Successful gestation and delivery using clopidogrel for secondary stroke prophylaxis: a case report and literature review

    Authors

    C. R. Reilly; A. Cuesta-Fernandez;O. R. Kayaleh

    Comments

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    Abbreviated Journal Title

    Arch. Gynecol. Obstet.

    Keywords

    Clopidogrel; Pregnancy; Stroke prevention; Thienopyridine; ACUTE MYOCARDIAL-INFARCTION; CORONARY-ARTERY; PREGNANCY; Obstetrics & Gynecology

    Abstract

    Literature is scarce regarding the use of clopidogrel during pregnancy and the potential hazard to maternal and fetal health. We report a 33-year-old female, who presented to our clinic at 40 weeks gestation with a history of multiple prior ischemic strokes and transient ischemic attacks. The patient was placed on clopidogrel for secondary stroke prophylaxis prior to conception and maintained therapy throughout pregnancy without interruption or complication. Clopidogrel was discontinued 7 days prior to induction of labor, and a healthy baby was vaginally delivered without bleeding complications or congenital anomalies. Clopidogrel was restarted 12 hours postpartum without an incident. To our knowledge, this is the first report of clopidogrel use in pregnancy for secondary stroke prophylaxis. We also provide a current review of the literature of the use of clopidogrel in pregnancy. Based on the limited data available, clopidogrel use in pregnancy has not demonstrated significant toxicity to either the mother or the newborn. However, additional studies are needed to further assess the efficacy and safety of this medication in this patient population.

    Journal Title

    Archives of Gynecology and Obstetrics

    Volume

    290

    Issue/Number

    3

    Publication Date

    1-1-2014

    Document Type

    Review

    Language

    English

    First Page

    591

    Last Page

    594

    WOS Identifier

    WOS:000340518300032

    ISSN

    0932-0067

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