmg jenis tak suke mkn ubat.. huhu.. doctors make the worst patients kan..

assakinah

Reply  Arissa_Sofea


   thanx for your response arissa, dh alang2 cardiologist in training tu,  ...
syasyafina Post at 16-2-2012 21:00

    better  follow the recommendation n follow up..we never know.
yup doctor is the most stubborn patients...ki3 same like me.. i never took any kind of drug that had been prescribe to me..
hak2..pernah amek AOR discharge ntok my baby yang admitted kat NICU..degil kan

syasyafina

Reply 4# assakinah


   betul tu assakinah, aspirin ni pun, amek sebab fikir baby, mcm dulu, flu vaccine, tak pernah2 nk amek, tp sebab fikir ada baby, amek la jugak.. kalo utk diri sendiri, jgn harap, sya yakin antibody sya kuat melawan penyakit, ecehhhh...
pastu bile tak tahan sakit pulak, prescribe ubat sendiri.. lagi tk ley blah yg tu, pak n mak mertua pulak kerja hospital, jadi stok ubat tu sume ada..  mintak je ape2 ubat kat diorang..

back to topic, sya ada baca forum2 omputih ni pasal taking aspirin during pregnancy, preventing miscarriage, n positive ANA, byk testimoni yg bagus, ada juge yg kate, even dh amek aspirin pn still MC jugak, ada tu, doktor tak prescribe pn sendiri amek, sebab percayakan aspirin ni preventing MC, n diorang takde indication pn.. suke2 aje kan...

jadi sya pn amek selang sehari la.. not being too obedient, n tak la disregard terus advise tu..

assakinah

Reply  assakinah


   betul tu assakinah, aspirin ni pun, amek sebab fikir baby, mcm dulu, flu v ...
syasyafina Post at 18-2-2012 12:31

    u medical practitioner ke student medic?

syasyafina

Reply 6# assakinah


   qualified, but not practising