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Blood thinners post partum

Forum: Pregnancy and Motherhood After Loss


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March 8th, 2013, 10:42 PM
EverydayJoy's Avatar Platinum Supermommy
Join Date: Dec 2011
Location: Pacific NW
Posts: 6,913
Heya ladies, I wonder if any of you have any opinions on this or thoughts.
Next week I see my hematologist again, to discuss going on blood thinners after the baby is born. She already mentioned that to me before, and I've been hoping that she would magically forget that she wants to do that. But no...her office contacted me to make another appointment.
So what I'm afraid of, is that a year ago I had a miscarriage, and had a horrific bleed where I had to get several blood transfusions and have an emergency D&C. Then the next day I came back in with chest pain, and had a blood clot in my lung. Was on blood thinners for 4 months.
Anyway so I'm thinking...um, blood thinners right after having a baby? Don't you want the bleeding to subside, post-partum, not to make it even more likely that you'll bleed more? I guess my biggest fear is that I'll have another hemorrhaging episode after baby is born, even though I'm all cleared for any blood clotting factors that would contribute to that.
I know a blood clot could be equally bad as a hemorrhage, but I'm just scared to go on blood thinners at a time like that. Am I crazy for questioning my hematologist's advice?

Little Bud: Blooming in Heaven 1.24.12
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March 9th, 2013, 03:01 AM
Mega Super Mommy
Join Date: Sep 2012
Posts: 2,259
Always question the doctors. It never hurts to ask him about why he wants to put you on the blood thinners and the risk vs benefit. Its your body so you need to understand why he is making this decision for you. The benefit might out way the risk and that could be why he is ok with putting you the blood thinners. I would talk to him and express your concerns. Keep us updated. Praying for you sweetie!
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March 9th, 2013, 06:08 AM
ohnicole's Avatar Platinum Supermommy
Join Date: Nov 2009
Posts: 5,756
I am on blood thinners during pregnancy, and every hematologist, OB, and MFM I have ever seen has stressed to me that the postpartum period is actually the period of highest risk for blood clots because of all the hormone fluctuations. They have always said that it is the most important time for me to be on blood thinners. So that is probably why your hematologist is recommending them for you, especially when you've already had a clot in a 'postpartum period'.

That said, I can totally understand why it would freak you out after having a hemorrhage. I would talk a lot with your doctor and see if he can ease your mind about the risk vs. benefit of the blood thinners... maybe ask for some kind of extra monitoring to keep an eye on potential hemorrhage. And if he can't ease your mind, I would talk to a high risk OB/perinatologist/MFM because they would know about both your risk of a repeat hemorrhage and your risk of a clot after birth.

Huge hugs- I'm sure it is a scary decision. No one wants to think about if they would prefer a DVT/PE/stroke or a hemorrhage
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March 9th, 2013, 07:54 AM
EverydayJoy's Avatar Platinum Supermommy
Join Date: Dec 2011
Location: Pacific NW
Posts: 6,913
Thanks you two...I think what I'll do is switch doctors. I'm not real impressed with this hematologist, I feel like she just glosses over stuff, so I might feel better with someone else. Maybe if I felt like my concerns were being "heard" I might be more comfortable with it.

Little Bud: Blooming in Heaven 1.24.12
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