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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Sorry...another aspirin question :(

4 replies

Clotho · 17/04/2014 10:03

Hi all,
I'm new here so please point out if I'm posting in the wrong place or anything!
We've been ttc since august last year and I've had three suspected chemical pregnancies (all seemed to be implantation problems- never quite making it to bfp but short cycle so knew something was up!). Anyway I spoke to one of the gps at our surgery and he said to go for cd21 blood tests and said he felt it might be something that could be solved with low dose aspirin, which he then casually suggested I would probably now start taking anyway. I promptly did just that, clearly I'm very predictable, and am now cd34 (17dpo) and have had positive hpts since 11dpo. I went back to the gps yesterday to talk about what to do as I had (TMI) some beige cm for a couple of days, the nurse wasn't worried about the aspirin- just checked I was on a low dose but she then sent me to see the locum gp who said he'd not heard of aspirin being used then, and said to stop taking it- I asked what would happen if I did have a clotting problem- he had no answer. ... Last night I had a light nose bleed and am now worrying fifty times more, should I keep taking it/ should I not. Has anyone been in a similar situation?
Thanks for any replies,
Clotho

OP posts:
squizita · 17/04/2014 11:13

Hmm Locum sounds dangerously out of date - been used since the 90s! Pioneered at St Marys.

Yes, continuing to take low dose (75mg or 150mg) aspirin is safe if advised by a Dr. Read Lesley Regan's book about it, it's the most common solution for repeat loss!

However regarding your previous losses if you have had a bfp and then a bleed, clinically that is a miscarriage NOT a chemical pregnancy and you should be referred to a Recurrent Miscarriage clinic not a CD21 test on its own. GP ignorance about this delays success for ages in some cases and makes me really Angry. Essentially, a positive urine test happens 48hr after implantation: yes, emotionally it may be like a late period but crucially it shows the sperm/egg met and implanted, so the issue is with something at the next stage ... but the good news is often they suggest aspirin anyway for this.

What you can do is ask your GP (ask specifically for the proper GP or take the book and show the locum) if you can be seen by a consultant at your ante-natal (or ask your MW to ask her supervisor). They may wish to do a blood clotting test and adjust your dose.

I have had several very early losses and some later (not late, but later in 1st trimester) ones. With one of those, the gynie at the hospital gave me the little "if there's a bfp it counts!" speech and referred me to St Marys... my GP had been clueless. I am now at 18 weeks on aspirin and clexane, as my 'sticky blood' (mine is likely stickier than yours, don't worry! Most are OK on aspirin) had caused all but 1 loss (a partial molar) - especially, St Marys said, the ones that hardly got anywhere.

Long post but... (1) Yes, carry on taking as your GP advised, tell your midwife you've had several very early miscarriages and s/he advised based on this and (2) That locum is very out of date. Not your job, but I'd be tempted to contact PALS as aspirin in pregnancy is so common it really is general knowledge now (for GPs, I've found).

squizita · 17/04/2014 11:14

Oh... and unfortunately yes, you can get the odd nosebleed. I had one this morning, yuk. Do not just stop taking it without an appointment with an experienced hospital (i.e. will be familiar with women with a history of loss) midwife: phone if you have to.

LottyLikesWindows · 17/04/2014 15:43

Excellent post by squizita I second her advice having taken 75 gr aspirin from the day of bfp due to a protein c deficiency in my blood. I stopped taking it at 36 weeks as recommended by my obstetrician and went on to have low risk 'natural' delivery. In your case I would continue taking it if advised by gp and would possibly ask someone at your surgery to speak with the locum whose advice really is outdated.
I also had countless nosebleeds throughout my pregnancy, often in the middle of the night which made my pillow look very Halloweeny.
'Tis all the glamour of pregnancy. Wishing you both all the best Smile

Clotho · 17/04/2014 19:18

Thank you so much for your replies, I'm going to carry on taking it I think for all the reasons I started in the first place! I'm going to have to get tough I think- far too much uselessness down at our gps. I was told by another gp that they judge ovulation as being 14 days before the first day of AF... I was trying to explain that this definitely wasn't the case as I was using tests etc but that seemed to be way too complicated- apparently all women ovulate at the same point :(
I'm really grateful to find people who actually seem to have some understanding of what I'm talking about :)

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