Doctor insights on:
Heparin Lovenox Pregnant
I'm pregnant with chest pain and shortness of breath. I will not have a chest CT angiogram. Will the Drs just put me on heparin without me havin ct?
Discuss with doctor: How far along are you in your pregnancy? Abdomen can be shielded to minimize exposure to the fetus. It is not feasible to advise without knowing more about your health.
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
Yes, you can: Unfractionated Heparin and low molecular weight Heparin are safe and useful drugs during pregnancy for women with increased risk for having blood clots. A history of having a blood clot or a strong family history of a blood clot associated with a familial thrombophila disorder are indicators for the prophylactic use of heparins. These agents can be used throughout pregnancy, but if low molecular weight heparins are used, a switch to unfractionated Heparin is required if epidural anesthesia is considered for labor and delivery, because of risk of epidural hematoma if low molecular weight Heparin was used within 24 hours before delivery. Since onset of labor is unpredictable, most obstetricians will make the switch at 36 weeks gestation. A discussion with your obstetrician before pregnancy or early in pregnancy about management with Heparin should help alleviate concerns you have about its use.See 2 more doctor answers
Discuss with doctor: Not sure what a&c means. Mthfr mutation is very weakly associated with miscarriage. If you are heterozygous then blood thinning medicines are not indicated. If you are homozygous then possibly. Ask about a fasting homocystine test. Your age of 41 is also a risk factor for miscarriage.See 1 more doctor answer
For pregnancy for someone with history of uedvt...What is diff b/w heparin and lovenox (enoxaparin)? Why would one also be on baby aspirin?
Heparins, etc: Unfractionated Heparin (UFH) can be given IV or sq (as prophylaxis) and was used historically and is used now especially if want to turn on/off and be able to reverse it (w/ protamine). Enoxaparin (lovenox) is a low molecular weight Heparin (lmwh) that can be given subcutaneously (sq) for prophylaxis or treatment. Aspirin is used more to prevent arterial (mi, tia, stroke) not venous clots.
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.
Lovenox (enoxaparin) vs. heparin: Unfractionated Heparin (UFH) & enoxaparin (lovenox or lmwh) both prevent blood clots by indirectly inhibiting the function of 2 important clotting factors, xa and iia (thrombin). Ufh is very large , while lmwh is smaller. Dosing of UFH is IV or sq every 8-12 hrs, and lmwh sq every 12-24 hrs. Care is needed with lmwh if renal failure. Ufh is more likely to cause hit, a dangerous allergic reaction.
Bleeding: Heparin does not cross the placenta so there will be no direct effect on the fetus. The primary risk for the pregnant mom is bleeding problems for her from the heparin, particularly if she were to suffer from placental related bleeding such as an abruption. An urgent maternal or fetal problem requiring delivery also poses a risk of bleeding if heparinization cannot be reversed before delivery.
Yes: Heparin, a blood thinner, is used in pregnancy for a number of different conditions. There is unfractionated Heparin and low-molecular weight heparin(lmwh). Both are given as shots. Neither cross the placenta and do not have any affect on the fetus. Unfractionated Heparin requires more monitoring than lmwh. The blood thinner to avoid in pregnancy is Coumadin (warfarin) which can cause birth defects.See 1 more doctor answer
Yes: A blood thinner like Heparin is required to treat some conditions like blood clots, which can be life-threatening. It can increase bleeding so it is very important that women with these conditions see an expert (eg, perinatologist or hematologist), have an accurate diagnosis and discussion of risks and benefits of anticoagulation to mom & baby, have monitoring of their condition through pregnancy.See 1 more doctor answer
Clexane: Clexane (known as Lovenox in the U.S.) is the brand name for enoxaparin. This medication is commonly used during pregnancy. Some doctors will switch back to unfractionated Heparin close to delivery since Heparin has a completely effective antidote, while enoxaparin's antidote is less reliable. Obviously, the OB doesn't want anyone to bleed excessively during delivery.
My wife is 14 wk pregnant with antithrombin 3 deficiency.Wht risk factors are attached and how long?We hv been adviced for low molecular heparin inj.
It sounds like: You re getting good advice and this is a complicated set of circumstances. Work with your OB team to manage everything carefully.
Heparin: According to my readings, both are effective but the calcium preparation causes more discomfort at the injection sites. A hematologist or even your pharmacist may be able to provide you with additional information regarding the 2 preparations and their differences.
Which type of specialist would i see if i've had 2uedvts and want to get pregnant? On warfarin for life, need prescription for heparin.
A perinatalogist. : A perinatalogist takes care of women with very high risk pregnancies which is what yours would be. You also want the doctor taking care of your warfarin involved. It would be helpful to do a consult visit with a perinatalogist prior to pregnancy to make sure you are informed of the risks and have a plan in place for when you get pregnant. Good luck.
Warfarin: Warfarin is a drug you shouldn't be using during pregnancy. Heparin is safer because it doesn't cross the placenta and affect the fetus. But why do you need these anticoagulants? That cause may increase the risks of pregnancy and put you into a high risk group. Talk to your doctor.See 1 more doctor answer
Had 2 uedvts. Why would i need a full hematology work up for clotting disorder before becoming pregnant if i will be on heparin anyway?
Get workup: Spontaneous upper extremity DVT is unusual, and some of the causes would be mechanical in nature such as thoracic outlet syndrome, exertional activities like weightlifting. Thrombophilia refers to congenital changes in one's blood coagulation system, resulting in increased tendency to develop blood clots, which can lead to miscarriage, dvt. Get a workup done.