Mohamed Medhat Mohamed Morsi <br/><br/>
The effect of consecutive heparin  coumarin  heparin as an anti-coagulatnt protocol for pregnant women with prosthetic valve replacement on maternal, fetal and neonatal outcome /  
 تأثير استعمال البروتوكول المتتابع من الهيبارين ثم الكومارين ثم الهيبارين كمضاد للتخثر على حالة الأم والجنين و الأطفال حديثى الولادة فى حالات الحمل التى قامت بتغيير صمامات بالقلب 
Mohamed Medhat Mohamed Morsi ; Supervised Reda Ismail Reyad , Aml Hanafy Hussien , Rasha Omar Alkomy 
 - Cairo :   Mohamed Medhat Mohamed Morsi ,   2015 
 - 85 P. :   charts , facsimiles ;   25cm 
<br/><br/>Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics 
<br/><br/> This study was conducted on 40 pregnant women with prosthetic mitral valve on anticoagulant therapy. Our cases were either followed up or hospitalized in high risk pregnancy unit Kasr El-Aini hospital, Cairo University to investigate the outcome of pregnancy as regard fetal and maternal morbidity and mortality.We found that 10% of our cases had hemorrhagic complications, and neonatal complications were 5.3%. We concluded that the best approach to manage such patients is unfractionated heparin in the first trimester then warfarin till 36th week guided by INR then unfractionated heparin till delivery 
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<br/><br/><label>Subjects--Index Terms: </label>Anticoagulant Mitral valve prosthesis Outcome of pregnancy