Doctor insights on:
Heparin Vs Lovenox In Pregnancy
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. ...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
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. ...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
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. ...Read moreSee 2 more doctor answers
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. ...Read more
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. ...Read more
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. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 1 more doctor answer
I am taking progesterone, estradiol, aspirin, heparin and hCG injections in my first trimester of pregnancy?
Okay?: That's a lot of medicine, but you haven't asked a question. What do you want to know? ...Read more
If you have a blood clotting disorder- IgM aside from taking baby aspirin, do you get heparin before or just during pregnancy?
More info needed: Issues about coagulation and anticoagulation in pregnancy cannot be answered with the amount of information supplied. I'm not sure if "igm" is referring to igm lymphoplasmacytic lymphoma (waldenstrom's macroglobulinemia) or something else. In general -- in many coagulation issues in pregnancy low molecular weight Heparin (lmwh) is used with close anti-xa monitoring. ...Read more
Clotting : Lovenox (enoxaparin) is used in pregnancy to reduce the risk of clotting. If there is a blood disorder that is causing clotting, it can lead to a clot and affect the pregnancy. Lovenox (enoxaparin) or Enoxaparin is used to try and prevent clotting and allow a normal pregnancy. Hope this helps. Usually used in patients with a hereditary defect that leads to clots. ...Read more