Hi. I would like to ask you some questions regarding Clexane and baby aspirin.
I am currently at 32weeks with twins pregnancy. This is my third attempt of ICSI after suffering a missed miscarriage. I did 2 blood tests 12weeks apart and found that I am positive for Lupus Anticoagulant Antibody and Anti Cardioolipin Antibody and diagnosed as having antiphospholipid syndrome.
I am on Clexane and baby aspirin at the moment. My consultant told me to have this treatment until I start to labour. However, I have researched internet and have mixed reports so I am confused and insecure. My consultant is a twins expert, but not haematology expert. My friend who is in a similar situation with a different consultant was told to come off the same medication at 34 weeks. Some people are told to switch from LMWH to normal heparin as their half life is shorter. Apparently, if the drugs are still in your body system, there is a risk when you have epidural or spinal anaesthetics. As twins pregnancy tends to have early delivery compare to singltons, I am worried any risk mentioned above. Some people have GA to avoid the risk, but I would like to see my babies born straightaway.
I am currently seeing the consultant every 4 weeks, so next one will be at 34 weeks. At the 30 weeks scan, both babies are growing at normal range.
Is there anyone on this board who is also on Clexane/Aspirin? If so, how are you advised by your consultant? After being off from the drugs, do you have close monitoring to identify IUGR or blood flow by colour Doppler? Also, I found that after caesarean, some people were told to come back on Clexane to prevent DVT. My consultant has not mentioned this yet but has anyone told how long you will be after birth (eg 6 weeks)?
I would like to collate as much as info till next consultation. So any advice would be much appreciated. Thank you.
I am currently at 32weeks with twins pregnancy. This is my third attempt of ICSI after suffering a missed miscarriage. I did 2 blood tests 12weeks apart and found that I am positive for Lupus Anticoagulant Antibody and Anti Cardioolipin Antibody and diagnosed as having antiphospholipid syndrome.
I am on Clexane and baby aspirin at the moment. My consultant told me to have this treatment until I start to labour. However, I have researched internet and have mixed reports so I am confused and insecure. My consultant is a twins expert, but not haematology expert. My friend who is in a similar situation with a different consultant was told to come off the same medication at 34 weeks. Some people are told to switch from LMWH to normal heparin as their half life is shorter. Apparently, if the drugs are still in your body system, there is a risk when you have epidural or spinal anaesthetics. As twins pregnancy tends to have early delivery compare to singltons, I am worried any risk mentioned above. Some people have GA to avoid the risk, but I would like to see my babies born straightaway.
I am currently seeing the consultant every 4 weeks, so next one will be at 34 weeks. At the 30 weeks scan, both babies are growing at normal range.
Is there anyone on this board who is also on Clexane/Aspirin? If so, how are you advised by your consultant? After being off from the drugs, do you have close monitoring to identify IUGR or blood flow by colour Doppler? Also, I found that after caesarean, some people were told to come back on Clexane to prevent DVT. My consultant has not mentioned this yet but has anyone told how long you will be after birth (eg 6 weeks)?
I would like to collate as much as info till next consultation. So any advice would be much appreciated. Thank you.