Pregnant after a Loss

? for those on Lovenox (Update)

My RE started me on Lovenox (40 mg) when I was 6 weeks. I saw my OB for the first time last Friday at almost 9w, and she said that there are more studies that show that Lovenox is not needed during PG. She said I only have to take it in my first tri.

Anyone else have a similar experience? Just wondering what your experiences are.

TIA! 

Update: I saw the MFM today, and he looked at all of my b/w and said it wasn't necessary for me to continue on the injections. My belly is so happy! I'm glad I got a second opinion. 

image

* PG #1 2/26/09: mm/c 4/14/09 at 10w4d | PG #2 8/5/09: mm/c 9/29/09 at 11w3d (boy) * 
* CP's 4/14/10, 9/1/10, 4/19/11, 5/24/11, 10/14/13, 11/16/13 *
* Ectopic 1/17/14 - nothing on u/s at 6w4d * 
* PG #7 BFP 12/21/11 - DD born 8/31/12 * 
* DH Dx'd with balanced translocation in 2011 *


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Re: ? for those on Lovenox (Update)

  • It depends on why you are taking it. My OB thought I would be on it but the MFM told me a baby aspirin b/c I had a lesser form of a clotting disorder, she sighted the studies you mentioned. That said I got a second opinion to verify. 

    I would make another appointment with your RE or call and explain your conversation with the OB. Typically as wonderful as they are, OB's aren't always the best source of information in pregnancies that are not typical/normal.  

    image Nicholas loved for 28 weeks, 4/11/10
    Baby Boy loved for 15 weeks, 5/31/11
    Baby Girl loved for 16.5 weeks. 3/1/12
  • Do you see a hematologist?  A lot of OB's are not that familiar with clotting issues and how long you should be on lovenox.  I also have hetero factor v and my hematologist wants me to be on lovenox until 6 weeks pp.  Later in pregnancy is actually when you are more at risk for developing blood clots in the placenta and cord.  Also, in the 6 weeks after pregnancy there is a bigger risk to you to develop blood clots.  I would consider talking to your RE again like pp suggested and/or talking to a hemotologist. 

     

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  • Thanks ladies - I just put a call into my RE.

    image

    * PG #1 2/26/09: mm/c 4/14/09 at 10w4d | PG #2 8/5/09: mm/c 9/29/09 at 11w3d (boy) * 
    * CP's 4/14/10, 9/1/10, 4/19/11, 5/24/11, 10/14/13, 11/16/13 *
    * Ectopic 1/17/14 - nothing on u/s at 6w4d * 
    * PG #7 BFP 12/21/11 - DD born 8/31/12 * 
    * DH Dx'd with balanced translocation in 2011 *


    Baby Birthday Ticker Ticker

  • Just wanted to add that I have homo factor v, but I was told had it been hetero I would have been on lovenox w/o question. 
    image Nicholas loved for 28 weeks, 4/11/10
    Baby Boy loved for 15 weeks, 5/31/11
    Baby Girl loved for 16.5 weeks. 3/1/12
  • imagetiffanysbride:
    Just wanted to add that I have homo factor v, but I was told had it been hetero I would have been on lovenox w/o question. 

    Thank you. I talked to my RE's nurse, and they suggested getting a second opinion from an MFM - so I have an appointment on Thursday. 

    image

    * PG #1 2/26/09: mm/c 4/14/09 at 10w4d | PG #2 8/5/09: mm/c 9/29/09 at 11w3d (boy) * 
    * CP's 4/14/10, 9/1/10, 4/19/11, 5/24/11, 10/14/13, 11/16/13 *
    * Ectopic 1/17/14 - nothing on u/s at 6w4d * 
    * PG #7 BFP 12/21/11 - DD born 8/31/12 * 
    * DH Dx'd with balanced translocation in 2011 *


    Baby Birthday Ticker Ticker

  • I also have factor v leiden... my RE and OB both thought baby aspirin was sufficient, but my OB sent me to a peri just in case. We are going with his rec to start the lovenox at 16 weeks until 6 weeks pp.

     Hope this helps!

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  • I know I'm late, but I think like PP said it depends on the reasoning. My OB put me on it, but my MFM didn't agree since I had not yet had a stillborn. But I tried aspirin for my last pregnancy and it didn't work. I would get a 2nd opinion from the MFM. 

    image
    Married August 9, 2008
    TTC Since September 2009

    1st   BFP | EDD 10/23/10 | Natural M/C 03/27/10 | 10w 0d
    2nd BFP 06/26/10 | EDD 02/25/11 | Natural  M/C 07/17/10 | 8w 1d
    3rd  BFP 12/17/10 | EDD 08/24/11 | Natural M/C 12/31/10 | 7w 4d
    4th  BFP 06/22/11 | EDD 02/25/12 | M/C D&C on 07/27/11 | 9w4d
    5th  BFP 09/17/11 | DD Paige Lily born 05/16/12
    6th  BFP 08/11/12 | EDD 04/11/13 | CP
    7th  BFP 09/29/13 | EDD 06/04/14 | Natural M/C 10/27/13 | 8w1d
    8th  BFP 12/16/13 | EDD 09/01/14

    DX: Pericentric Inversion of Chromosome 8 & compound heterozygous for MTHFR mutations
    RX: Lovenox/Heparin & Folgard

    image

  • I see you're getting a second opinion from MFM and that's what I was going to suggest.  My RE originally wanted me off of it at 16 weeks (I am on it for heteroMTHFR and elevated homocysteine levels.)  He referred me to MFM to see what they said, and they said since it "can't hurt, may help," to keep me on it the whole time.  They did say that I could get off of it cold turkey at 35 weeks, but my OB went ahead and prescribed heparin, because it also "can't hurt, may help."
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  • imagecsquared426:

    imagetiffanysbride:
    Just wanted to add that I have homo factor v, but I was told had it been hetero I would have been on lovenox w/o question. 

    Thank you. I talked to my RE's nurse, and they suggested getting a second opinion from an MFM - so I have an appointment on Thursday. 

    I hope you get the answers you need. I love my MFM, she is awesome and I always take her advice over my OB (though great as well). Sometimes she is more conservative but honestly at this point I am ok with that.

    I realize that when I posted above I messed up and put RE but meant MFM, sorry about that.  

    image Nicholas loved for 28 weeks, 4/11/10
    Baby Boy loved for 15 weeks, 5/31/11
    Baby Girl loved for 16.5 weeks. 3/1/12
  • For my issue, it was actually more important towards the end of pg and after of than during first Tri. As it was, DD's placenta was riddled with clots. 


    BFP #1 via IUI ~ L (Fatal Birth Defect) 4/7/10
    BFP #2 via IUI ~ m/c
    BFP #3 via cancelled IUI ~ C (2lb 3oz; HELLP) 5/16/11
    BFP #4 via the natural (free!) way ~ E (8lb 11oz) 9/13/12
    image







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