Miscarriage bleeding after taking low dose asprin

[Paperboats]

I have been taking 75mg of asprin a day after multiple miscarriages. I got confirmation yesterday that there was no longer a heartbeat and so I stopped the progesterone pessaries and also stopped taking the asprin. I've read that the affects of the asprin can last for 10 days after you stop, so does that mean if I start miscarrying naturally as a result of stopping the progesterone that I'll bleed really heavily?

My Epac is closed at the weekends so I can't ask them and I'm worrying myself!

I’m so sorry you’re going through this. It is really common to be on aspirin to support pregnancies (I was for my last). It is a really low dose, and I imagine although the bleeding may be slightly heavier, it shouldn’t be anything to worry about. But I totally get your concern. Miscarriage is difficult enough and then these unknowns can feel really stressful on top. I think the rule of thumb is if you’re soaking a pad in an hour, that’s when you should seek advice. Wishing you all the best.

I asked the same question as I booked in for surgical management 48 hours after I found out at 12 weeks the heartbeat had stopped. My midwife (who is a bereavement midwife due to a previous loss- so used to losses if that makes sense) said the shelf like is really short for aspirin. So after 24 hours it’s almost out of your system. I hope this helps. I’m really sorry for your loss. Xx

Thank you both so much for replying to me. It genuinely made me feel better. I am booked in for a local MVA this Friday. My first two were at home (MMC at 12 weeks but stopped growing at 8, happened naturally at home while deciding what to do. And MMC at 7 weeks but only 5 weeks and I took the pills). Hopefully all goes OK. Since finding out and stopping the progesterone there has been no change so I think surgery is the best/quickest option. Thank you both again for replying x

Sorry to hear you’re going through this. I am in the middle of a MC now sadly and I’m on aspirin and fragmin. I’ve stopped taking the fragmin but I still take aspirin and it’s actually ok, the bleeding is heavy but only what I’d expect for a MC (this is my 4th one).

Thank you so much for your reply @Jellybelly888 and I'm sorry you are in the same position. I actually saw you on the November thread, I lurked because I felt too anxious to actually join, and I'm really sorry for you that this happened. It really sucks doesn't it?

I was considering the surgery this time but it seems to be starting naturally now so I'm just letting my body do it's thing again. I hope you're doing OK?

Sorry for your loss. I was on aspirin (among other things!) during pregnancy. My dose was 150mg a night. One hospital required me to stop 10 days before planned section. One didn’t. They operated on up to 200mg. I lost less than 500ml with both sections, made no difference, it was classed as minimal.

Aspirin works by binding to your platelets. Platelets live for about 10 days so that’s why aspirin last for up to 10 days - for those platelets it’s already bound to. About 10% of platelets are replaced each day. If you don’t take aspirin that day then there’s nothing to bind to the new platelets so they will have normal clotting behaviour. Due to this turnover of platelets aspirin will lose about 10% effectiveness each day once you stop taking it, until all the platelets around at your last dose are gone. So while it can last up to 10 days, it decreases every day and it’s a very small dose anyway.

It’s a worry you probably don’t need to have x

@Paperboats thank you, yes it’s been really awful. I was meant to be 11 weeks but baby had died at 8w1d. I was booked in for surgery today actually but it happened on its own on Sunday evening. It was really hard and I found it fairly traumatic because we found the baby and buried him/her but my MC that weren’t as far along I never had that. I had to go back for a scan yesterday to check for residual tissue and there wasn’t an awful lot to be honest, which was attributed to the aspirin, so all in all, I think the aspirin did me a huge favour and my MC (although horrific), was over fairly quickly.

I am really sorry for your loss xx

@AllThePotatoesAreSinging thank you for the explanation. As an aspirin user for APS and a fragmin user in pregnancy, I found this really interesting. X

@Jellybelly888 I'm sorry it was a horrible experience for you, how are you feeling now?

It's so different for everyone and each time, it makes it so scary. My first was very similar to you, at 12 weeks but it stopped growing at 8 weeks and it was a complete shock. I hadn't heard of missed miscarriage at that point. It passed naturally at home but was very painful. Then i had retained tissue that wasnt seen on any scans and popped out randomly after 12 weeks, I was so upset it was going on for so long. The second I caught through early scans but it never progressed past sac and yolk, that one I took the pills but there wasn't much pain. This one although it had a heartbeat, the gest sac wasn't growing properly so I just knew something wasn't right. It's hard to stay hopeful that we'll ever be able to get a baby, and all my tests came back normal so it's a mystery for now x

@AllThePotatoesAreSinging that's really interesting, thank you for taking the time to write that for us