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Gynaecology & Obstetrics Antenatal Care & Assessment of Fetal Well Being 346f7552

When heparin is given in pregnancy, which of the following is to be added?

A
Iron folic acid
B
Copper
C
Calcium
D
Zinc
High-Yield Explanation
Ans. is c, i.e. CalciumRef. KDT 6/e, p 598, 599; Harrison 17/e, p 2400Heparin can lead to osteoporosis, or hypocalcemia so, calcium supplementation is advisable with the use of heparin.Also Know:Durgs which may lead to hypocalcemia and hence calcium supplementation is necessary:CorticosteroidsCyclosporineAnticonvulsantsCytotoxic drugsExcessive alcoholAromatase inhibitorIncrease dose of thyroxineAluminiumGnRHHeparinLithium

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