going into natural labour before planned induction due to being on tinzaparin

[quitescared]

Help!
Scared at prospect of going into natural labour as I am planned for induction at 38 weeks due to being on tinzaparin (blood thinner) because of a blood clot in previous pregnancy.
I believe the issue with natural labour without having planned when to stop the tinzaparin affects my anaesthetic options.
Anyone had this situation??

Depending on the timing of your last dose of tinzaparin you may or maynot have the option of an epidural, if you think that you are starting to have contractions phone the unit you are booked in- they may advise you to defer your injection if you think you are going into labour, but this is dependent on lots of factors (reason for tinzaparin, whether prophylatic or therapeutic dose, parity and past obstetric history).
Have to say that if you are on a small prophylatic dose (maybe 3,500 or 4,500iu daily) and this was hours before you are admitted it may not prevent you from having an epidural, and remember you have loads of other safe analgesic options.

And in reality the changes of labour before 38 weeks? Really quite small - and there is an antedote if needed if you bleed post delivery.

In a nutshell ring for advise if you start to contract, but changes are you'll be having your planned induction.

Good luck

Thank you so so much malteser - can't tell you how reassuring your message has been.

Tinzaparin this time is prophylactic at 4.500iu daily dose. Parity and past obstetric history relatively cololurful but i wouldn't know which bits are relevant!

Thanks once again - also was just not sure what sort of proportion of women go into spontaneous labout before 38 weeks. glad you say they're small (I am guessing you are a health care professional of some sort within this field!)

x

Hey @quitescared sorry to jump on this post but I've just been put on Tinzaparin due to a suspected blood clot in the lung, I'm just wondering if being induced is what happens usually if your on this medication ? I haven't been given any information on this and feel quite in the dark x