Who has thrombophilia can become pregnant?

Expert answer:

Yes, those who have thrombophilia can get pregnant, provided that some care is taken to reduce the risks of complications.

Thrombophilia should be properly diagnosed and the follow-up of pregnancy should be done by an obstetrician with knowledge of this type of problem.

For prevent gestational complications related to thrombophilia, are indicated anticoagulant medications. Heparin is the most commonly used, especially low molecular weight heparin, which is safe enough to be used in pregnancy.

From the 3rd trimester of pregnancy, it is important to continuously check the health and vitality of the fetus through different tests.

During childbirth, whether normal or cesarean, care for the stability of the overall condition of the woman and the baby should be doubled. The use of heparin can be restarted right after birth, about 6 to 8 hours later.

It is important to remember that the puerperium (40 to 50 days postpartum period) is the stage that brings greater risks for the woman with thrombophilia, since it increases the chance of developing a thrombosis. For this reason, heparin should be maintained during this time.

The gynecologist can guide and clarify further doubts about a pregnancy with thrombophilia.