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Yes, it can.
I know 2 people who have had used blood thinners during pregnancy. The first one had undiagnosed clotting issues and ended up with life-threatening problems after the birth of her first child. With her second child, she and her care providers knew exactly what to expect, she was on Cumidin (sp?) throughout her pregnancy, and had a second lovely vaginal birth. The other person I know who needed blood thinners is my cousin's wife- her whole family has the same clotting disorder and she had heparin shots in her abdomen (if I remember correctly) in her second and third trimesters. Her birth was so lovely and peaceful that, according to my Aunt who was there, the doctor actually thanked her for reminding him what natural birth could be like.
 

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Ok, here's the thread I was talking about:

http://www.mothering.com/discussions...otting&page=23

It's quite long, but look especially at the end and you'll hear a lot of discussion about birth and blood thinners. At least one person on there is also from the UK.

I was on Lovenox for my last pregnancy after two miscarriages. I did end up being induced for high blood pressure but had no other interventions. If if hadn't been for the blood pressure, I was scheduled to give birth at a birth center. I had a fantastic birth even with the induction and more importantly, I have a wonderful little girl who just turned 15 months.
 

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Yes, birth can go smoothly. The main issue you might run into is that many (most?) providers prefer to have clotting patients deliver by 40 weeks. Also, I have heard about some docs being picky about stopping the anticoagulants at a precise time and then inducing. Part of that may also depend on the patient's history (stillbirth, etc.).

Birth on anticoagulants has never been an issue for me. I'm on lovenox for the fourth time. I've had three vbacs on lovenox or heparin (at 33w, 39w, and 38w, not induced) and am hoping for one more vbac this summer. I also take low-dose aspirin and see a perinatologist, who tracks my lovenox levels and adjusts accordingly. I will be switching to unfractionated heparin at 36 weeks.

With my last vbac, I wanted an epidural but couldn't get it because I had done my shot of 10,000 units of heparin and went into active labor two hours later (five hours after that, he was born. That anesthesiologist would not do the epidural until 12 hours after the last shot of heparin. Different anesthesiologists have different rules on that; usually for lovenox it's 24 hours).

Postpartum, I take lovenox for a couple days and then switch to coumadin (which, from everything I've heard, is not supposed to be taken during pregnancy, but it's fine for nursing) for six weeks.

There's also a yahoo group about clotting issues and pregnancy http://health.groups.yahoo.com/group...ec=group&slk=1

Good luck!
 

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Quote:

Originally Posted by Girlprof View Post
I'm pretty sure in the UK you aren't going to be asked to switch to heparin and you aren't going to be induced either. Try to find some posts by "orangefoot".
I had to argue with my doctors a little about this, but I eventually convinced my doctor that I did not need to switch to heparin at 36 weeks. I actually had the specialist backing me up. The only concern was possible c-section. they wouldn't do an epidural, so it would be under general.
As it turned out, I had a wonderful natural birth. I never switched to coumadin either(Coumadin is a very powerful blood thinner and is more likely to cause problems than heparin or low molecular weight heparin)
I'm in Canada btw
guess I should said that off the bat.

Good luck
Hope you have a wonderful pregnancy
 

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Discussion Starter · #10 ·
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Originally Posted by ErinsJuneBug View Post
Ann did you get a BFP????!!!
:
:
Its not big....its not fat... (yet - early days - pro early tester I am
lmao)...But it is positive!!!
Thanks for the vibes and prayers - I need them!!! heheh

Thanks for all the replies - will do more reading but it all sounds good so far!...
 

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I have had several clients on Lovenox or Heparin have great births.

You MUST have good communication with your care provider, however. One client discovered that her "mandatory induction by 39 weeks" was only because the doctor assumed she wanted an epidural for the labor, and wanted to manage the timing of her blood thinners to enable that. Once she clarified to the OB that she was, in fact, planning no pain medications, and did not want to be induced, she was "allowed" to wait for labor to start naturally, which it did at 42W2d. If baby had been induced at 39 weeks, he would not have been ready, imho.

Good luck!
 

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Quote:

Originally Posted by sweeetpea View Post
I have had several clients on Lovenox or Heparin have great births.

You MUST have good communication with your care provider, however. One client discovered that her "mandatory induction by 39 weeks" was only because the doctor assumed she wanted an epidural for the labor, and wanted to manage the timing of her blood thinners to enable that. Once she clarified to the OB that she was, in fact, planning no pain medications, and did not want to be induced, she was "allowed" to wait for labor to start naturally, which it did at 42W2d. If baby had been induced at 39 weeks, he would not have been ready, imho.

Good luck!
I will second this. You need really good communication. I had to agree to GA in the case of a necessary c-section. It's worth it to talk through whether or not you'lll switch to heparin; induction or not; also how to handle the anticoagulants post partum. Congratulations!
 
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