Question Title: antiphospholipid antibodies and pregnancy

Thank you so much in advance for your time and effort in answering my question. This is a wonderful forum. In June I was diagnosed as having developed antiphospholipid antibodies. The blood work was done after having my third miscarriage very late in the pregnancy. They have all occured in the fifth month. However I have also had four wonderful healthy pregnancies. We want to try for another child but are obviously worried. We are scheduled to see a specialist about this very soon. Can you recommend any questions that we might put to her. I also think that I have a blood clotting problem although this has not yet been identified by a Dr. Thank you so very much. I hope that I have not been too vague.

Dear Michele:
The antiphopholipid antibody story is still being told. Sometimes physicians make recommendations based on dated information; sometimes on exerience; sometimes what we call "evidence-based medicine". Ask the basis for any recommendations.
Treatments that involve special laboratory studies (especially if the physician runs the laboratory where these are done) or formulations dispensed by the physician's office or a pharmacy that the physician uses are worth a second opinion.
At this time, aspirin and heparin are the standard therapies. The value of corticosteroids is unproven. The role of immunoglobulin injections is least secure.

If you can deal with medical lexicon, bandolier is a website that offers evidence-based medical summaries. The topics are limited because much of medicine, although founded in science and high technologies, is still an art-form.

Keywords: antiphospholipid antibodies.

This information is provided for education purpsoes only and is not a medical consultaiton. If you have specific questions, please contact your physician.

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