Clexane post CS?

[lepetomaine]

Can anyone link to any guidelines about Clexane or similar post CS? I didn't have any with my first DC (EMCS) and took the TED stockings off the next day (it was about 28 degrees outside), which was a bit thick of me considering I am a nurse and used to work on a surgical ward...however I was mobile and went home 24 hours post op.

This pregnancy I find that I'm much more worried about what could happen to ME than I was last time...I won't dwell on the worst that could happen but I certainly don't want a DVT so would rather like some Clexane or Fragmin please! Perfectly happy to self-administer and I'm going to bring it up at my booking appointment (having ELCS). My BMI isn't ultra high but it was about 27 pre pregnancy so does that not warrant any blood thinning?

I think a lot of it comes down to the individual hospital protocol and the surgeon's views. Mine went MAD when I wasn't wearing mine a day after ELCS yet apparently some of his colleagues were less bothered. You could see if there's a protocol published on the hodpital's website, or call haematology.

I think a lot of it comes down to the individual hospital protocol and the surgeon's views. Mine went MAD when I wasn't wearing mine a day after ELCS yet apparently some of his colleagues were less bothered. You could see if there's a protocol published on the hodpital's website, or call haematology.

The issue with maternity care seems to be that it doesn't matter what haematology say or what general surgery would do, they go their own sweet way! I will speak to a few mates who are docs/midwives/nurses and see what they say, though I would be happier with a bit of Clexane unless it's contraindicated and they think I'll bleed to death from a paper cut :)

they don't publish protocols on our website, you can't even find them on the bloody intranet half the time!

If you look up the NICE guidelines then CS you will see they say to take all factors into consideration. Some units will recommend TED's until mobile, encourage early mobilisation and hydration for elective CS and no other risk factors. Increased risk factors are emergency CS after labour, BMI > 30, family history of DVT/PE, clotting factor anomalies, prolonged bedrest, poor hydration - this is when they will be considering clexane.
Is there a reason you are more concerned thhis time considering you bounced back so quickly last time?

I have no risk factors for DVT but was given 5 days of clexane post CS.
Its routine in our hospital everyone gets it. We give it daily to ITU patients as well

I had no risk factors for DVT either and was on feet same day as ELCS both times. Was given celexane daily whilst in hospital and told to wear TEDS for 2 weeks midwife checked for them when she visited me too).

I'm worried about myself more this time because my existing DC needs me, never mind the new baby, and also because the post op "care" I got last time was crap - I was moved to the ward at 2.30 am and the only time they managed to do obs or give me any pain relief was ONCE at 9am. The support worker helped me to wash and change mid morning but I was given no help at all with mobilising (I dared myself to get up and was v v careful), I did ring the buzzer to ask for help getting baby out of the cot but they were so short staffed I had managed by the time someone came. If they hadn't offered for me to leave I was going to sign myself out, it was feckin horrendous. I think there were two midwives and one support worker on a long day for the whole ward. They were lovely (the midwife who discharged me was almost crying with frustration) but I honestly felt it was dangerous and that I was safer at home where at least I had DP to help me and could help myself to my TTOs if I wanted some pain relief.

I have raised my concerns with the trust but not sure if there will be any more staff this time!

I had it after both my sections, stayed 3 nights each time and had it daily while I was in then stopped. Also a nurse, was a surprise how much it stings actually, those prefilled syringes are not sharp enough either

What about just getting some asprin?

I had clexane because of a previous DVT but as far as I know it wasn't routinely given to CS patients.

No other risk factors for me either. But reduced mobility after a CS, being post CS in itself are major risk factors for DVT anyway. I would rather have the clexane than not, and I am an avoider of meds where possible.

I had no risk factors for DVT but was given Clexane for seven days after a planned C section. Wore the TEDs for the three days I was in hospital, but told that I didn't need them at home. I was up and mobile within 14hrs of the op, but had horrendous water retention around my feet and hands for 10 days post op.

It seems odd to me that it isn't routinely given, I have worked on elective general surgery in the same trust and EVERYONE has Clexane post op...mind you abdominal surgery patients on there spend 24 hours + on a morphine PCAS whereas with a CS you get sent home with a box of paracetamol :)

MoaningMinnie they do always seem a bit blunt! Especially on those patients who seem to have thicker skin!

I'll do some research and ask at my booking appointment.

Oh MrsIcarus the water retention! I'm buying a maxi dress this time so that I can cover up the uncooked Yorkshire pudding legs. Nice.

I had the tiniest bit of leg swelling when pregnant, but after the birth I had massive fat cankles like an 80yo and I could only just get DH's slippers on, the skin was so tight that it hurt to flex my ankles and they were so ugly I cried, and I am not vain at all.

Like the shape of an ankle that would normally be covered in varicose eczema and bandaged up

I had ds2 at stepping hill and they gave me clexane to self administer for 7 days. I also had to wear my horrid stockings for 6 weeks! That is their policy now, so I would check with your hospital.

I had slightly puffy hands at the end of my pg but my ankles were unaffected. The day after my section I looked down at my legs and thought "they're not THAT fat are they?"
It was horrid! I'm not very vain either but I got DP to bring my Uggs in despite it being 28 degrees, I was a tiny bit warm but they covered the ankles. I had a pair of ballet pumps that fitted ok and wore those with a floor grazing skirt until it had all gone!

6 weeks of TED stockings? shudder. And it'll be summer! I don't want a DVT but really...

I love TED stockings, dont know why youre moaning , in the days when we were allowed to wear Crocs if your feet got wet on the way in we would change into TEDS for the day, they make your legs look great after 12 hours .
i have a pair that i wear for flights, so much cheaper than proper flight socks, i tell all patients to wash them and hold onto them for future holidays

Urgh no, they itch and I HATE the hole under the foot. The forest green ones are better than the bandage coloured ones, my friend is a MW and says they have navy now.
I favoured the opaque support tight in the days when I did 7-9s on the wards, though they were never easy to find. I don't like to have the bottom part of my leg snug and then my knees kind of cut loose, maybe I should ask for thigh length TEDs. Now, getting those on is a workout!

I've just had a flashback to the way my puffy white knees spilled over my TEDs. Blee!