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Old 11-27-2012, 09:35 PM   #6
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Originally Posted by aaiya
I took heparin for 6 wks pp with DS....and I'll probably be on something (heparin or low molecular weight heparin (lovenox)) after our next baby, too. My vote is to take whatever has the least required doses per day (heparin was 2x/day for me--I think Lovenox will be 1x/day)...just to reduce the hassle factor. Nursing a new baby is stressful enough without having to worry about multiple daily injections. Of course, cost may also be a factor (lovenox is much more spendy than heparin). Tell her not to stop BFing over this! The clot will be resolved soon...much harder to deal with formula for the next year plus.

ETA: Just found this, too.
And this
I think this is protocol/practice for at risk mamas without a current clot. Like APS mamas, no clot, through postpartum.

Those w APS or other clotting issues and a clot are on Coumadin (or equivalent) for the duration... Like indef.

Those w a clot w no known risk (except causation ie pregnant/post partum, surgery, birth control etc) are on Coumadin or other prophylaxis for a standard 6 months.

Now it's been a while since I've immersed myself in all the literature, but I think that's how it went.

I was toss up bc I had transient elevations for APS, w recurrent mc, w no clotting.

Hughes syndrome is the name for antiphospholipid syndrome in the UK. They have a great forum for mothers with APS, and if anyone has experience in this area I think it would be them. They are a great group of women.
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