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  1. #1
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    Default TCC and Pregnancy with Blood Thinners/ Clotting Disorders

    Hi, Just wanted to chat to anyone who is TCC on asprin and has or will need to take blood thinners to maintain a pregnancy.

    I took asprin while tcc last bub and till 36 weeks. I was put on Clexane from 4 till 16 weeks till the placenta implanted well.
    I had a SCH at 9 weeks, but bub was ok.

    I'm not sure about taking Clexane this time, the ob only put me on it because I aked about it. Wondering if asprin would be enough. I'm not going through an ob this time going to get an IM.

    Keen to chat.

    Ta

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    Hi Tatiana

    I'm TTC #1 with a clotting disorder. I have high anticardiolipin antibodies that make my blood sticky when I am pregnant which can lead to implantation failure, miscarriage, stillbirth and IUGR. I was only diagnosed with this a few months ago after 1 miscarriage and 1 chemical pregnancy. My OB only wants me to try aspirin at the moment and he wants me to stay on it until at least 32 weeks. I asked him about other blood thinners (clexane & heparin) but he just wants to see how we go with the aspirin first and if it doesn't work he will consider using other methods.

    It'll be nice to have someone to chat to about this. Sounds like you have good experience! Its always good to hear that there are others in similar situations with success stories

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    hi tatiana,

    i was on a blood thinner for my entire pregnancy(ivf concieved).
    i started on clexane up until about 19-20 weeks then i was switched to 100mg asprin until i gave birth at 37+4.
    dh and i have unexplained infertility and i asked my fs to go onto clexane and we finally got our bfp.
    my hospital did testing and found dh and i both have mthfr blood disorder which may have contributed to us m/c and having trouble concieving.

    we are now ttc #2 naturally with prednisolone and clexane, i start the injections in 3 days time for this cycle.

  4. #4
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    Chubear is offline Mummy to two baby rhinos (according to them!)
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    Hey,
    I have Factor 5 leiden and will need to take clexane daily once i have a BFP.
    i asked my DR about aspirin, cos i heard sometimes it can help to get PG, but he reckons the incidence of gut bleeds can be high and since i have a history of stomach ulcers and reflux he recommends i stay away from it.
    i have used clexane before - every time i fly or have really long bus trips.

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    Hi Luvabubba, I'm thinking I might do the asprin only route this time. But it's a difficult descision because I know the asprin and Clexane combo did the trick last time.. Just found injecting whilst so morning sick horrific!!
    I had countless chemical pregnancies and 2 m/c. Got really depressed about it for a while.

    They did talk to me about the possibility of IUGR but she was almost 8 pounds at just 38 weeks! So no trouble there.

    Hi heatherm, I've heard about using asprin for IVF. Why did bub come early? Were you induced? My ob said she would induce at 37 weeks after I had stopped asprin so baby didn't clot off her cord, but she did so great I went into labour myself. What's the pred theory?

    Hi Chubear, I can see why they might not want you to take asprin. Are you tcc? Clexane are so blunt! Found it quite painful.

    My clotting stuff is non specific too, but auto immune related (killed off my thryoid too). I've got a High ANA (antineuclear antibodies),
    Last edited by Tatiana28; 30-12-2010 at 22:38.

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    hi tatiana,

    i went into spontaneous labour at 37+3.
    induction was never discussed with me even having gestational diabetes.
    either was coming off asprin.
    at one stage approx. 20 weeks they were also worried that ds may have been iugr because i had bi-lateral notching of the uterine arteries(something to do with blood flow).

    from what i understand asprin and clexane work differently.
    asprin thins the blood but clexane doesnt but stops the blood from coagulating(it is an anticoagulant).

    heather

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    Ok, I'm surpised they didn't get you to stop the asprin, would have thought that it would have given you greater risk of bleeding. Did you have much?
    Was a bit worried about that.

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    Hi Ladies,

    There seems to be so many different clotting disorders, we all have something different!

    Chubear: I started taking a low dose aspirin that my OB recommended a couple of cycles ago and after 11 days on it I developed REALLY bad acid reflux. I was supposed to be taking the enteric coated ones (that dissolve in your intestines not your stomach to prevent stomach issues) but I had bought the wrong one! The worst bit is that we only BD'ed the day after I had O'ed so there wasn't much chance that the aspirin could have helped anyway! This cycle I have been using Cartia 100mg and I've had no problems. I have a history of acid reflux too but no stomach ulcers. Because of your history it's probably better that you take Clexane rather than the aspirin because it doesn't take long for the aspirin to cause issues!

    Tatiana28: It would be hard to decide what is the right thing to do, especially since you know that Clexane and aspirin work! I felt the same after I was diagnosed with ACA I did a lot of research and most of it suggested that aspirin + Clexane/Heparin was more successful than just aspirin so when I saw the OB I told him I would like to try both. But he insisted that there is no point taking a medication that I may not need and said he will only consider clexane if I continue to miscarry on aspirin. I can see where he's coming from and I'd also prefer to avoid the clexane too (after hearing so many comments about the blunt needles!) but at the same time I'd rather not lose another baby. It's so hard to know what to do.

    I think the IUGR is caused by blood clots cutting off the supply of nutrients to the baby. So if you are getting the right dose of blood thinners/anticoagulants that shouldn't be a problem. But it is something that needs to be looked out for if you know that you have a clotting disorder. But you definitely didn't seem to have a problem with IUGR with your daughter!

    Heatherm: I have always wondered why people had to take both aspirin and clexane I didn't realise that they do different things, so thanks for that info!

    AFM: Well this is the first month that we are using aspirin and have timed BDing right. I tested this morning with FR and got a very faint BFP (I'm 9dpo). Here's a pic:

    the aspirin is all that I need to keep this bub sticky!

  9. The Following User Says Thank You to kioka For This Useful Post:

    Chubear  (14-01-2011)

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    dont know why they never took me off asprin, probably cos it was a different doctor from week to week.
    i didnt haemorage(sp?) but i think i may have had a bit more bleeding than normal as the lady stitching me up couldnt see what she was doing due to me bleeding so they gave me a 2nd injection in the leg to help ease the bleeding(the one they give to get the placenta to come out easier).
    i vomitted due to having 2 doses of the injection.

    luvabubba sorry i cant see a picture, it comes up white screen when you click on the screen.
    fingers crossed you have a sticky bubba in there

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    Hi Ladies, I hope you dont mind me jumping in....

    My Dh and I have been told to take cartia when we get a bfp and then as soon as we see a heartbeat to go onto clexane...im not scared of this cause we have been through so much to get to this point...im not exactly sure what they class my blood clotting as but they have just said that these 2 drugs should help us carry through to term..

    my question is...i am cd31 today..this is the longest cycle I have ever had...too scared to test...should i just start taking the cartia?? we were not supposed to be ttc so was not taking it...not sure if our bding matches o day cause i wasnt keeping track but still have a niggling feeling that i am utd!! I had stained ewcm 2 weeks ago and a small amount of spotting...soooo confused right now but am considering taking the cartia from today just to cover my bases...what do you think???

    i hope that we all get our sticky bubbas in 2011!!!


 

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