Thrombophilia increases blood clotting in the body and people who have this disease are more prone to thrombosis. Thrombosis is the formation of clots in the body’s veins and possible obstructions. Thrombophilia means that the person has a greater chance of having some type of thrombosis, either for hereditary reasons or even acquired throughout life for some reason. But what about pregnancy, what can thrombophilia affect?How to diagnose then? Most of the time thrombophilia is discovered in women who have recurrent miscarriages. Thrombophilia until it manifests itself in thrombosis itself is not so easily detectable, although it is common to manifest in pregnancy, it can happen anywhere in the body. The most frequent occurrence is an obstruction in the legs, due to the flow of blood. Very common if you hear about thrombosis in the legs.
How to Diagnose Thrombophilia
Blood tests and the patient’s family history should be taken into account by the doctor who suspects. From there he can pass some tests to find out if the thrombophilia is hereditary or acquired, if it is hereditary the changes speak for themselves, but if the presence is acquired, the following changes occur in the examination:
Most cases of spontaneous abortion are caused by the thrombophilic factor by a factor V Leiden mutation, that is, the factor V does not allow protein C to be of an ideal amount in the body causing problems. The anti-thrombin factor, on the other hand, is the natural productive deficiency of the protein C component. However, not only these factors can collaborate so that a woman can have recurrent abortions and can prevent the pregnancy from going ahead and has to be investigated by the specialist doctor as well. to be suspicious of the thrombophilia problem.
Another aspect of thrombophilia is the risk in pregnancy, say that it is not seen before pregnancy happens and is only discovered in pregnancy after an obstruction crisis where exactly one important pathway is reached for the fetus , for example the cord, which leads oxygenation and food provided by the mother. The risk of premature birth or even an abortion at an advanced gestational age is very high. Therefore, a diagnosis should be made before pregnancy in women who have had recurrent abortions for treatment as soon as possible.
The pre- eclampsia is another point to be considered in the case of presence of thrombophilia indications. If the pressure of the pregnant woman is high, the doctor should check for changes in the exam, such as protein C and S, which must be present, otherwise, medication must be started immediately. Cases of risk of pre-eclampsia as well as Hellp’s syndrome and placental abruption should be closely monitored by the doctor. The success rate of a well-monitored and treated pregnancy is very high, above 70% for full-term fetuses. Treating thrombophilia is simple for pregnant and non-pregnant women, the important thing is to diagnose. Medications always based on anticoagulants and blood thinning agents such as acetylsalicylic acid, the children’s AAS for non-pregnant women the same used for cases of stroke for example.
The benefit it brings is immense and the circulation increases significantly. If used in pregnant women, as delivery is approaching, the doctor may suspend the use of the medicine to thin the blood, it can cause bleeding at the time of delivery, so it must be discontinued at least 15 days before delivery. Other care at the time of delivery will be taken, the use of mediation in the parturient’s serum is used to prevent any bleeding .
Injectable heparin or an implant is often used as a treatment for pregnant women, it acts as a coagulant and is not at risk for the baby. The use of heparin in pregnant women with thrombophilia is essential to avoid problems with thrombosis in pregnancy, avoiding obstruction of the veins is essential for the health of the mother and baby. The important thing is the diagnosis and treatment, a woman with thrombophilia can be a mother, just identify and treat as soon as possible.
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My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.