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I am 26 weeks pregnant and was just found to be a carrier for a blood clotting disorder that runs in my family. I am seeing an OB as well as my MW (who just happens to be my mom
). My OB has recommended my going on Lovenox, a "blood thinner" to reduce my risk of clots forming. I am going to speak to him more about his tomorrow, but I wondered if anyone else was able to have a homebirth while on blood thinners? I know that a lot of people get induced when they have this condition, but I as I understand it, it's because they want to be able to have an epidural, which means stopping the blood thinner beforehand. I don't want an epidural, so hopefully that will not be an issue for me.
Thank you for any info you can give me. I will be speaking to my dr. about this, but hoped that someone had a success story to share.
Katie
 

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That is me! I am 7 weeks along and am a bit concerned about the possibility of hemmorhage, but the midwife said I do not risk out. I am using a CNM who carries pitocin and I live five minutes from a good hospital. I don't know if I would feel comfortable home birthing without a midwife who had something to stop or slow bleeding. I know nipple stimulation can help but it sounds painful! I also probably will have the baby get a postpartum vitamin K shot, in case any of my blood thinners reach him or her.
 

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Also, unless your doctor is unusually daring, he might feel he HAS to say "no home birth" in order to C his A, legally. The best person with whom to consult would probably be a midwife, maybe other than your mom if you are concerned that your mother would be too emotionally involved to be objective.
 

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Well, a lot is going to depend on your individual condition. If you've no symptoms or clots, and no history of baby loss, some doctors might not push the blood thinners at all yet. However, your condition might be more serious or threatening and it may be important to have you on thinners through birth and beyond. I had a very minor clotting issue we were only treating because I had some visible placental clotting, taking lovenox once a day. However, near the end I went off the lovenox and opted for twice weekly biophysical profiles while waiting for spontaneous labor and homebirthing. This is less of an option for women whose lives may be threatened by more signifigant clotting issues. The big thing I would do if you're going into a realm of clotting disorders and bloodthinners is to see a specialist. It's an area of prenatal care that's been evolving a lot, with changing standards of care, so I'd find a good perinatologist that follows this stuff rather than my regular ob to manage the clotting issues and advise me on what the relative risks for what courses of action might really be.
 
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