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The use of fax machines improves out of hours labour ward management

uterine growth retardation, placental abruption, pre-eclampsia (often severe and early onset), and chorea gravidarum. We and others (Birdsall et al. 1992) have found an association between the presence of antiphospholipid antibodies and pre-eclampsia, abruption, and stillbirths as well as the more widely known recurrent miscarriage. Obstetricians should be astute and investigate women with unexpected pregnancy complications (e.g.. the multiparous women with pre-eclampsia) for antiphospholipid antibody syndrome. Although the pathogenesis of these antibodies remains unclear and treatment methods controversial, identification is critical. The usual obstetric interventions of early detection of growth retardation and preterm delivery may be all that is required for women with this condition.