How Do You Know if Lovenox Is Working
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While almost pregnancies progress smoothly and without serious medical issues, pregnancy doesn't come without some risk. Among the more than serious risks are claret clots, or thrombosis. Meaning people are five times every bit likely as non-pregnant people to feel claret clots, co-ordinate to the CDC. If untreated, blood clotting during pregnancy can lead to serious weather condition like pulmonary embolism (PE), which tin exist fatal.
Those are some scary facts, but thankfully, there are many treatment options bachelor for blood clots during pregnancy. One of the virtually popular treatments is a prescription blood thinner called Lovenox, likewise known as enoxaparin.
If you are at high risk for claret clots in pregnancy, or if yous are currently experiencing a blood jell during pregnancy, you are probably wondering if Lovenox is a good choice for you. You may be asking if Lovenox is safe for yous and your growing baby, and what the side furnishings might be.
Here'southward what nosotros know about Lovenox, along with some helpful insight from Dr. Kim Langdon, an obstetrician-gynecologist based in Ohio.
What Is Lovenox?
The ability of our blood to clot is important and necessary (for case, later you lot get a cutting or injury, your blood clots so that you don't go along haemorrhage profusely). All the same, if your blood clots too much, blood clots tin can form in the legs and other extremities and make their way to the lungs, causing a condition chosen pulmonary embolism (PE), which tin can be life-threatening if not treated promptly.
Lovenox, or enoxaparin, is an anticoagulant (blood thinner) oft prescribed for patients who are experiencing blood clots or are at higher adventure of experiencing them in the future. 1 of the most mutual times that Lovenox is prescribed is when someone is recovering from surgery, which can increase the chances of a claret jell. It is also frequently used to treat and forestall heart attacks.
Lovenox may be given via IV when y'all are in the hospital, but it'due south most often given by injection. Lovenox is injected into the fatty layer merely below the skin, and is most often injected into the stomach or abdominal area. Many people acquire to inject Lovenox at home, subsequently being instructed by their healthcare provider.
The most mutual (only generally rare) side furnishings of Lovenox include:
- Bleeding
- Anemia
- Thrombocytopenia (low platelet count)
- Elevated levels of serum aminotransferase
- Nausea and diarrhea
- Ecchymosis (pare discoloration as a upshot of bleeding under the peel)
- Edema
- Fever
- Shortness of breath
- Disorientation
- Pain at the injection site
What Are the Risks of Blood Clots in Pregnancy?
Anyone tin develop a blood clot during their lifetime, but people who are meaning have an increased run a risk of blood clots. In fact, their risk increases five-fold, according to the CDC. This heightened risk exists during pregnancy, delivery, and within the first three months of having a infant.
Pregnant people are more prone to blood clots during pregnancy because a significant person's blood naturally clots more easily to forbid blood loss during and after giving birth. Additionally, blood may non flow as easily to the legs during pregnancy every bit a result of the growing fetus putting pressure on pelvic blood vessels.
The major problem with claret clots is that, if untreated, they tin make their fashion to the lungs, causing a pulmonary embolism (PE), which can be life-threatening. The CDC explains that pulmonary embolisms pinnacle the list of pregnancy-related deaths in the U.South.
According to Dr. Langdon, some pregnant people are at college run a risk of claret clots than others. Weather that may increment your take a chance of blood clots during pregnancy include:
- Family or personal history of blood clots
- History of a blood clotting disorder
- A C-section delivery
- Periods of prolonged immobility, including bed residuum during pregnancy or after commitment
- Complications during pregnancy or childbirth
- Long-term medical atmospheric condition, including heart conditions, lung conditions, or diabetes
Is Lovenox Rubber for Pregnant People to Have?
If you have recently been prescribed Lovenox to manage a blood clot during pregnancy, or are at risk of experiencing a blood clot during pregnancy, you might be wondering if Lovenox is safety to accept. Your concern is understandable: any time you take medication while pregnant, you need to brand certain that it's safe for yourself and for your growing infant.
Generally, the question virtually whether Lovenox is right for you is something you will need to discuss directly with your healthcare provider. All significant people have dissimilar health histories and pregnancy risks, and your md or midwife will be able to offer recommendations nearly what is best for you.
Dr. Langdon offers some general advice about Lovenox. While at this time, at that place unfortunately isn't much evidence about the prophylactic of Lovenox during pregnancy, she says that "for the nearly part, there are non agin fetal or pregnancy effects."
Dr. Langon believes that as an anticoagulant (blood thinner), Lovenox is a improve option than aspirin. She also recommends Lovenox over Herapin, another common anticoagulant sometimes given to pregnant people to prevent blood clots.
"Heparin used to be the aureate standard, merely more and more than people are using Lovenox and the international consensus is that it should exist outset-line therapy due to less frequent dosing, college bioavailability, longer half-life, more anticipated response, and less laboratory testing," explains Dr. Langdon.
Does Lovenox Piece of work to Prevent Blood Clots During Pregnancy?
Again, there isn't much published prove about Lovenox's effectiveness in pregnancy. The most recent recommendation from the American College of Obstetricians and Gynecologists dates dorsum to 2002. "Lovenox (enoxaparin sodium) therapy appears to exist condom and efficacious for significant women who are candidates for either prophylactic or therapeutic heparin," the ACOG commission stance slice explained.
Dr. Langdon believes that Lovenox is constructive at preventing clots during pregnancy, but says that the dose "may demand to be adjusted upwards" for all-time results. Constructive dosing is something to talk over with your doctor equally medication dosing is oftentimes made on a case-by-case basis.
What Are the Risks of Taking Lovenox During Pregnancy?
Taking Lovenox during pregnancy has some risks. According to Dr. Langon, these risks include "excessive bleeding or bruising, vaginal haemorrhage, placental abruption—where the placenta pulls away from the inner wall of the uterus due to blood collection and or trauma."
In addition, the company that articles Lovenox warns that meaning people who accept prosthetic heart valves should be cautious when using Lovenox, as it may result in valve thrombosis.
A Give-and-take from Verywell
Pregnancy can exist a stressful fourth dimension, whether or not yous are dealing with a health scare. If y'all end upwards having a claret clot during pregnancy, or if you are at run a risk of having one, you are likely experiencing high levels of stress, discomfort, and fear. You want to know the best way to care for these blood clots and want this information as soon as possible.
As you lot expect into treatments, including using Lovenox, your doctor or midwife will know what the best option is for you and your growing infant. Don't hesitate to reach out to them if you need more than information, or if yous have additional questions.
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Source: https://www.verywellfamily.com/what-to-know-about-lovenox-during-pregnancy-5184489
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