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Pregnant and on blood thinner - Special Pregnancies

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Old February 23rd, 2009, 04:28 PM   #1
September
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Pregnant and on blood thinner

I will try to make this post a quick and easy one since I developed carpal tunnel typing the one about my placenta previa, lol, but I make no promises. I wanted to put this out there in case there are other mommies on blood thinner, or may have to be.

I developed Pulmonary Emboli during the second trimester with one of my daughters. After what I describe as a breathing attack and one misdiagnoses I was given the million dollar work-up and the ER discovered after various blood tests and a VQ Scan unmatched masses in my lungs I had several clots of blood in both of my lungs. I was quickly admitted to ICU where I was placed on IV Heparin (got over my fear of needles fast having to have my blood drawn so often for a couple weeks, lol) to prevent me from developing more clots and to try to help dissolve the ones I had. I think I was in the hospital for about two weeks, maybe longer and was sent home with a prescription for injectable blood thinner, which after a few visits from a home nurse I manged to do on my own. After my daughter was born I switched from the injections to Coumadin and had to be followed closely for a few months until the risk of clotting after birth had passed.

I had various and vast tests to determine why I clotted during pregnancy but nothing came back weird. I don't have any clotting problem they know of, nor anything else wrong with me that would increase my chance of clotting. Because of that when I become pregnant with Ashleigh I decided not to go on the blood thinner injections like the doctors pleaded with me to do. I honestly did not realize the risk I was facing, or what could happen to me or my baby. I ended up developing blood clots that went to my lungs again and went back on the Lovenox which I continued to take for 8 weeks I think PP.

When we conceived our son I started the Lovenox at about 7 weeks and had to inject myself twice a day until 6 weeks PP. I think with him it really hit me, hard, how dangerous blood clots could be for me and our baby. I decided at that time I was going to do whatever it took for our baby and even though I never like my shots I do it because we're worth it...the baby is worth it. I was followed very closely and toward the end of pregnancy had NSTs and growth ultrasounds on a regular basis to follow his growth and make sure the blood was flowing through and from the placenta as it should. Thankfully there were never any issues and he was born happy and healthy after a scheduled induction at 37w6d (so I could go off of the Lovenox and could labor in a controlled environment to reduce risk and possibility of bleeding out, and in case I did I'd have medical staff all around me).

This time around though I had told my first OB about my history and he had read my stack of records he did not want to start me on blood thinner until I met with a hematologist. Obviously there was some miscommunication between the hematologist and that OB because I hit 11/12 weeks, met with the hematologist who told me he wanted me on Lovenox 60mg once a day ASAP but no one (not my OB even though I called the office a couple times to follow-up) had prescribed me blood thinner. After that instance we decided to change OBs and the new OB put my on Lovenox 60mg once a day right away. I've been on it since, but have no idea what will happen if I begin to bleed because of the placenta previa. Other than the worry about bleeding caused by that, and some blood blisters and occasional bruising when I try to be too quick I haven't had any horrible side affects from the blood thinner.

At our next appointment I'm going to ask the doctor about NST and growth ultrasounds to follow Kadie's growth like we had for our son. I'm not sure what the doctor will decide to do though.

Because of this and the placenta previa I feel that this is God's way of saying no more babies so we've decided we are content with our family as it is and that Kadie will be our last baby. If we have a c-section because of the Placenta Previa I will have my tubes tied at that time. If we don't have to have a section either Daddy with get the big V or I will get tubal implants.


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Old February 23rd, 2009, 11:40 PM   #2
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thanks for sharing your story! I have a friend who also clots when she is pregnant. I dont know the specifics but I know she was seeing a specialist the whole time to make sure she didnt have any major issues. They first found out with her first baby who ended up having IUGR and was born at 39 weeks or so & weighing only 3 lbs. She is a happy healthy girl now! She also had another baby this summer who wasnt affected and super healthy and happy too.


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Old March 22nd, 2009, 09:53 AM   #3
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I wanted to add this very, very informative link about Pulmonary Emboli from The Merck Manual: http://www.merck.com/mmhe/sec04/ch046/ch046a.html


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Old June 3rd, 2010, 08:49 PM   #4
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i know this is a bit older post but thank you for posting, i have a history of blood clots (dvt) and have met with a hematologist and once i get pregnant i have to be on lovenox (injections) during the entire pregnancy, how was that? I dont have too much of a fear of needles as i was having blood drawn almost daily for awhile, but just wanted to get an idea of how it all works,


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Old June 6th, 2010, 01:53 PM   #5
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The Lovenox was better than the Heparin I had also been on over the years. With our middle daughter and son I injected myself twice a day. With our youngest the hematologist said I only needed to inject it once. I preferred injecting myself only once a day, lol. There were days when I didn't mind going it at all and other days when I wished I never had to do it again. The days when I was having a hard time I reminded myself that I was doing it for my baby and we were both worth it. I took it one injection at a time...needless to say the fear of needles I had with my oldest was virtually non-existent now.

However it works out for you ask see if your insurance will cover a home health aid coming to your house to show you how to do it the first few times. When you do it yourself pay special attention to the needle and how far you inject it. I noticed I had more discomfort when I didn't pinch enough fat or when I injected the needled in crooked.

Lots of luck and baby dust to you!


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Old June 8th, 2010, 04:35 PM   #6
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thank you for the info it helped alot with what i should expect!!!


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Old June 9th, 2010, 06:15 PM   #7
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Glad I could help!


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Old June 26th, 2010, 09:53 PM   #8
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I am also on Lovenox.
I had a PE a few years ago and my doctor said I must be on it. I was spectacle at first but now I understand the reasons why it is so important!
It is not a fun injectable. I have found no matter which way I inject the medication really hurts! But, its worth is to have a healthy baby! I am glad I read this post. I really validates why I am injecting!!


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