blood thinner injection for pregnancy : hi all, I got... - NRAS

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blood thinner injection for pregnancy

Wendywendywendywendy profile image

hi all,

I got RA for 3 and half years and believe the condition is under control.

I have been trying to have a baby for serval months. But I haven’t got pregnant yet.

And I was told by my rheumatologist recently that my one blood index is high which lead to high risk of getting blood clots during pregnancy. So I need to have blood thinner injection once I am pregnant everyday until six weeks after the due day.

Have this also happen to you? I have to say that having injection everyday sounds a lot. Have my biological pen twice a week is ok but on top of that, more injections, I don’t know whether I want to do it or not.

Would be really nice to hear if anyone experienced it.

Wendy

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14 Replies
AgedCrone profile image
AgedCrone

You need to speak to your obstetrician for advice before you do get pregnant. Presumably your rheumatologist knows what he is talking about,& if injecting everyday is the only safe way to proceed…you will need all the available information to come to a decision.

Hope you sort something soon.

Wendywendywendywendy profile image
Wendywendywendywendy in reply to AgedCrone

thank you for the suggestion, I will have an appointment with gynecologist next week.

medway-lady profile image
medway-lady

I’ve had the had the heparin injections although not for pregnancy. It’s becuase it’s easier to control the clotting because the newer blood meds Apixaban and Riveroxaban can’t be reversed and are intelligent medications so the tests for clotting doesn’t work and we have to carry warning cards, Don’t worry it’s a very fine needle and can go in thigh or tummy and is painless. It’ll be worth it to get the baby and then soon forgotten. I’ve been taking Riveroxaban for 6 years now as had bad PE’s and DVT’s associated with high risk from RA and they are the experts. You might see a Haematologist anyway and sometimes the thought is worse than the event.

AgedCrone profile image
AgedCrone in reply to medway-lady

I think the difference is - would it affect the foetus?

Because everything that gets into the mother’s bloodstream goes to baby!

medway-lady profile image
medway-lady in reply to AgedCrone

It might well do and I think it’s because it can’t be monitored unlike Waferin, it is always taken away when an operation in planned a week or so before and we do injections which are then monitored and they can reverse. It might well cross the placenta but it can’t be monitored then either but the risk of stroke or high blood pressure is a risk to mum.

Wendywendywendywendy profile image
Wendywendywendywendy in reply to medway-lady

Thank you so much for the sharing. I really needed the advice from an experienced person.

AgedCrone profile image
AgedCrone

Exactly…..that is why obstetrics should be consulted.

medway-lady profile image
medway-lady in reply to AgedCrone

I’d have thought they’d refer to Haematology but that’s wasn’t what she asked.

bpeal1 profile image
bpeal1 in reply to medway-lady

When I was pregnant with my son (now nearly 14) I had blood that was too thick due to RA antibodies. Thankfully low dose aspirin was sufficient to control it. The rheumatologist put me on it before I conceived and told me as soon as I knew I was pregnant to contact her. When I conceived she made an urgent referral to the obstetrician and the haematologist. The three of them shared my care throughout my pregnancy.

Wendywendywendywendy profile image
Wendywendywendywendy in reply to bpeal1

Thank you so much for sharing. I am on low dose aspirin right now. The though of taking many injections is scary. Reading all your replies have calmed me down a bit.

medway-lady profile image
medway-lady

Yes so do I Leiden factor 5 and thank goodness for the new medications. I had pregnancy problems but many years ago and no one knew why. Modern science has made things so much better now. My Nephrologist, RA team and Haemo do talk to each other. Thank you NHS.

tinlizzie profile image
tinlizzie

After having five miscarriages our daughter was prescribed daily heparin injections throughout pregnancy and for six weeks post natal and steroids for the first trimester of her healthy and wonderfully successful next pregnancy. Grandson is gorgeous! She was monitored closely by her obstetrician throughout. She doesn't have RA but tested ANA positive and underactive thyroid. Lots of luck for a happy outcome.

medway-lady profile image
medway-lady in reply to tinlizzie

I’m pANCA positive with RA and blood issues. It is so complex.x

Wendywendywendywendy profile image
Wendywendywendywendy in reply to tinlizzie

Thank you a lot for the sharing. Maybe I was so terrified by the injections and forgot how it can protect me and the baby. Thank you for reminding me of the reason to have the injections.

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