I am from Macedonia and here we dont have specialist for APS. They only now that I should take aspirin and heparin but the doctor ask me what dose i should take but i am not a doctor i am scared. I think they are scared too because they dont have much experience in this medical issue.
I don't know what to suggest, as we are not doctors on this site and cannot advise you on medication or dosages. However, it is my experience that Heparin doses are generally based on body weight and are usually tabulated in the patient's leaflet in the box of injections. You must insist that your doctor undertakes research on the correct dose for you.
Congratulations on your pregnancy! I can understand how worrying it is for you having lost your previous baby. (I have lost several babies to APLS). It is understandable that you don't want to experiment with doses.
It looks like your dose is a prophylactic dose rather than a therapeutic dose which is often how they medicate with heparin during pregnancy if you haven't had a clotting episode other than miscarriage.
Some women do well on 20mg whilst others need higher doses so there are no clear cut answers on dosage. It is tragic that it often in an experiment to get the right dose.
I can only suggest that you discuss your worries with your medical team and express how worried you are and that you would prefer to stay on the higher dose unless there is a very good reason for the lower dose.
Hopefully your medical team can reassure you and come up with a treatment plan that you feel comfortable with.
I wish you all the best and hope you have a trouble-free pregnancy.
I was on low dose aspirin and clexane during the pregnancy that went to term. The ones I lost I wasn't on any treatment. It was 11-12 years ago so I can't remember the dose of the clexane but it was probably 40 or 60mg.
I have supported many women through pregnancy after miscarriage with APLS and their dosage can vary widely with success on various doses.
Just make sure your medical team is knowledgeable about APLS and its treatment in pregnancy and if they aren't find some that are.
I don't think any pregnancy after loss is easy as you will likely be worried and that is understandable. My best suggestion is to try and enjoy every day the baby is growing inside of you as every moment is special and you won't have that time back. It's easier said than done I know.
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.