What precautions do i have to take with a blood clot disorder when pregnant?

Have medical care.: Blood clotting disorders in pregnancy can cause, besides blood clots, pregnancy loss and/or fetal growth restriction. Women with these conditions often need to be on blood thinners starting early in pregnancy. They should also have regular close followup with their obgyn. Often, because of the use of blood thinners, the delivery is scheduled in order to time when to stop the blood thinner.

Prevention/planning: It is a good idea to schedule a visit with a maternal fetal medicice specialist for a preconception visit for planning purposes. I would also consult with my hematologist. The hormonal effects of pregnancy increase the body's tendency to form blood clots. The type of blood clot disorder and your personal history of ever having a blood clot will determine the optimal prophylaxis regimen.

Specialist counsel: Active management of clotting disorders is best initiated before pregnancy. Most patients have a predisposition to venous thrombosis and pulmonary embolism, and require changes in drugs during pregnancy. Some conditions like von willebrand disease may manifest increased bleeding at the time of delivery. Your hematologist and ob/gyn or mfm can help devise a plan if you are already pregnant.