Lovenox ladies

[pinkiemo]

Because of my insurance I'm seeing an OB as my primary doc this time around and have only been to the MFM twice. Last pregnancy I was pretty much exclusively seeing my MFM on a different (probably better) insurance.

My OB doesn't seem to have too much experience with Lovenox, though she knows the protocols. But at my appointment today she mentioned again thinking that it would be better to induce me than to let me go into labor naturally. I will be switching to heparin around 36 weeks but she had all these scenarios in which letting me go naturally would be a bad idea.

I have never heard any concerns from the MFMs about spontaneous labor when on the heparin. I just don't take my next shot once I go into labor, which is what I did with my DS when I had him on heparin.   No complications.

So my question is, has anyone been given the induction lecture before?  Or is this something my OB is being weird about?  I don't mind her as an OB, but I worry that her lack of experience with these drugs is going to be a problem.  Either that or she's intervention-happy which isn't good either.

Thoughts?

Addendum: I haven't even had Lovenox this whole month because in Jan my insurance required prior authorization to get it filled and her office couldn't figure out how to take care of it.  She told me today herself that it was partly my insurance being crazy and partly because this wasn't a medication they prescribe often at her office.

[pinkiemo]

petrichor, that's what I thought too!

[daffodil428]

I'm on lovenox and will be switched to heparin. I was not told anything about being induced. The only thing my OB mentioned is that I cannot have an epidural until the heparin is out of my system.

[fignewt]

I think either way will be fine. I ended up being induced with DS2 because my water broke. I had an epidural and an easy delivery.
Good luck! And go get yourself some Lovenox!

[Smash]

I'm on Lovenox now and asked at my last MFM appointment about induction. She said that generally, once I switch to heparin, the only real concern with labor is whether I want an epidural or not. She didn't think that I would need to be induced, but told me we would talk about it closer to go time.

[eliz77]

Lurking...hope it's ok I share my story!

I was on lovenox and then heparin. I had a c-section scheduled (baby was breech), and was to stop heparin 36 hours beforehand. LO made an early appearance. I had given myself heparin at 11pm (of course the one time I fall asleep and gave injection 4 hours later than normal!), water broke at 4am, got admitted into L&D at 10am, and c-section w/spinal happened at 4pm-and that was only because the anesthesiologist got tied up, so we had to wait a couple extra hours. Things happened so fast that I couldn't really process what was going on, but my ob wasn't concerned about the last heparin dose timing-around 1pm she said blood work looked good and heparin had been reversed so all was a go with a spinal.

My RE had referred me to a hematologist for scripts and monitoring, then when I switched to a new ob (had to switch to a new office at 24 weeks), I made sure the ob was on board with our plan. I was concerned about going into labor and being on blood thinners and asked ob if scheduling an induction was necessary. She didn't feel it was, said that if I didn't go into labor beforehand, I would stop heparin at 39 weeks, and that we could reverse heparin if needed. She also mentioned if for some reason things progressed quickly, I may not be able to have an epidural, but that would be decided then by anesthesiologist. Obviously, since we ended up scheduling a c-section, that should've made things easier, but even so, all went well and I was glad I was able to have a spinal not be put out.

I hope you can get things straightened out, both in obtaining lovenox and being on same page as ob! Good luck to you!

[pinkiemo]

Thanks for all the comments! Everyone reconfirmed what I thought, so I talked to my OB and told her I didn't think induction was necessary. She tried to scare me again with a bunch of what-ifs but said it was ultimately my decision.

I am strongly considering getting a new OB, it just takes so much time and effort which are two things I'm running low on at the moment.

Also, I got my Lovenox last week! Yay for all the burning.

[daffodil428]

Feb 7, 2015 16:11:45 GMT -5 pinkiemo said:

Thanks for all the comments! Everyone reconfirmed what I thought, so I talked to my OB and told her I didn't think induction was necessary. She tried to scare me again with a bunch of what-ifs but said it was ultimately my decision.

I am strongly considering getting a new OB, it just takes so much time and effort which are two things I'm running low on at the moment.

Also, I got my Lovenox last week! Yay for all the burning.

I ice immediately after injection and it helps take away the residual burning feeling