If you aren't a hematologist or vascular surgeon, you might get bored quickly. Hcbw had a massive blood clot before delivery. Lovenox injections for 3 weeks stopped 24 hours before induction at 39 weeks. The plan was to go to a heparin drip during labor that could get turned off as needed. She had significant bleeding during early labor so they shelved the heparin.

Baby was born just fine. There was significant bleeding but not enough to warrant a transfusion. Ff 6 hours and they restarted the lovenox. Blood clot started rearing its ugly head with swelling in one leg. Ultrasound shows almost complete occlusion. Getting differing opinions from different docs. One wants to start Coumadin along with the lovenox and keep her in the hospital until 2 days after the Coumadin levels stabilize. Other is considering sending us home and starting the Coumadin transition out patient.