Question about history of blood clot and fourth pregnancy

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Hi,

I don't have a lot of experience in OB/GYN nursing, other than my clinical in nursing school, and I have a question for my fellow nurses in this specialty.

My sister is 8 weeks pregnant with her fourth child. She is 37 years old. Last December she had bronchitis, and she went to see her physician because she thought she was coughing up blood. Obviously her doctor wanted her to go for an MRI to rule out a blood clot, and a very small blood clot was found in the periphery of her lungs. After she was heparinized and her PT/INR was therapeutic, she was discharged on Eliquis for 3 months. She was seen by hematology and screening done showed no risk for blood clots otherwise. They think she developed the clot from her birth control pill, but this was speculation. However, she went off the pill as a precaution and since then she has been fine.

When she went to see her OB/GYN yesterday for her first appointment and ultrasound, they discussed her options. Her OB/GYN wants her to start with daily low molecular Lovenox and towards her final weeks be induced.

My question is, is this the appropriate protocol? I'm really thinking it is, but she is very worried and thinks that it is overkill.

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Specializes in Nurse Leader specializing in Labor & Delivery.

I'm sorry, per terms of service, we cannot give out medical advice. Best of luck to your sister.

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Specializes in OR, Nursing Professional Development.

As her provider is the one who knows her medical history best, he or she is the best to seek clarification from. Another option would be for your sister to seek a second opinion. Best wishes for your sister and the pregnancy.

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Specializes in RETIRED Cath Lab/Cardiology/Radiology.

I hope your sister responds well to treatment and her pregnancy continues with a safe delivery.

The other posters are correct, her questions are best asked of her Provider and staff.

Also, per the Terms of Service, no medical advice may be rendered by anyone on this site.

Thank you for your understanding and concern; your sister is lucky to have a caring sibling!

Closing this now.

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