I am nearing week 30 of my second pregnancy. Very briefly for those who don't know, my first pregnancy ended at 30 weeks due to placental abruption and my daughter was stillborn by emergency c section under General a anaesthetic. Many clots were found in the uterine cavity and I then had multiple pulmonary emboli, which lead to a diagnosis of APS (after testing positive for Lupus anticoagulant).
This pregnancy has been managed with clexane (120ml twice daily) and daily low dose aspirin and so far, so good.
I am coming to the time when I need to make a decision with my obstetric consultant about an exit strategy for this little one! We both have the same concerns:
1) elective c section at 39 weeks - clexane can be managed, but increases risk of clots. Recovery is harder and longer. However, a planned section would be far preferable to an emergency section.
2) induction at 38 weeks - if all goes accordingly then this would be preferred option. But if induction doesn't work, clexane may be more difficult to manage and also may then end up with emergency c section.
Does anyone else have any experience of having to make a similar decision, and what was the outcome!?
Any advice or guidance from those who have been in a similar situation very much welcomed!