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Birthing while on Lovenox/Heparin It's my turn♥ 34 kids; Greenback, Tennessee 24868 posts
23rd Jan '12

Anyone familiar with it? If so, did you or the person you know have a Scheduled CS? Have a vaginal birth? Anyone know of anyone who had a VBAC while on it?

Katie's Bees Virginia 15428 posts
23rd Jan '12

A good friend of mine was on it... they had to take her off of it to have her scheduled csection so she could clot and not loose too much blood during the surgery, and then put her right back on it when she delivered.

I don't know for sure - she had a c/s for a different medical reason - but if she had been able to have a vaginal birth, I think they would have just done the same and watched her right after, really closely...

MissMommy04! 4 kids; Eau Claire, Wisconsin 2939 posts
23rd Jan '12

I was on lovenox and I asked the dr this question. The dr said they would monitor my bleeding and give me a dose of something that would counteract the lovenox if I was still on it when I delivered. I ended up only being on it for 6 weeks.

user banned Spread Eagle, Wisconsin 18518 posts
23rd Jan '12

I was on heparin and only had to go off of it 24 hrs before my scheduled induction. I had no problems during labor and delivery.

It's my turn♥ 34 kids; Greenback, Tennessee 24868 posts
23rd Jan '12
Quoting MissMommy03!:" I was on lovenox and I asked the dr this question. The dr said they would monitor my bleeding and give ... [snip!] ... of something that would counteract the lovenox if I was still on it when I delivered. I ended up only being on it for 6 weeks."

They can switch you to heparin, there is a reversal for that. But there is no reversal for the Lovenox.



Only problem is, with Lovenox, you can't have a spinal or epi if you took it within the past 24 hours. Which is why they usually switch to Heparin.



So were you not on it when you delivered?

It's my turn♥ 34 kids; Greenback, Tennessee 24868 posts
23rd Jan '12
Quoting *~*LISA*~*:" I was on heparin and only had to go off of it 24 hrs before my scheduled induction. I had no problems during labor and delivery."

Did you have an epidural?

MissMommy04! 4 kids; Eau Claire, Wisconsin 2939 posts
23rd Jan '12
Quoting It's my turn♥:" They can switch you to heparin, there is a reversal for that. But there is no reversal for the Lovenox. ... [snip!] ... you took it within the past 24 hours. Which is why they usually switch to Heparin. So were you not on it when you delivered?"


Oh no, I didnt know that! And no, I had a blood clot in the beginning of my 2nd Tri because of my HG, it was a side effect after having my PICC removed. Luckily the clot was gone after 6 weeks. I got conflicting answers from my OBGYN and the hematologist (is that right? I only saw him twice so I dont really remember)

user banned Spread Eagle, Wisconsin 18518 posts
23rd Jan '12
Quoting It's my turn♥:" Did you have an epidural?"

Yes I did. They did tell me that because of the blood thinner, I would be at an increased rick of an epidural hematoma which would require immediate back surgery. But nothing happened.

user banned Spread Eagle, Wisconsin 18518 posts
23rd Jan '12
Quoting MissMommy03!:" Oh no, I didnt know that! And no, I had a blood clot in the beginning of my 2nd Tri because of my HG, ... [snip!] ... I got conflicting answers from my OBGYN and the hematologist (is that right? I only saw him twice so I dont really remember)"


I was on Lovenox my entire pregnancy until 36 weeks, they put me on heparin (because of it being reversible).

It's my turn♥ 34 kids; Greenback, Tennessee 24868 posts
23rd Jan '12
Quoting MissMommy03!:" Oh no, I didnt know that! And no, I had a blood clot in the beginning of my 2nd Tri because of my HG, ... [snip!] ... I got conflicting answers from my OBGYN and the hematologist (is that right? I only saw him twice so I dont really remember)"

That was one of my concerns. I have HG, and almost ended up with a PICC. But it eased up enough with a combo of meds I didn't need it. Since I'm already on the Lovenox it made me nervous.



They probably just never got into specifics with you, because you weren't on it. It's a lot to keep straight, lol.

It's my turn♥ 34 kids; Greenback, Tennessee 24868 posts
23rd Jan '12

I don't know what I want to do. I'd be a VBAC as well. Which my doctor's office is extremely pro VBAC. They actually encourage it. But with the Lovenox, I'm just not sure what my options will be. I thought it was out until today. Then I found out it's not necessarily ruled out. But it's so much higher a risk to be induced as well. Not sure they even will. Ugh.. so confusing.

user banned Spread Eagle, Wisconsin 18518 posts
23rd Jan '12
Quoting It's my turn♥:" I don't know what I want to do. I'd be a VBAC as well. Which my doctor's office is extremely pro VBAC. ... [snip!] ... not necessarily ruled out. But it's so much higher a risk to be induced as well. Not sure they even will. Ugh.. so confusing. "

Well, whatever happens, good luck!!

It's my turn♥ 34 kids; Greenback, Tennessee 24868 posts
23rd Jan '12
Quoting *~*LISA*~*:" Well, whatever happens, good luck!!"

Thanks!

BunnyGirl19 4 kids; 10 angel babies; Oregon 16920 posts
23rd Jan '12

I ad a vaginal delivery. They switch to heparin in the later weeks of pregnancy as it's got a shorter half life than Lovenox. They wanted to induce me at 39 weeks if I got that far to minimize bleeding risk. I went into labor much earlier on my own and had no issues with bleeding.

BetteHGSMx2 18 kids; Massachusetts 3812 posts
24th Jan '12

I was on heparin when I delivered due to my PICC....I had some hemorraging (sp?) issues but they were controlled.