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donovansmommy - September 20th, 2006 12:19 AM

Heather, thank you for your reply. I have already talked with my doctor about breastfeeding and he did say it was "ok" but I just wanted to know from one of you. It puts my mind at ease.
I have one more question; were you induced or go into labor naturally? If you were induced, how long before your due date?
Thank you again! It's great to talk to someone else who has/is going through the same problems as me. (or similar)


HeatherMak - September 20th, 2006 8:54 AM


Yeah, I know what you mean...sometimes you know the doctor is right but you just need confirmation from someone who has lived it.

I have some REALLY nasty clotting issues and other health concerns so to control the situation, I had a planned c-section. I did, however, start contractions nearly a month prior to my surgery...which was terribly festive. Nothing productive, just really, really painful at times.

It was all really great - we had a nice morning, I never messed up my hair, we had a beautiful baby - it was better than I had imagined it would be. I really pray that we are able to do it just one more time...because I'm fighting time and my uterus and hoping I can have just one more sweet baby before the hysterectomy.

Let me know what other questions you have and I'm glad to help - I can only offer my experience, but hopefully it will be of some help to you.

Keep me posted!!

HeatherMak


donovansmommy - September 20th, 2006 11:31 AM

I just wanted to inform everyone that is taking Lovenox that if you are paying outragious amounts for the prescription, there is a reinbursment program through the manufacturer.
If anyone is interested I have the phone number. They will fax an application. You can also look under "needymeds.com". They will e-mail an application.
I hope this helps some people!!


Miicki - September 25th, 2006 3:30 PM

HI Again:
well i did have a couple dr appts in the past 10 days. I had my 1st ultrasound Friday and we heard a heartbeat-i am in shock-i was totally expecting bad news since i had the spotting again.
They said everything looks good-i go back in 2 weeks. This happened twice before-heard the heartbeat and then went back-then there wasn't one. If i can just get to 12 weeks i think i'd be in the clear. I am 7 weeks today.
I asked the DR about using Lovenox shots in the buttocks-he said that was fine. I can't give them to myelf so i make my husband. He said that area or stomach or thigh. I am on baby aspirin too- i've read other posts where you should double check about that & i did. he wants me to stay on that too.
will check in at next appt... good luck to everyone still....


HeatherMak - September 25th, 2006 6:05 PM


Donovansmommy - Great advice!! This can get pricy and I know insurance companies are getting crappier and crappier, so thanks for that info!!

Miicki - Thanks for the update!! That is great news!! I'm glad you got to see a heartbeat!! I know you've been down this road before and I know it hasn't been a pleasant journey, but you have to know that this time will be different. You have to believe that. I know exactly how you feel - you've been this far time and time again only to end in heartbreak...but this is new and uncharted territory!! So embrace the positive outcome - OWN IT - and know that things are different this time!!

Keep us posted everyone!! You're in lots of prayers!!


HeatherMak


Gidd - September 25th, 2006 8:59 PM

Hi all. I hope I'm not breaking a taboo here, because I looked through most of these posts and I didn't see many, if any posts from men. So if I am intruding please feel free to tell me to get lost. Anyway I have been taking care of my wife for the past 2 months and I have the aweful chore of giving her her shots every day. She couldn't bear to do it herself and although its terrible for me to see her scrunch her face up in pain when I do it, I know it is probably saving her and our baby's lives and each injection is 1 less to go. I have 2 questions though that's been running through my head that I'm hoping someone has had some experience with.

Has anyone done the Lovenox injections in areas other than the stomach and has there been less burning?

Every once in a while I think I am doing something wrong and I give her a black and blue where I put the needle in. Any tips? and is there anything people have done to get the bruises to go away quicker.

Again I apologize if I am intruding.


ilovemydogs1978 - September 25th, 2006 9:29 PM

Hi everybody
Im just writing because i had two good doctors appts over the last week and i just wanted to share! I got to hear my babys heartbeat on doppler at 9 weeks and i had my 10 week u/s last week.He said the baby looks great and he said he didnt think that i would have any problems this time,thanks to lovenox.as much as giving myself an injection everyday is a pain in the butt, i thank god for it because its my only chance.

To Gidd,
I think its sweet that you wrote a message and that you give your wife injections.My husband couldnt do it!


HeatherMak - September 25th, 2006 10:51 PM


Gidd -

YOU ROCK!! THANKS FOR WRITING!! YOU TOTALLY ROCK!!!!

Really, you're an AWESOME husband and daddy and should be rewarded for your care, your concern and your investigative work...seriously, you're awesome!! This will help your wife and your baby and you will have a wonderful update to send us when that baby gets here!!

From my experience, the Lovenox stings when you go too quickly. So, try injecting more slowly and see if that helps. It may also help if you go at an angle, or if you're already doing that, try straight in.

As far as sites, you have a pretty good area. The "target" area is just an inch or two above the belly button to about mid-thigh...all the way around!! So, if you were taking an ACE bandage and wrapping it around your wife from just above her belly button to her mid-thigh area, then that is the "acceptable" injection area. I could only inject on my abdomen because of the bruising, but try them all before you give up on any site. Alternate the sites, too. If you inject above the left hip today, go somewhere on the right side tomorrow, and so on. It seems to help a bit.

Now, bruising is all part of the package. You're injecting a blood thinner into some capillary spaces, which you also nick with the needle when you put it into the skin, so the very nature of blood thinner in capillaries produces bruising. There really is no way around it, unfortunately. I've heard of women who never bruised, I've heard women of women who bruised terribly. We're all different, so the medicine will affect each of us differently. I've also known women, like myself, who bled from some of the bruises...again, due to the nature of the blood thinner in the capillary preventing a natural clot to close that tiny little hole. I've also heard women say icing the area for a few minutes prior to injection helps, but I never could stand the ice on the bruises!!

Hopefully more women will chime in with their experiences for you - that's really all we have to offer you. But, let me advise you to keep coming back with questions AND updates!!

You're a terrific husband and daddy and you are to be commended for all you're doing for your wife and your baby. No taboo is broken by you being here, in my opinion, I think more husbands need to be as involved as you!!

ilovemydogs - YEA YEA YEA YEA YEA YEA YEA!! HOW EXCITING!!! This is great news!! You have to be so very happy and so relieved. You deserve this after all you've been through and I wish you continued happiness and joy!! What a great feeling to hear and SEE that things are going well!! I'm so very happy for you!!

Yes, the Lovenox IS a pain...in more ways than one...but now you have POSITIVE motivation thanks to the sweetest sound in the universe!!

Keep us posted and CONGRATULATIONS!!!


HeatherMak


donovansmommy - September 25th, 2006 11:01 PM

Well hello again! I am now 12 weeks along and I am finally starting to feel a little more at ease about the pregnancy going well. I had a Dr.s appt. last Monday and heard the babies heartbeat for the first time. That was such a wonderful sound!! For the first few weeks of me knowing I was pregnant I was unsure that I would even get this far. I spotted heavily for about 3 weeks off and on. But that seems to be all done now.

This one is for Gidd ; about the shots and less bruising. My Dr. told me to do the shots like a T.B. test , just under the skin so you can see the bubble. It seems to work a majority of the time. I can't seem to get a bubble every time but I still don't bruise like I was.

Good Luck and it's very sweet that you are taking such good care of your wife and baby!


HeatherMak - September 26th, 2006 3:49 PM


donovansmommy -

YAY!! What great news!! What a precious sound!! I'm glad to hear you're doing so well and so far along and wish you a wonderfully happy pregnancy!!

Keep us posted!!


HeatherMak


Gidd - September 26th, 2006 9:13 PM

Well I tried tonight in the area about 4 inches to the left of the navel and a little down. This time I came in on more of a 45 degrees angle and it definately hurt her much less. The burning of course was still there but I don't think it will bruise. I didn't pinch up the skin so hard either. My wife has a great fear of me jabbing the baby, or entering the muscle with the needle Of course I know with a needle that short and the little bit of padding she has down there, there is no chance of that but I think to settle her nerves a bit i was pinching up too much skin and bruising her. Thank you for hanging around on a great resource like this. I will continue to post any observations and research I get done and share it with you all.

This is our first baby on the way. We have been trying about 4 years for this and it is very exciting yet so nerve racking. My wife had a very hard time even getting pregnant and we thought it would never happen for us.

I'm just glad this site is here and I can share with you all. I don't want to sound silly but other women can talk to eachother about the experiences of pregnancy and dealing with difficulty with it. Us hubbies are left in the dark with no frame of reference ;). Sometimes it feels like we are a 3rd wheel on the experience and I like to be right in there mixing it up. So in the meantime, I'll do my research, check in here and try to be supportive of her, whether it's giving her the needles or something more pleasant like kissing her tummy while I bring her her ice cream :).

Thanks all!


Reagan - September 26th, 2006 10:55 PM

Hello everyone,

I am 35 weeks pregnant and developed a DVT in my left leg at week 28. I am currently on 80 mg of Lovenox twice a day and haven't found a lot of useful or reassuring information online until now (so thank you!!)

Obviously I am gearing up for my upcoming delivery, but I have received mixed information regarding my delivery and postnatal care. I am concerned because there has been no mention of being switched to Heparin, nor has my OB or Internal Medicine Specialist suggested that I be induced. I intend on bringing this up to both of my doctors next week, however I would love to hear from anyone else who has had a similar situation. Since I'm purposely being kept on a high theraputic dose (based on my weight), I would prefer to be induced - to make sure there are no surprises!

As well, I haven't been able to find a lot of information on the length of time Lovenox has to be out of your system prior to being able to safely have an epidural. The drug information sheet that comes with my Lovenox needles actually states that epidurals and spinals are to be absolutely avoided. Other sources say that as long as 24 hours has passed since the last injection, an epidural is okay. Any thoughts??!


Gidd - September 27th, 2006 9:29 PM

We were told that my wife would be switched to SC Heparin sometime between week 36-38, and that would allow her to saftely have the epidural. In case we have an early birth. Just to be safe.

Lovenox low molecular weight causes it to only stay in the system about 12-36 hours so once you stop it will be out of you relatively quickly.

The best person to talk to about this is an anastegeologist to explain the situation. I was also told that postnatally (is that a word), she would go back to Lovenox for 6 weeks for safety reasons.


third degree - September 28th, 2006 12:00 PM

I may be just a little bit too early to be here, so if I am please forgive me.

I just found out last week that the blood clot I had about a year ago was not due to just birth control pills and being on bedrest for an injury to my leg and pneumonia, but probably those things plus the fact that I have a prothrombin mutation and MTHFR. Don't know my homocystine levels yet, but I am hoping to find out soon. I see a hematologist tomorrow, and I've discussed this with my ob/gyn who actually set up my tests.

Most of what we talked about was in light of the fact that my husband to be and I have our wedding soon, and then shortly after, will be starting our attempts for me to get pregnant in April. The ob/gyn says we'll talk about it more after the hematologist and I should feel free to ask him lots of questions, and we'll have a January pre-conception conference to set up our plan for April. The plan is most likely lovenox, extra vitamins, and possibly some low aspirin doses. She assures me that we're just setting up a plan to deal with what we know, and this isn't a negative thing, it is knowledge and a plan based on that knowledge to work against negatives.

I guess I'm wondering two things. First, what do you wish you'd known about lovenox and pregnancy with clotting factors that you've found out since you started down that road?

Second, since we're getting married soon, and we seem to know every pregnant woman with no complications or unusual pregnancy events in the free world, a few of those being due in the next few days, we seem to get a lot of when are you having kids, or from people who know we would like children, you have to do this as soon as possible, it is so great! You will love it! Strangely enough, this seems to be mostly from fathers and not the mothers in their 9th month. :) I know it must be great, I know that getting ready to meet your baby must be wonderful, but right now I guess I just want a little time to feel bad that I have some extra issues to deal with that are scary to me, so I can move on and be strong about knowing these are the steps I have to take to get to our children, and I might not enjoy them, but I will be brave enough to do them. So far I've just gone with a non-comittal answer like laughing and changing the subject to them, but I'm about ready to scream, "it won't be as easy for me as you, so pardon me if I'm scared and angry and want a little time and space to accept that!" Has anybody else dealt with that?

Maybe my real problem is rage disorder and not clotting. :) Anyway, I hope I have not disturbed anyone by being too early here and thanks very much for sharing. It helps to know that there are other people who deal with this successfully, and that are generous about sharing their courage with others. I am sending many positive thoughts and prayers for all of you.


heatherb - September 28th, 2006 2:25 PM

Hi I gave them through my pregnancy to myself and have given to pts as a nurse. If you hold needle in place and count to 5 before removing from the belly it decreases the burning and bruising


heatherb - September 28th, 2006 2:29 PM

Hi all. I had 2 stillbirths at 20 and 22 weeks, then was dx with factor V and MTHFR. I was on lovenox, baby ASA, folic acid 4 mg during my pregnancy (she's 2 yrs old now!!). I have been on high dose of coumadin and am planning to stop this week to try to get pregnant again, my family MD (OB won't get involved until I'm pregnant) ordered lovenox 70 mg BID, that just sound like a lot for preconception, I wasn't even on that much full term with my daughter. Any advice?


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