What is the probability of having a "safe" pregnancy at the age of 36, only 10 months after having had 9 pulmonary emboli? On Lovenox (40mg) a day now....no family history of blood clots and never ever smoked. Otherwise healthy. Please be honest!
2007-05-18 17:15:57 · 8 answers · asked by anneboz 2 in Health ➔ Diseases & Conditions ➔ Heart Diseases
Here this small article will help you:
Three fourths of cases of venous thrombosis occur antepartum, with approximately 50% occurring by week 15 of gestation. Deep venous thrombosis (DVT) begins in veins of the calf and thigh in pregnancy, as it does in nonpregnant women, but a striking propensity exists for involvement of the left lower extremity. The clinical diagnosis of DVT is more difficult in pregnant women than in nonpregnant women because swelling and leg discomfort are common in pregnancy.
A 30-years population-based study collated the cases of deep venous thrombosis or pulmonary embolism in women during pregnancy or the postpartum period. The relative risk was 4.29 and the overall incidence of venous thromboembolism (absolute risk) was 199.7 per 100,000 woman-years. Among postpartum women, the annual incidence was 5 times higher than the pregnant women (511.2 vs 95.8 per 100,000). The incidence of deep venous thrombosis was 3 times higher than that of pulmonary embolism (151.8 vs 47.9 per 100,000). Pulmonary embolism was relatively less common during pregnancy versus the postpartum period (10.6 vs 159.7 per 100,000) (Heit, 2005).
NOW IT'S UP TO YOU TO DECIDE.
2007-05-19 05:12:35 · answer #1 · answered by Dr.Qutub 7 · 0⤊ 0⤋
You need to discuss this in depth with your OB-GYN. One side effect after delivery is possibility of blood clots, which in turn can break loose and go directly to the lungs, pulmonary embolism. I don't know how safe taking Lovenox would be while pregnant. During pregnancy your blood volume doubles to support you and the baby, this can effect how your body's blood supply (red blood cells, white blood cells, plasma, platlets - which aides in the clotting process) reacts. Not having a family history of blood clots, or even not smoking, is not a substantial reason in you not getting another blood clot/ pulmonary embolism. Your doctor needs to know your history and let him give you more information about a safe pregnancy. You may never have another clot again. GOOD LUCK!!!
2007-05-18 17:28:18 · answer #2 · answered by perfectbb 1 · 0⤊ 0⤋
Obstetrician may want to consult with a hematologist. With no family history, there can be a genetic mutation that you inherited. Find out and find out any possibility of passing that gene on.
Did they put you on Lovenox instead of Coumadin during your pregnancy? Good that you don't smoke? As far as I know, steroids for autoimmune diseases, and some autoimmune diseases themselves can cause blood clots.
That having been said, I don't have experience i obstetrics; but I'm a nurse and I have had several clots.
We're here to give suggestions, but they're based on what we might have experienced; none of us is walking in your shoes. Have you talked to your OB, gotten genetic counseling.
I wish you the best and hope that all goes well.
2007-05-22 13:29:45 · answer #3 · answered by Nurse Annie 4 · 0⤊ 0⤋
Being as you're still on Lovenox, I feel strongly that your doctors would probably advise against it. Though, I agree with all the others, you need to talk with both at length and let them give you their professional opinion.
2007-05-18 18:44:36 · answer #4 · answered by Anonymous · 0⤊ 0⤋
I can tell you that Lovenox is pregnancy risk category B. You can safely take it while pregnant, it won't hurt the baby. But I don't know how risky a pregnancy would be for you. Please talk to your cardiologist.
2007-05-19 04:27:47 · answer #5 · answered by Harmony 6 · 0⤊ 0⤋
Oh Honey,
I am soooo sorry for what you are going thru!! But you dont wanna ask people in here about this. It is such a sensitive and important issue you need to talk to your specialist about it. No matter what people in here say its not going to be a good thing for you till you get checked out!!So please whatever you do just take the advice as far as going to see a Dr. OK? I hope all goes well for you and your baby!!Good Luck and God Bless!
2007-05-18 18:12:49 · answer #6 · answered by aintmisbehavinat48 2 · 0⤊ 0⤋
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2016-12-17 16:59:17 · answer #7 · answered by ? 4 · 0⤊ 0⤋
You really need to consult your cardiologist on that one. None of us has your complete medical history and the full story on your embolism.
Your doctors (cardiologist and OB) need to discuss this with you.
2007-05-18 17:20:25 · answer #8 · answered by Anonymous · 0⤊ 0⤋