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Blood clot on leg, on birth control during surgery. Pragnant taking blood thinning medicine. How can we avoid this?

My sister had a blood clot in her leg right after ACL/MCL surgery in her leg. She was on birth control during the surgery and the doctor actually forgot to ask her about birth control, hence her blood clot. She is now 8 months pregnant and is taking blood thinning medicine. I would like to know what the ramifications are of her being on a blood thinning medicine during pregnancy, and how we can avoid any current and future clots?
Asked On : Mon, 14 Oct 2013
Answers:  2 Views:  10
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General & Family Physician 's  Response
The use of birth control pills do increase chance of clot formation.
But if your doctor has prescribed blood thinning medications continuously there is a chance she may be having some clotting disorders like APS(Antiphospholipid Antibody Syndrome). Has your doctor said anything about it.

If she is having APS lifelong medications are indicated.

The medications given during pregnancy do not reach foetus and cause problems. Post delivery your doctor would change the medications.
Answered: Mon, 14 Oct 2013
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General & Family Physician Dr. Chobufo Ditah's  Response
Hi and thanks for posting.

I am so sorry to hear about this blood clot that happened shortly after surgery. It is rather unfortunate that the treating doctor forgot to investigate this.

What specific blood thinner is she using? If it is warfarin, then it is a contra indicated drug to take in pregnancy as this has been linked with developmental abnormalities. It is only considered when the benefits are way higher than the risks.Please, make available this information to your OBGYN.

I don't understand why she has been on this drug for so long. Treatment is often short and more so because the cause of the clot was known. lifelong treatments are for persons with recurrent clots without any clear know cause to it. Please, ask the doctor what are the specific reasons for still continuing with the medications at this point.

I hope this helps and provides ample information for you to act on. Thank you so much for using our services and do feel free to ask for follow up questions if need be. I wish your sister well. I honestly wish that she makes it amongst those who take this drug during pregnancy and have no problems.
Dr. Ditah, MD
Answered: Mon, 14 Oct 2013
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