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https://www.preeclampsia.org/forum/viewtopic.php?t=29250
Jun 29, 2008 · I, too, think it is interesting how different doctors handle anticoagulants differently. My hematologist told me I could stay on the Lovenox until 48 hours before delivery (since I am having a scheduled c-section at 37 weeks 3 days), but my OB wants me on heparin the week before and told me to discontinue 24 hours prior.
https://healthquestions.medhelp.org/lovenox-and-labor-and-delivery
Also, a c section is the best way to avoid strain on the heart for the delivery of a baby so I'm not sure why someone said you must not have a c section. .. and, weight of a fetus by sono is highly inaccurate, they are usually wrong bh y a few pounds.
http://www.pregnancythisweek.com/forum/discussion/23487/lovenox-epidural-orc-section-questions/p1
If not, my choices are to delivery vaginally the natural way, with no pain management, or if a c-section is required, I'll be put under full surgical anesthesia. If I would go into labor before my meds are switched & I'm still on Lovenox, then they have to deliver by whichever method is safer and will NOT involve a spinal puncture of any kind.
https://community.whattoexpect.com/forums/lovenox-ladies/topic/c-section-on-blood-thinners.html
I was put on lovenox at 7 months due to a PE and found at while I was in the hospital at this time that baby was breech. They didn't want to try to turn her in me due to the blood thinners so the plan was if she doesn't turn on her own to have a scheduled c section.
https://healthquestions.medhelp.org/lovenox-and-c-section
So they'll tell you to stop taking Lovenox 24 hours prior to c-section and if not, as there is a risk to hemorrage with an epidural, if you do need an emergency c-section or a c-section before the 24-hour timeframe of being off Lovenox, they advised me that I'd be put under general anesthesia.
https://forums.thebump.com/discussion/3922322/lovanox-heparin-and-delivery
So, really, the risk of staying on lovenox and not being induced is that you wouldn't be able to have an epidural and would need general anesthesia if you had to have an emergency c-section. But, if you are induced, you can just go off the lovenox in enough time.
http://blood.emedtv.com/lovenox/lovenox-and-pregnancy-p2.html
Lovenox and Pregnancy. Related Multimedia Click on an icon to view. Off-Label Use of Lovenox During Pregnancy In many cases, Lovenox is used "off-label" (for unapproved uses) in pregnant women. For instance, it is commonly used to treat clotting disorders such as Factor V Leiden in pregnant women. ... Lovenox and Labor and Delivery.
https://www.uptodate.com/contents/use-of-anticoagulants-during-pregnancy-and-postpartum#!
INTRODUCTION. A subset of pregnant patients requires anticoagulation during pregnancy and/or in the postpartum period, including women at high risk of deep vein thrombosis and women with prosthetic heart valves, atrial fibrillation, cerebral venous sinus thrombosis, left …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4715853/
Jan 16, 2016 · Guidance for the treatment and prevention of obstetric-associated venous thromboembolism. ... Prevention of pregnancy-associated VTE following cesarean delivery. ... administered unfractionated heparin should be stopped at 4–6 h prior to the expected time of epidural analgesia or delivery and the aPTT checked to ensure normalization. For ...Author: Shannon M. Bates, Saskia Middeldorp, Marc Rodger, Andra H. James, Ian Greer
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