Doctor insights on:
Anticoagulant In Pregnancy
Depends: Blood clots in the legs , lungs , heart or brain of the mother can be very dangerous for both mother and baby. Blood clots behind the placenta may decrease blood , oxygen and food supply to baby. Fortunately, there are medications like Heparin which can thin the blood and prevent clots in those at high risk for clots. ...Read moreSee 2 more doctor answers
Agents which slow ;/or break down blood clot formation in up to 3 different ways (they do not decrease blood viscosity; thickness.) (1) some inhibit platelet function (e.g. Aspirin, clopidogrel, etc.). (2) others interfere with some of the clot forming proteins (warfarin, dabigatran, rivaroxaban, etc.), (3) others stimulate the blood clot destruction ...Read more
Not sure: I am not sure i understand the question. Palpitations can occur at specific times such as late at night when you are lying down. Or they can occur after drinking coffee or alcohol. In some cases they are more common during or after exercise. Sometimes the timing helps us in treatment. (if they always occur after alcohol for instance). Then you could mean how long they last, (momentary or hours). ...Read more
Yes: The risk of first trimester miscarriage goes down after we visualize a fetal heartbeat. The risk drops to less than 5% after about 12 weeks gestation. ...Read more
What are the risks in taking lovenox (enoxaparin) /heparin during pregnancy? What if baby aspirin is taken as well?
Heparin: Plain Heparin and Lovenox (enoxaparin) (lmw heparin) can both cause easy bruising and bleeding, even hemorrhage, decrease in normal platelet numbers, bone thinning - scary stuff - but usually are very safe. The trick is never to use them without a clear benefit to outweigh the risks, and always monitored under a specialist care. ...Read more
How risky is attempting pregnancy at the age of 40, mild lupus, antiphospholipid antibody syndrome currently taking coumadin (warfarin)?
Risks: The risks as you describe them, are many, but they are not insurmountable. First, having a baby at 40 is more of a health hazard than having a baby at 20. This might be the biggest hurdle. Second, any chronic disease must be well controlled. Lupus should be quiet before attempting pregnancy. Third, any medications should be reviewed - you are likely aware that warfarin causes birth defects. ...Read moreSee 2 more doctor answers
Yes: Good test to do for dvt. See radiologyinfo.Org. ...Read more
Would the levels of bhcg in ectopic pregnancy be enough to be detected on a home pregnancy test 6 days before a missed period?
Unknown: Xarelto is approved by the us food & drug administration for the treatment of pulmonary embolism and deep venous thrombosis. It is approved in europe for these indications as well as in the prevention of stroke or systemic issues for patients with atrial fibrillation. As far as i can tell there is no approval for antiphospholipid antibody syndrome. I would consult with a hematologist to be sure. ...Read more
Yes: Blood clots are more common in pregnancy and post-partum, especially if you need to be at bedrest, on a long plane flight, or are obese. Watch out for signs or tenderness, swelling, or redness that is worse in 1 leg than the other, and report changes to your doctor right away. ...Read moreSee 1 more doctor answer
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Anticoagulants are any of a variety of drugs which decrease the body's ability to make or sustain blood clots. They fall, generally, into two categories. Drugs like Aspirin and clopidogrel (plavix) prevent platelets from forming the initial stages of a clot. Drugs like warfarin (coumadin) and dabigatran (pradaxa) block the later process ...Read more
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