8. Abstract Title: “Part of the Ritual”: A qualitative study of patient and physician perspectives on the use of anticoagulation for improving pregnancy outcomes in obstetrical antiphospholipid syndrome

Abstract

Introduction: Antiphospholipid syndrome is an acquired thrombophilia associated with recurrent pregnancy loss. Treatment with low-molecular-weight heparin (LMWH) and/or aspirin (ASA) during pregnancy to prevent future loss is based on limited trial data with mixed results. Given the clinical equipoise, we sought to understand how patients and physicians navigate the decision-making process for use of antepartum LMWH and/or ASA. This research is needed to inform the feasibility of future research that seeks to resolve the question of treatment efficacy in this patient population.