So I had my high-risk doctor appointment this morning. This is the doctor that prescribes the Lovenox and the only doctor who seemed to do a thorough physical on me ... pretty much ever. I love her. She actually listens and pays attention to Mr. Rhody and myself.
Anyway, the appointment today was just a normal check-up to see how my shots are going. I was very proud that my appointment showed my weight was good (up 7 pounds so far), blood pressure was great (100/60), and no swelling anywhere.
But the real part of the appointment was the discussion about the Lovenox and what to do about birth. I told the doctor I had been risked out of the birthing center, which surprised her, since she felt I was on such a low dose that I was a very low risk. We talked about all of our options; my preference would be to continue doing the Lovenox until I started having some progress, as it clears your system in 12-24 hours, but that won't get me back into the birthing center.
The more we talked, the more I realized that this mutation causes problems with placental adhesion and placental blood flow. From the research I've been reading, it's not so much a risk of clots as a risk of the placenta not getting enough blood--which is why the Lovenox is so important early on in pregnancy, when vascularization is taking place.
So when the doctor suggested we just stop the Lovenox at 36w, I was okay with that idea. I am pretty low risk anyway. The probability of something happening at that late stage is very low. Blood flow should be well established. And it would only be a month or so until giving birth.
The doctor said she would discuss this with the midwife, and I'll be following up with the midwife next week to see if we can't get me back into the birth center. I think this is a good plan.
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