Abstract
Coumarin derivatives have a known teratogenic effect but are relatively seldom used in early pregnancy nowadays. An association exists between maternal use of either anticoagulants or hemostatic drugs and a relatively severe malformation, notably a cardiovascular defect, in the offspring. This association is probably the result of a confounding by indication: a coagulopathy or a bleeding disorder.
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References
Cotrufo M, De Feo M, De Santo LS, Romano G, Della Corte A, Renzulli A, Gallo C. Risk of warfarin during pregnancy with mechanical valve prostheses. Obstet Gynecol. 2002;100:1040–1.
Deruelle P, Denervaud M, Hachulla E, Ducloy-Bouthors AS, Valast AS, Pueach F, Trillot N, Hatron PY, Subtil D. Use of low-molecular-weight heparin from the first trimester of pregnancy: a retrospective study of 111 consecutive pregnancies. Eur J Obstet Gynecol Reprod Biol. 2006;127:73–8.
DiSaia P. Pregnancy and delivery of a patient with a Starr-Edwards mitral valve prosthesis. Obstet Gynecol. 1966;28:469–72.
Ginsberg JS, Kowalchuk G, Hirsch J, Brill-Edwards P, Burrows R. Heparin therapy during pregnancy. Risks to the fetus and mother. Arch Intern Med. 1989;149:2233–6.
Hall JG, Pauli RM, Wilson KM. Maternal and fetal sequelae of anticoagulation during pregnancy. Am J Med. 1980;68:122–40.
Hoyer AC, Henrich W, Schaefer C, Spors B, Czernik C. Coumarin-Embryopathie nach intrauteriner Vitamin-K-Antagonisten-Exposition innerhalb der ersten 10 postmentstruellen Wochen. Ultraschall Med. 2010;31:411–3.
Iturbe-Alessio I, del Carmen-Fonseca M, Mutchinik O, Santos MA, Zajarías A, Salazar E. Risks of anticoagulant therapy in pregnant women with artificial heart valves. N Engl J Med. 1986;315:1390–3.
Kleppa M-J, Erlenwein S-V, Darashchonak N, von Kaisenberg CS, von Versen-Höynck F. Hypoxia and the anticoagulant dalteparin and acetyl salicylic acid affect human placental amino acid transport. PLoS One. 2014;9:e99217. https://doi.org/10.1371/journal.pone.0099217.
Schaefer C, Hannermann D, Meister R, Eléfant E, Paulus W, Vial T, Reuvers M, Robert-Gnansia E, Arnon J, De Santis M, Clementi M, Rodriguez-Pinilla E, Dolivo A, Merlob P. Vitamin K antagonists and pregnancy outcome. Thromb Haemost. 2006;95:949–57.
Vitale N, De Feo M, De Santo LS, Pollice A, Tedesco N, Cotrufo M. Dose-dependent fetal complications in pregnant women with mechanical heart valves. J Am Coll Cardiol. 1999;33:1637–41.
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Källén, B. (2019). Maternal Use of Anticoagulants or Hemostatic Drugs and Infant Congenital Malformations. In: Maternal Drug Use and Infant Congenital Malformations. Springer, Cham. https://doi.org/10.1007/978-3-030-17898-7_8
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DOI: https://doi.org/10.1007/978-3-030-17898-7_8
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