What You Need to Know About Blood Clots During Pregnancy
What You Need to Know About Blood Clots During Pregnancy
The Big Picture
Pregnancy increases the risk of blood clots, which can be dangerous for both mother and baby. Understanding how to prevent and treat blood clots is crucial for a healthy pregnancy.
Contents
- Why Blood Clots Are a Concern in Pregnancy
- Who's at Risk?
- Prevention and Treatment Options
- Monitoring and Management
Why Blood Clots Are a Concern in Pregnancy
During pregnancy, a woman's blood naturally becomes more likely to clot. This is the body's way of preparing to minimize blood loss during childbirth. However, this also means pregnant women are at higher risk for dangerous blood clots in the legs or lungs.
Who's at Risk?
Some women have a higher risk of blood clots during pregnancy. Risk factors include a history of blood clots, certain inherited conditions, being overweight, smoking, and prolonged bed rest. Women with mechanical heart valves are also at increased risk.
Prevention and Treatment Options
For high-risk women, doctors may recommend blood-thinning medications called anticoagulants. The most common types used in pregnancy are heparins, which don't cross the placenta. These are typically given as injections under the skin. The dose and frequency depend on individual risk factors.
Monitoring and Management
Women taking blood thinners during pregnancy need regular check-ups. Doctors will monitor blood counts and adjust medication doses as needed. It's important to follow the prescribed treatment plan closely and report any unusual symptoms promptly.
FAQs
Can I breastfeed while on blood thinners?
Many blood thinners are safe for breastfeeding mothers.
How long do I need to take blood thinners after delivery?
Typically at least 6 weeks, but it varies based on individual risk factors.
Are blood thinners safe for my baby?
Heparins don't cross the placenta and are considered safe for the fetus.
What are the signs of a blood clot I should watch for?
Leg swelling, chest pain, or shortness of breath require immediate medical attention.
Can I have an epidural if I'm on blood thinners?
It depends on the type and timing of blood thinner use; discuss with your doctor.
Key Takeaways
While blood clots are a serious concern in pregnancy, they can be effectively managed with proper care and medication.
Additional References
- American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 196: Thromboembolism in Pregnancy. Obstet Gynecol 2018; 132:e1.
- Bates SM, et al. American Society of Hematology 2018 guidelines for management of venous thromboembolism: venous thromboembolism in the context of pregnancy. Blood Adv 2018; 2:3317.
- Greer IA, Nelson-Piercy C. Low-molecular-weight heparins for thromboprophylaxis and treatment of venous thromboembolism in pregnancy: a systematic review of safety and efficacy. Blood 2005; 106:401.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.