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Old January 10th 06, 09:24 PM posted to misc.kids.pregnancy
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Default Factor V Leiden/Clotting Disorder & Epidural

Anne Rogers wrote:
I cannot make a decision. Does anyone else out there have similar
experience? I would love to know what you did.



so what would they do if you were to need an emergency c-section, would they
put you out with a general anaesthetic? If so I think I would want to have
one in place, because I wouldn't want to be knocked out to give birth unless
it was vital. I've heard of it being possible to put the epidural in, but
not put any drugs in it, you might consider that as an option?


Apparently, general anesthetic is recommended in cases
where the heparin injection isn't far enough in the past. What
I can't seem to find any information on is whether it's a good
idea to have heparin *after* the epidural. Everything I can
find (that's recent) talks either about prophylactic antepartum
heparin which should be stopped during labor with at least
12 hours before an epidural and then resumed 12 hours or so
after delivery, *or* no prophylactic heparin and starting
postpartum therapeutic heparin after delivery. I can't find
anything that says to *start* heparin *during* delivery.

From what I can tell, the safest birth for someone
with FVL is a very low intervention birth--no anesthesia,
remain mobile, reduce likelihood of c-section, etc. But
given that sometimes interventions are needed, I'm not
sure why someone would *start* heparin during labor?
Maybe someone who knows more can enlighten me.

Oh, here's another practice guideline:
http://www.attract.wales.nhs.uk/ques...estion_id=1601

Best wishes,
Ericka