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Kasia2487

Warszawa 5 months ago

Am I entitled to free heparin during pregnancy if I have significantly reduced pappa protein?

Good morning
Please inform me about the reimbursement of heparin in pregnancy (neoparin). The family doctor does not want to prescribe it for reimbursement. Am I entitled to it? I checked that this drug is on the list of reimbursable drugs. I have significantly reduced pappa protein, which can cause fetal death without the use of heparin.

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Anna Lewandowska Pharmacist, Editor

5 months ago

The need for heparin should be decided by the gynaecologist in charge of the pregnancy. On the other hand, a family doctor can issue a prescription on the basis of the continuation of the therapy recommended by the specialist.

A low concentration of pappa protein may indicate a slightly higher risk of having a baby with Down syndrome. It is also associated with the risk of preeclampsia and IUGR, i.e. intrauterine fetal growth retardation.

I also encourage you to read the article:
https://www.gdziepolek.pl/blog/bezplatne-leki-dla-kobiet-w-ciazy-program-ciaza

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