<s>[INST] Hello doctor, My sister is 6 months 20 days pregnant with ART. She is having premature ovarian dysfunction. She was on Lonopin 40 mg with Ecosprin tablets. She had undergone two time ART procedure. All her reports were fine, but the fetus had no pulsations. So, she underwent two times for abortion. Now this time everything is fine, and her doctor advised to stop Lonopin. He said nothing to be worried about and no need to take an injection. Do you think she needs to take these injections and if she takes these injections full time, can it bring some complications? [/INST] Hello. No, she should not stop low molecular weight injection and instead take a good brand either Enoxaparin or LMWX and tablet Ecosprin 150 mg, as her previous history is such that we should not ignore it. If not taken, then she is at high risk for early development of high BP, slow growth of the baby, water level around the baby remains low and some time bleeding can occur during pregnancy. So you have to be very careful. </s>