Blood Clot After Delievery

Updated on July 29, 2010
J.G. asks from Akron, OH
9 answers

Good eveing ladies! I delivered a baby boy on July 2nd... just over 2 weeks later I had a really bad pain in my tummy that then moved down into my grone area (upper leg). I went to the ER and had an ultrasound of my leg done & spent about 5 days in the hospital for a blood clot in my left leg - which is still there, but I was released under doctors care on Fragmint & Coumadin. I am now just on Coumadin & am still nursing since I keep being told it is a safe drug with nursing.

My problem is - we have always talked about having 6 kids... my baby boy is #5, so I didn't have my tubes ties. I'm now being told my chooses for birth control is very limited... since most BC can cause blood clotting issues & since I've now had one - my doc will not let me take any of the. He did say an IUD was an option, but hubby has told me for years I can't get one. I also have been told I can't get my tubes tied till atleast 6 mo.after I get off the blood thinners... so I'm looking at about a year before that is an option.

Anyways my main queation is - what is my risk to getting another clot if I choose not to do anything & possibly get pregnant again. I know that I need to talk a bit more with my doc when I go see him for my birth follow up the end of the week. But he is a guy & I don't think he fully understands my fears, dreams & love for having little ones - eventhough he has delievered all my kids & is a super doctor. Have any of you ladies had a blood clot after delivering a baby & had another baby later with no issues.

Thanks ladies!

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So What Happened?

I have talked to both my OB & General Care doctors. I am having my Coumadin levels watched & they have been checking me 2x a week - so, they are really watching it. Both of them say that my rick might be higher to get another clot if I have another baby, but with my over all health they are not that concerned. That I can do the shots during the pregnancy to help if need be, but for now I can't get pregnant becuase of the Coumdin.

I feel that things dealing with family are chooses for both partners need to make. Normaly things that happen to my body is my choose, but when hubby has a good reason for his opion - I do listen to what he has to say. We only know 2 people that have had IUDs - one ended up pregnant & lost the baby when they tried removing the IUD, the other ended up with a massive infection from hers. Which my OB did say that both are possible side effects of the IUD. So for now our choose for BC is going to be condums, breastfeeding & watching the calander when my cycle starts back up (which I know breastfeeding can delay).

I still am trying to weigh out everything, but am going to be carefull for now. And take things a day at a time... I am also considering talking to someone who can better help me look into the risks I may face. Since I don't know if I have a cloting issue or if it was just that my little guy was always on my left side - which is where the clot is & they do think it moved from my abdomin into my leg. So, as it stands they think my little blessing is the reason I'm going through this.

Sad thing is - I though I did everything right this time... lost weight before getting pregnant (actually neve made it to my old weight even at the end of the pregancy),walked through out the pregnacy, eat right & did everything else that you are suppse to do. I'm not a smoker or drinker and all my blood work is always great & all my states (BP) is always "text book". Oh well, it happens from what I'm being told.

Also, I do trust my OB - he has been my OB for 16 years now, had cared for my during all of my pregancies & delivered all 5 of my kids. He is also a high risk doctor, so I know he can handle almost everything - if not everything that would happen in a delivery room or pregancy. When I said he doesn't fully understand me - it was just because he is a guy... and I don't think guys fully understand the motherly instince that most of us ladies have.

Thanks for your help and input ladies - it is always nice to see what you have to say.

More Answers

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S.S.

answers from Cincinnati on

You should consider a diaphram and/or natural family planing. I have used both (NFP to GET pregnant) and have been happy with both of them. I have had an IUD (non-hormonal) and have loved that also, I know hubby nixed that though. But the diaphram is really good imo.
I can't speek to anything about the blood clots but I would suggest thinking about where your family would be if something DID happen to yuo (heaven forbid). Stopping at 5 may be something to think about. God bless and grats on the new little one!
S.

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A.B.

answers from New York on

Ok. You can use a birth control pill, it is a progesterine and my brand is Camilla. I am on it as I have a blood clot disorder. The deal with coumadin is once you are preggers you have o go off it as it causes birth defect and then get daily injections of HeperinIin the stomach area). You can have another child but will be considered high risk pregnancy. It was suggested by my dr's not to have more kids on the event that i could clot giving birth or hemmorage to death. Mind you though my blood clost caused me to have a heart attack. If you don't you need to have a hemotologist who can give you the 411 on all your answers. By the by why would hubby be opposed to IUD? He should reconsider as it is now a health issue for you, and since when does the man make the call on BC? I'm glad you are on the mend and congrats on #5.

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E.W.

answers from Cleveland on

My brother in law's ex just had a baby and had a blood clot. But she knew having amymore kids was a risk for her. When she had her first they found out her blood clots so she was put on medicine for that. This is her fourth and she had been told after her 3rd that she should not have anymore kids. I guess the question I would ask myself if I am willing to take the risk to something happening where my kids are left motherless or with medical problems. I understand your love for kids but I think it is more important that they have a mother.

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L.W.

answers from Cincinnati on

Congrats on having 5 kids and then wanting another one. I am exausted just thinking about it. Coming from a medical family I would first ask when do you plan on having another baby? If you plan on having one in the next couple of years then I would be safe and not go on ANY form of "female" birth control. Have your husband start to wear a condom. I personally have not had any clots after having my (1) baby but clotting if pretty common, just not in the legs. The clots form and usually will be exspelled naturally through your 'female parts'
Stay on the thinners but you need to be VERY cautious about taking the BC pills. its your health that is at stake and if something were to happen to you (car accident, big cuts while cooking, shaving) you dont want to bleed out because your blood is too thin Plus having thin blood makes you pretty week. It would be aweful for 5 kids to be without their mother. I would use other forms of BC and put it on your hubby (no pun intended) Congrats on the caboose. :)

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J.R.

answers from Indianapolis on

I haven't had a blood clot and I didn't have one while pregnant or after delivery but I do have a blood clotting disorder. Factor V Leiden. While I was pregnant and 6 weeks after delivery I gave myself a Lovenox shot every day in the stomach, which helps with the blood clotting issues. I saw my hematologist and OBGYN during pregnancy. I tell you this so you know there is something you can do while pregnant. But I don't know all the risks if you've already had a clot. Hope this bit of info helps.

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S.D.

answers from Indianapolis on

umm...why does your husband have a say in what form of birth control YOU have in your body? And why is he saying you "can't"?! If you're ok with not having a 6th and you're ready to make it permanent, get your husband snipped. It's much safer than having your tubes tied. My husband wants to have his done during the World Series so he can sit at home with a bag of pees and have an excuse to do nothing else ;)

If your doctor doesn't understand you, find one who does.

Smallavatar-fefd015f3e6a23a79637b7ec8e9ddaa6

K.B.

answers from Cincinnati on

Many of these questions totally depend on which doctor you talk to, what blood clotting disorder you may or may not have and so on. My primary care doctor and OB greatly disagree on the issue.
Primary care doctor says absolutely no birth control. There have not been enough studies on the progesterone type to really say yah or nah about blood clots. It also still says in their warnings that they could cause clots. Although most of the time the issue is found with estrogen levels. Estrogen levels become high in pregnancy, along with the increase amount of blood the body makes, it makes any women more prone to blood clots...most normal women are ok.
Now, my OB will say that the risk the progesterone hormone has when it comes to causing blood clots is lower than the risk of being unexpectantly pregnant and taking coumadin (which although safe in breastmilk can cause major birth defects) or just being pregnant without proper blood thinning treatments (as I am now since I take no blood thinners at this point). That being said she tries to get all women to take some form of birth control. She feels the progesterone is safe enough to take.
Personally, I had a blood clot after taking birth control for two weeks at the age of 18 while I was very active (cross country runner). I have been "scarred" for life and have never even thought of birth control as an option since. I have one child, unplanned but the love of my life non the less. I do believe that you can control when you get pregnant without birth control if you really watch days and behave yourself.
If you plan on getting pregnant or not preventing pregnancy then you may want to talk to your doctor about the effects of cumodine on a fetus.
I wish you the best of luck!

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S.H.

answers from South Bend on

I had a blood clot in a superficial vein after my first born. Not as bad as yours. The doctors put me on asprin to thin my blood which worked for me. I have had two more children since then and have not had any more problems. I hope this helps and good luck to you in your decision.
S.

Smallavatar-fefd015f3e6a23a79637b7ec8e9ddaa6

K.N.

answers from Cleveland on

It's early so I didn't read much of the other posts, but I believe Anna summed it up very well. I have a clotting disorder, and I am actually currently pregnant, so I won't be in your position until December. Depending on your lifestysle (smoking ect.) there are a very small number of bc options, although if you are really concerned natural family planning could work for awhile since you plan on another child anyways. I think personally I will take my chances, since BFing will help prevent pregnancy for a few months at least, and I tracked my cycles in order to conceive, so it's something I'm used to doing.
As for future pregnancy, blood clots can cause m/c's I lost two before this baby. However, there are several things that can be done. Heperin injections are most likely a last resort, depending on your doctor and specific issues. A daily baby aspirin worked just fine for me, and I only took it for the first 14 weeks. We just had our ultrasound yesterday (it's a boy) and he is doing perfectly. You could also talk to your doctor about taking aspirin along with bc to possibly lower your risk while you enjoy your little guy.

good luck and congrats!

Updated

It's early so I didn't read much of the other posts, but I believe Anna summed it up very well. I have a clotting disorder, and I am actually currently pregnant, so I won't be in your position until December. Depending on your lifestysle (smoking ect.) there are a very small number of bc options, although if you are really concerned natural family planning could work for awhile since you plan on another child anyways. I think personally I will take my chances, since BFing will help prevent pregnancy for a few months at least, and I tracked my cycles in order to conceive, so it's something I'm used to doing.
As for future pregnancy, blood clots can cause m/c's I lost two before this baby. However, there are several things that can be done. Heperin injections are most likely a last resort, depending on your doctor and specific issues. A daily baby aspirin worked just fine for me, and I only took it for the first 14 weeks. We just had our ultrasound yesterday (it's a boy) and he is doing perfectly. You could also talk to your doctor about taking aspirin along with bc to possibly lower your risk while you enjoy your little guy.

good luck and congrats!

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