If a woman has antiphospholipid antibodies and is pregnant, how is it treated?
If the woman has antiphospholipid antibodies and is pregnant for the first time, or has had normal pregnancies in the past, no treatment may be advised. However, if the woman has had miscarriages in the past, several different treatment regimens are available, including aspirin, Prednisone, and/or subcutaneous shots of a blood thinner called Heparin. Pregnancies in women with antiphospholipid antibodies are considered to be “high risk pregnancies.” It is necessary for the obstetrician or gynecologist to work closely with the rheumatologist or other physician who evaluates a woman with miscarriages for antiphospholipid antibodies. Miscarriages, especially early in pregnancy, are not rare. Women who have had multiple miscarriages should be checked to see if they have antiphospholipid antibodies as part of an overall obstetric evaluation for causes of miscarriage.
