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Factor V Leiden/Clotting Disorder & Epidural



 
 
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  #11  
Old January 11th 06, 11:44 PM posted to misc.kids.pregnancy
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Default Factor V Leiden/Clotting Disorder & Epidural

Peg wrote:

The anaesthetist also said that the epidural catheter shouldn't be taken OUT
within 12 hours of a dose heparin. Apparently it increases the chances of
bleeding into epidural space, which is bad. So I made sure that I had my 1st
post partum heparin shot after the catheter was removed.


That was one of the things I was wondering about.
It seems to be in conflict with the OP's doctor's advice
that she should *start* heparin *during* labor, and that
it would be okay as long as she got an epidural before
heparin. Somehow, that just doesn't add up to me.

Best wishes,
Ericka
  #12  
Old January 12th 06, 12:06 AM posted to misc.kids.pregnancy
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Default Factor V Leiden/Clotting Disorder & Epidural


Personally, I'd feel a little uncomfortable starting heparin during labour.
What is there to gain if you could have your 1st dose immediately after the
baby is born (assuming you are not haemorrhaging!) ?


"Ericka Kammerer" wrote in message
. ..
Peg wrote:

The anaesthetist also said that the epidural catheter shouldn't be taken
OUT within 12 hours of a dose heparin. Apparently it increases the
chances of bleeding into epidural space, which is bad. So I made sure
that I had my 1st post partum heparin shot after the catheter was
removed.


That was one of the things I was wondering about.
It seems to be in conflict with the OP's doctor's advice
that she should *start* heparin *during* labor, and that
it would be okay as long as she got an epidural before
heparin. Somehow, that just doesn't add up to me.

Best wishes,
Ericka




  #13  
Old January 12th 06, 01:40 AM posted to misc.kids.pregnancy
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Default Factor V Leiden/Clotting Disorder & Epidural

Peg wrote:

Personally, I'd feel a little uncomfortable starting heparin during labour.
What is there to gain if you could have your 1st dose immediately after the
baby is born (assuming you are not haemorrhaging!) ?


Exactly! Why start at labor, when there's a possibility
that an epidural or a c-section might become necessary?
From what I understand, when you have these issues,
the safest possible birth (barring other medical complications)
is a very low interention birth, where you're free to move
about (discouraging clots from forming), drink freely
(so you stay nice and hydrated) and lower the risk of
any operative procedures.

Best wishes,
Ericka
  #14  
Old January 12th 06, 02:48 AM posted to misc.kids.pregnancy
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Default Factor V Leiden/Clotting Disorder & Epidural

Anne Rogers wrote:

[grin] That's what I've always thought - once you're there, you're gonna
get through it, cuz you don't have a lot of choice...



there is always the option of killing yourself, seriously I had a horrendous
emotional reaction shortly after the onset of labour with my 2nd, had I been
left along, the third floor window would have ben very good option, so in
that case, I wouldn't have got through it!

Anne


Yikes! My sympathies! I always tell people that I figure I just have
to be brave about painful procedures - I've got tattoos on both arms and
I paid good money for those. It was actually the throwing up that got
to me....

--
Cheri Stryker

Mom to DS1 - 6 yrs old
preg w/ DS2 - due in Feb
  #15  
Old January 16th 06, 06:57 AM posted to misc.kids.pregnancy
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Default Factor V Leiden/Clotting Disorder & Epidural

If you haven;t been treated prophylactically up to this point and don't
have an active clot (pulmonary embolism or dvt) then it's stupid to
start treatment now. Might make sense after the birth.

That said, I skipped out on my high risk status entirely and had a very
low tech homebirth with no epidural or heparin in sight (I have FVL but
have had no clots in almost 15 years) and did fine, but I did take a
LOT of precautions.

You need to learn a heck of a lot more about your condition before you
decide--for one thing, last I knew about standard of care, one had to
be off heparin for 24 hours or so before an epidural could be used, so
they'd treat throughout pregnancy, take someone off at 39 weeks,
induce, and then do a c-section if the induction didn't work, then
treat with lovenox (low molecular weight heparin) and/or coumadin
after.

What does your hematologist say?

  #16  
Old January 16th 06, 08:18 AM posted to misc.kids.pregnancy
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Default Factor V Leiden/Clotting Disorder & Epidural

I have a bleeding disorder which may keep me from getting an epidural,
so what I did was prepare myself to have a baby without an epidural in
case I couldn't get an epidural. I read hypnobirthing and bradley
methods, and I listened to hypnobabies tapes. I also took tylenol
during labor. It does actually help some since labor is muscular pain.
I don't know about your particular disorder, but it sounds like
preparing for natural childbirth might be good for you at this point.
It is the fear that makes it hurt. Control your fear, and you can
control your pain to where it is more like hard work instead of
excruciating pain. Don't try to make anyone else happy when you are in
labor, not doctors, nurses or your dh. Just work on relaxing instead.
Get in whatever position and location works for you.

Good luck,

KC




Rafael wrote:
Hi,

I have a blood clotting disorder called Factor V Leiden and I'm 35
weeks pregnant. I've been told that, as a precaution, I ought to have
a Heparin injection prior to delivery and then will need to continue to
inject myself for 6 weeks after our baby is born. I have no problem
with this in itself but I have also been told that I should give plenty
of thought (more so than someone without Factor V Leiden) as to whether
or not I will want an epidural. This is because if I'm going to want an
epidural, I must have it administered before my Heparin injection can
be given to me.

Initially, I wanted to avoid an epidural if I possibly could but was
relaxed in the knowledge that I could change my mind if I wanted to.
Now though, I know that once I've had the Heparin injection, I can't
change my mind at all and an epidural will be out of the question.

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

Thanks in advance!


 




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