Clexane advise? Blood clot on both lungs at 8 weeks pregnant!! HELP!!

[Buka345]

Hi people,

Really confused at the moment and 35 weeks pregnant :-/
Been on clexane since 8weeks pregnant taking 80mg twice a day!!

Cannot get my head round what is going to happen to me and how this labour is going to go. The latest information I have had by my consultant is that I'm going to be checked at 40 weeks 41 weeks and 42 weeks to see when my cervix is ready to be induced, I really do not want to be left this long, with the complication I have already suffered from!!!

And believe I will probably going into natural labour by then has anybody out there been left this long on clexane?

Any advise at all I would really really appreciate!!

First baby, baby boy due Christmas day? X

 

[Samie18]

A friends of mine had a induction date arranged so she could stop her clexane just before to reduce the risk of bleeding

 

[Buka345]

Thank you Sami!!

To be honest that's what I thought would happen to me and before 40 weeks!!
Like I say more chance of me going into labour by myself that way my injection won't be controlled :-/ x

 

[Trissy]

I had thought I'd be induced as well (DVT diagnosed at 9 weeks) and have been on Tinzaparin since then but I'm being switched to Heparin at 35 weeks and then playing the wait and see game. My doctor wants me to labour naturally.

You'd think that they wouldn't want us going over since that increases the likelihood of larger babies and tearing, bleeding issues. I definitely have some anxiety about that. And the possibility of having a long (days long) labour without being on any anticoagulation. I clot fast so I am very, very worried about that. I have a friend who went into labour and they let her labour for five days before finally doing an emergency C-section.

Being on blood thinners sucks!!

Have you asked them their reasoning for letting it go that long? I plan on bringing that up at my next specialists appointment at the end of November.

 

[Buka345]

Hi,

I am back this Monday and I going to strongly put across I do not want to be left that long especially over Christmas, I am terrified as it is!!

I am like you a really do not understand the reason for leaving it that long!!

Can I ask what harprin is? Because I am 35 weeks on Tuesday and it's not been mentioned to do anything with my injection and I have read this a lot!!

Apparently I will be left up until 42 weeks for natural labour or until my cervix look ready to induce me, but if it does not work the first or second time it will go to emergency section!! One thing I am happy about I don't want to be in labour days!!

You ate right it really does suck, when are you due?

X

 

[Trissy]

Hi,

I am back this Monday and I going to strongly put across I do not want to be left that long especially over Christmas, I am terrified as it is!!

I am like you a really do not understand the reason for leaving it that long!!

Can I ask what harprin is? Because I am 35 weeks on Tuesday and it's not been mentioned to do anything with my injection and I have read this a lot!!

Apparently I will be left up until 42 weeks for natural labour or until my cervix look ready to induce me, but if it does not work the first or second time it will go to emergency section!! One thing I am happy about I don't want to be in labour days!!

You ate right it really does suck, when are you due?

X

Heparin is what we are taking, I should have specificed I'm being switched to unfractionated heparin at 35 weeks and I'll do twice daily shots. The low molecular weight heparin that I am on now (Tinzaparin) has a 24 hour half life whereas the unfractionated heparin has a 12 hour, so it's easier to do a natural labor that way. First sign of labor I stop my blood thinners and head to the hospital and hope that labor doesn't start right after I've given myself a shot.

Looks like Clexane has a shorter half life as well. I've never been prescribed Clexane so I don't really know much about it. Do you do your shots every 12 hours?

I've been on Tinzaparin twice (this pregnancy and with my first DVT/PE) as well as warfarin for the first DVT/PE and Fragmin earlier in this pregnancy, before my current DVT was diagnosed. I believe even if I hadn't clotted I still would have been switched from the Fragmin to the unfractionated heparin.

Do you have a clotting disorder that you know of?

I'm due on January 7th. With all the complications I've had though I think this baby is coming early, which would be ok with me. I just want my baby here and safe.

Good luck Monday!! Keep me posted!

 

[Buka345]

I was on tinzaparin at first 1500 twice a day, I was on that for a good couple of months but then had a reaction to it and a pencillin reaction at the same time. So I got put on clexane and I have been ok with this I also do two shots a day 12 hours apart 80mg, so I'm hoping I don't go into labour just after my injection!!

The consultant seems to think the blood clots are just pregnancy related I did suffer from hyperemesis gravidarum for half of my pregnancy too and been advised that the blood clots could have be caused by the dehydration with me keeping nothing down!!

Thank you for the information on clexane I will find out on Monday how long it last for!!

Have you been advised what will happen if you have emergency section I really want to avoid been put to sleep :-/

It's lovely to talk to someone that's having a similar experience!!

I'm so grateful that me and my little boy have come this far I really do hope he comes early not to early but here for Christmas.
I have had like period type pains for two days that are continues so hopefully he is getting ready!!

I will update on monday!!

Take care!!

 

[Trissy]

I talked briefly with my doctors about c-sections but we haven't really gone into much depth because they don't want to do one but the more I think about it (and the closer it gets) the more I'd like to know what happens if I do need one, especially an emergency c-section, so I think I'll be bringing that up with the specialists at the end of the month.

Hopefully your little guy won't keep you waiting, I'm still amazed they are wanting to let you go that long!! Maybe he'll decide he wants to come a couple days early and you can have him home for Christmas!

That's interesting about the hyperemesis gravidarum. I've been struggling with it for my whole pregnancy, even at 32 weeks I still have days I can't keep stuff down so I wonder if that was a contributing factor. Though I do know my clots are hormone provoked.

 

[Buka345]

Aww I feel for you been sick like that is horrible I never want to be sick again I take cyclzine it used to be 3 times a day but now I can manage with just taking one on a morning, apparently dehydration is not good for blood, I also wear my compression stocking daily (lovely)

The more I think about I can't understand why I am been left :-/ at first I was told I wouldn't go over, but now it's changed!!

Have you been told how long you will be left if you don't go into natural labour by your self?

Xxx

 

[Trissy]

Haven't been told yet. I think my primary care doctor is waiting for my next appointment with the specialists to see what they say to finalize my birth plan.

I'm really hoping it won't be more than 48 hours though. I clot very easily from hormones so I'm terrified of the idea of not being on blood thinners for more than three days. I've clotted within two days of being on the pill before so I really, really want to be back on the blood thinners as soon as possible.

I meet with the specialists again on Nov 27th and then with my primary care doctor December 5th so I should have my birth plan finalized then. And hopefully that will help me get some sleep at night. The anxiety is starting to get to me a bit.

 

[amjon]

I'm on Lovenox now. I'll be switching around 30 something weeks to twice a day. I'm going to push for inductions around 37 weeks. I had a 27 week stillborn as my first and then 2 MC, so I'm a bit nervous (and don't think they have me on enough Lovenox now either, so hopefully the MFM will up it).

 

[Trissy]

amjon. So sorry for your losses.

When I was on the Fragmin I also supplemented it with baby aspirin daily (with the ok from my primary doctor) though I wasn't on it long since I had already clotted by the time I started it, it just took two weeks for the clot to show up on doppler.

Hopefully your MFM will review your dosing and adjust it so you and baby are safe.

Do you mind if I ask if you have any clotting disorders?

 

[amjon]

amjon. So sorry for your losses.

When I was on the Fragmin I also supplemented it with baby aspirin daily (with the ok from my primary doctor) though I wasn't on it long since I had already clotted by the time I started it, it just took two weeks for the clot to show up on doppler.

Hopefully your MFM will review your dosing and adjust it so you and baby are safe.

Do you mind if I ask if you have any clotting disorders?

I do have FVL hetero, but I've been told by one OB and a hematologist that that shouldn't be enough to cause an issue. The OB that diagnosed me disagreed.

 

[Buka345]

Hi,

I hope you are both doing well!!

amjon I am sorry!!

Well to be honest I am still confused and I have got to point where I am trying to block everything, which isn't a good idea!!

My consultant are totally against section so looks like that is out of the window.

Just very worried!!

Hope you are both well x

 

[Chatterwockin]

I am not pregnant at the moment but how had two babies on clexaine. I was induced at 37 weeks with both they took me off the clexaine 14 days before the inductions. and back on it straight after. hope that helps a bit.

 

[Buka345]

Thank you!!

That seems to be what has happened to a lot of people!!

The plan so far is to give me a sweep at 39 weeks before this I wasn't even gonna get checked till 40 weeks, to be honest I would like to be checked before 39!!

What my consultant is putting across is that he doesn't want to induce me if my cervix is not ready!!

And want to keep me on my clexane for as long has possible, so I won't be taken of before hand!!

Can't understand it!!

X

 

[Trissy]

That sounds like progress though, getting the sweep. Thank goodness they won't make you wait til well overdue now. It does make sense though to not induce you until your cervix is ready, they'll want to minimize bleeding since they'll want to put you back on blood thinners right away I imagine.

I am seriously considering eating lots of dates starting at 36-37 weeks. Everything I've read points to them helping speed up cervical dilation, spontaneous labor and makes the first part of the labor shorter so if I can speed things up without medical intervention and prevent induction and going overdue I am all for it! Six dates a day, I can do that.

 

[Trissy]

I am not pregnant at the moment but how had two babies on clexaine. I was induced at 37 weeks with both they took me off the clexaine 14 days before the inductions. and back on it straight after. hope that helps a bit.

This is completely off topic but I love your avatar pic!

I love llamas and alpacas, hehe

 

[Chatterwockin]

I am not pregnant at the moment but how had two babies on clexaine. I was induced at 37 weeks with both they took me off the clexaine 14 days before the inductions. and back on it straight after. hope that helps a bit.

This is completely off topic but I love your avatar pic!

I love llamas and alpacas, hehe

Ha me too, they make me feel so happy with their crazy "hair do's"

 

[Buka345]

Lol ))

I have already started on my exercise ball walking then up and down the stairs

I guess you are right this was the second opinion I had, so hopefully when I see my original consultant on Tuesday he will agree!! She also said she is drawing a line at 41 weeks and doesn't think it's fair to leave me till 42, which I am really happy about!!

Can I ask you some advice?

I am on 80g twice a day and I will be kept on that until I go into labour or I am induced. Hopefully everything will run smoothly but I got told by the second opinion I had that with this been a large amount, I would not be able to have spinal tap or epidural for up to 24hours after, or if I did need a section I would defintly have to be put to sleep! Which I have be told from the start that the consultant want to avoid
this because of my breathing.

I would like to try and avoid the epidural if I can, think it will be different when I am in labour lol!!

X