Given that I've haemorrhaged after delivering each of my 4 babies - and generally I am prone to bruising/bleeding. My clotting was tested after DC1 - and described as 'just the right side of having van Willebrands disease' (a v. Mild version of haemophilia).
Apparently it reduces the incidence of pre-eclampsia (which I've never had - but I have had pregnancy hypertension in every pregnancy) - and I am advised to take a daily low dose 12 weeks to 32 weeks.
hi this is my first pregnancy, like you I also suffer from hypertension, always have, I have been prescribed asprin too and have been medicated by an obstetrician for tablets to reduce blood pressure too. seems standard practise to me
Have you told your consultant about your clotting issues and have they still advised aspirin? I know it is commonly recommended in pregnancy, for example I think pretty much as standard for those having IVF treatment (it was for me), but it may be that with your medical history it would not be recommended. Anything medical is a balance of risks and benefits.
She came in with the asprin very early in the consultation. I then mentioned the clotting issue - she seemed slightly thrown - and said "OK - take it until 32 weeks not 36 weeks - then it won't affect you for delivery". I'm not sure that really resolves the issue - but I didn't push it at the time.
I said I would think about it - and she seemed happy to move on.
I am in the process of being referred to haematology for von willebrands and I've been advised not to take aspirin or ibuprofen ever. I had a hysterectomy in 2012 where I haemorrhaged and lost 2 litres of blood and 3 weeks ago I had my ovaries removed and ended up in ICU as I lost 2.9 litres and effectively died at one point. I would definitely get a second opinion, as this cannot be taken lightly!!
Hello, hypertension in pregnancy is a risk factor for pre-eclampsia and NICE guidelines thereofore state that women with hypertension should take low dose aspirin from 12 weeks until delivery as this has been shown to reduce that risk. However, specialist advice should be sought for women with thrombophilia-can you ask for a second opinion from an obstetrician who specialises in this? Or from a haematologist? Did you have aspirin in your previous pregnancies?
You need a proper consultation with a haematologist who specialises in clotting. They are usually very experienced at dealing with bleeding/clotting in obstetrics. Your obstetrician should ask for a joint consultation. Many hospitals have joint clinics.
There was a student in the room - which I think provoked a more 'grandstanding' attitude .
Fundamentally I think she was regurgitating standard advice - was a bit thrown by the blood clotting comment - but thought that it wouldn't make any difference at the low dose, stopping before 32/36 weeks.