Baby Asprin and other tips....

[LauraBeck12]

For those of you who have had a Pre-e absent 2nd pregnancy.... when did your doctor have you start taking asprin?
What other tips have your doctors had you do to keep pre-e away?

[tree]

Hi Laura,
I don't think many doctors think that there is anything we can do to keep pre-E away. There are some pre-existing conditions that can be treated to reduce the chances that PE will strike again. There isn't good statistical evidence for the use of baby aspirin to prevent PE, but many doctors and women here take it anyway. My plan is to keep myself as healthy as possible with diet and exercise (also not proven to be helpful, but it will make me feel better), develop a careful monitoring plan with my doctors, and hope that it doesn't happen again. I wish there was a better answer. I think the most encouraging news is that PE is less common in subsequent pregnancies.

[angieb]

My docs had me start with a + test. I also started lovenox at 7ish wks, but I had severe early onset and severe IUGR the first time- a lot of drs don't do lovenox. (FWIW, I was heavier and not as active my 2nd preg as I was with my first- it was a much healthier pregnancy.)

[mom41]

I was on baby asa, Lovenox 40 daily since 7-8 weeks ( heartbeat) and labetalol. No, nothing stop pre-e, but my MFM is a "lovenox" believer. I also rested a lot and hoped for the best, in addition to growth scans every 2-3 weeks. Good luck !

[LauraBeck12]

I had severe early onset and severe IUGR the first time- a lot of drs don't do lovenox. (FWIW, I was heavier and not as active my 2nd preg as I was with my first- it was a much healthier pregnancy.

I had early onset, severe pre-e with IUGR growth too. I have pretty big uterine fibroids that didn't help anything as well. My son was born at 29.2 weeks and weighed 2lbs, lived for 3 days and then died suddenly in the NICU.
I am absolutely terrified to go through this again.

I started "training" in Jan and have lost about 13lbs so far (Now at 184 lbs).... I'm eating completely organic (an did through out my pregnancy as well). Plan it to start TTC at the end of the year but I want to be armed with as much info as possible.

Have many of you had successful (non-eventful) pregnancies with being on Lovenox?
If you have severe, early onset, pre-e that results in a loss, do they not recommend Lovenox?

Any advice on what you did to have a healthy 2nd pregnancy, i am all ears!!

[angieb]

I had severe early onset and severe IUGR the first time- a lot of drs don't do lovenox. (FWIW, I was heavier and not as active my 2nd preg as I was with my first- it was a much healthier pregnancy.

I had early onset, severe pre-e with IUGR growth too. I have pretty big uterine fibroids that didn't help anything as well. My son was born at 29.2 weeks and weighed 2lbs, lived for 3 days and then died suddenly in the NICU.
I am absolutely terrified to go through this again.

I started "training" in Jan and have lost about 13lbs so far (Now at 184 lbs).... I'm eating completely organic (an did through out my pregnancy as well). Plan it to start TTC at the end of the year but I want to be armed with as much info as possible.

Have many of you had successful (non-eventful) pregnancies with being on Lovenox?
If you have severe, early onset, pre-e that results in a loss, do they not recommend Lovenox?

Any advice on what you did to have a healthy 2nd pregnancy, i am all ears!!

Actually the opposite. I've only heard of doctor's recommending it if it was a severe early onset case.

Good for you on the weight loss! My MFM did not feel like losing weight would change my odds at all or really impact the pregnancy, she was pretty much right as I did not get sick. So I would try not to stress over it too much, although obviously it probably wouldn't hurt anything.

Ruby608, Riehlism (think I am misspelling her screenname), and several other posters were on lovenox and had uneventful second pregnancies, although we definitely also have members that were only on aspirin who had healthy second pregnancies as well (jules, jean).

[LauraBeck12]

Thank you so much for your advice!

[caryn]

We've also had posters use anticoagulants like Lovenox and get sick again - I think our record-setter got HELLP at 19.5 weeks - so Lovenox definitely shouldn't be expected to be a thing that always helps or even a thing that is always recommended. It's really highly variant by individual circumstance.

[LauraBeck12]

Thank you Caryn! You are always very informative.

[riehlism]

I started baby aspirin prior to getting pregnant and Lovenox at 13 weeks. I would have started Lovenox earlier if I had been able to get an appointment sooner.

Angie, you're knocked up again? Congratulations! I guess I've missed out a lot on what's going on around these parts.