Why doesn't everyone have blood thinners after c section?

[August21yellowbaby]

I had a section in 2021 and had no blood thinner injections thank god, but my sister in law has had them both times she's had a c section. I'm due another baby in April and my local hospital maternity ward is back open so I'll be having baby there which is where she was given the blood thinners.

Does it go by risk of that certain person or is it more of a hospital decision? I really don't want them especially as I didn't have them with my first

I’m pretty sure they should do. There is a form which is used to calculate the risk but off the top of my head I think having a section gets you enough points by itself. I’ve never known anyone not have them after a section (in the last 12 years or so).

My hospital did it on weight & age I think. I didn’t get any 8 years ago after a c-section but other friends did at a similar time: weight was the main difference between us.

I had them first time as was emergency section under general. Second time wasn't needed as was elective and the risk of blood clots was very low apparently. This was 2013 and 2016 so don't know what the rules are now

I'm assuming it's different in different trusts, I had 2 c sections and didn't have blood thinners either time, 2019 and 2021.

Everyone I know who's had a section has had them, and I'm sure I've been told by medical staff that everyone gets them (in our area, presumably). Odd if it varies by area, as I would have thought there were national guidelines.

Here. You score 2 even with no other risk factors for an emergency lscs. But actually an elective is only 1….. so I guess with no other risk factors a hospital might not give blood thinners. Think ours doesn’t distinguish between elective and emergency on our risk form!

Depends on a variety of factors, age, number of babies you have, weight, smoking status, whether it was an elective or emergency....

So perfectly possible to not have them one time and have them the next bit also the other way round and have them one time and not the next. Or need them/not need them both times.

Clinical decision probably. NICE guidance recommendation is to offer anticoagulant post section.

Have you researched why this medication is offered and based on this are you confident with your decision to refuse if that’s what you plan on doing?
Can I ask why you are so against it? (Curious)

Rest of form.

Also there are different risk factors such as age over 35, BMI, high blood pressure, smoking etc

Are you really thin?
Never known anyone not have them even younger women after section

Yes! Thanks! Posted in between my replies 😁

In my trust everyone gets them, it's just how long that changes. I got 10 days, someone else got 6 weeks!

I guess it depends on where you are? I was given blood thinning injections after my elective c section. I was told by the hospital that everyone who had a c section- elective and emergency gets them.

I wish! No, but no other risk factors as quoted above. They were both planned sections too. I know of a few others who didn't have them after as well. To be honest I was fine with it as I know they sting like hell!!

I had 10 days worth to take home after my emcs in 2018, there was a few complications and I was in hospital for nearly a week after.

With my elective in 2020 I was home 24hrs after and they told me I didn't need any. So I'm assuming there are a few factors they take in to consideration.

I had a section last year and didn't have them, aged 33 BMI between 25-29 🤷🏼‍♀️

I didn't have them - but that's because they forgot to give them to me!! As well as other meds I was supposed to have on discharge (confirmed by health visitors who came to my home then hottailed out of there back to hospital to get some of the meds)... it was a bit of a train smash and I was just glad to get out there and recover at home with my baby.

I’ve had two sections (one planned, one emergency) and I didn’t have blood thinners with either of mine.

My friend also had two sections (one emergency and one planned) and she had blood thinners for both.

We had our babies at different Trusts.

@Mummyofthewildones Wow lucky! Yeah they sting like anything haha, but quite satisfying to do aswell. I thought they were meant to be really important
I don't know then! I had 2 planned sections and then a partial hysterectomy and needed them all those times. I'm a size 12 and no other risk factors

Hello! Hospital pharmacist here :)

Very low risk patients (if had an elective c-section) don't require any blood thinners.
This takes into consideration age, BMI, smoking status, medical history etc.

If an emergency c-sec, it's a minimum of 10 days.
Then, if higher risk (considering above and other factors), can be six weeks.

These are national guidelines :)