Abstract

This paper presents an analysis of the pregnancy trajectory and therapeutic regimen documentation of a primigravida with APSN. It aims at communicating the therapeutic approach and preventive measures for APSN in pregnancy. This paper reports the trajectory and therapeutic regimen documentation of a primigravida with APSN. The APSN was discovered in a primigravida woman aged 26 years at 11 weeks of gestation. The initial therapy regimen consists of daily administration of prednisone 10mg, hydroxychloroquine 200mg, dapparin 5000 IU, and aspirin 50mg. At a gestational age of 20+3 weeks, the dosage of dapparin was modified to 5000 IU/other day, along with a significant rise in urinary protein level seen at 30+3 weeks of gestational age. The initial dosage of dapanin sodium was renewed. The patient delivered at 38+3 weeks of gestation without other complications. It is imperative to acknowledge that altering the dosage and administration of medication should not be done haphazardly during pregnancy.

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