For all women with APS, the following general management is recommended:
Antepartum: sono assessment of fetal growth monthly; modified Biophysical
Profile weekly starting at 32 weeks
Intrapartum: stop anticoagulation
Postpartum: resume or start anticoagulation in 6 hours (after vaginal delivery)
or 12 hours (after cesarean section); continue anticoagulation for 6 weeks
using either heparin or warfarin (safe for breast feeding moms); avoid
estrogen-containing contraceptives