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    Vte Prepregnancy Counseling

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    Sana Lodhi
    The document discusses pre-pregnancy counseling for a patient with a history of blood clots. The counselor reviews the patient's medical history and risk of blood clots during pregnancy, and recommends continuing birth control, seeing a hematologist, taking folic acid and blood thinners during pregnancy under specialist care.

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    Vte Prepregnancy Counseling

    Uploaded by

    Sana Lodhi
    4 views2 pages
    The document discusses pre-pregnancy counseling for a patient with a history of blood clots. The counselor reviews the patient's medical history and risk of blood clots during pregnancy, and recommends continuing birth control, seeing a hematologist, taking folic acid and blood thinners during pregnancy under specialist care.

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    vte prepregnancy counseling

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    The document discusses pre-pregnancy counseling for a patient with a history of blood clots. The counselor reviews the patient's medical history and risk of blood clots during pregnancy, and recommends continuing birth control, seeing a hematologist, taking folic acid and blood thinners during pregnancy under specialist care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    4 views2 pages

    Vte Prepregnancy Counseling

    Uploaded by

    Sana Lodhi
    The document discusses pre-pregnancy counseling for a patient with a history of blood clots. The counselor reviews the patient's medical history and risk of blood clots during pregnancy, and recommends continuing birth control, seeing a hematologist, taking folic acid and blood thinners during pregnancy under specialist care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    PREPREGNANCY COUNSELLING

    GREET
    INTRODUCE/ChECk FULL NAME AND DOB

    SET AGENDA:
    I understand that you suffered a Clot in your leg 3years ago and since you are planning a pregnancy , you
    are here to
    Discuss the implications of this condition on your pregnancy and any
    Special measures that might need to be taken before getting pregnant
    Am I right?
    CHECK AGENDA:
    Is there anything else you want to include in the discussion today?

    CHECK HER UNDERSTANDING/HER VERSION


    May I ask you whats your understanding about this condition and what are your concerns
    Regarding this?

    History
    I would like to ask you a few more questions to know exactly about your condition if that’s ok with you?
    Tell me about how it happened
    What medication and treatment you took,any ICU admissions
    Are you on any medication right now
    When did you see the Blood doctor(Hematologist)
    Last time
    Were there any tests done ti check clotting factors in your blood? Results
    How do you feel now
    Any other health problems like HTN,DM,immune disorders etc
    Any allergies
    Any surgeries in the past?any complications
    Any Family history of clots/any serious disease running in family
    Have you been pregnant in the past
    Hows your periods,LMP
    Are you using any Birth control method right now?
    FEW MORE QUESTIONS WE ASK EVERYONE
    Do you smoke or drink at all? IV drug or recreational drug use
    Would you mind if ill ask about your partner
    Stable relationship,any health issues,is he supportive
    What do you do for a living ?
    Thanks for sharing this information with me
    EFFECT OF PREG ON DISEASE
    In our blood,there are substances which stop bleeding after an injury and other substances that
    Prevent the blood from clotting inside the body and allow it to keep flowwing
    There is a delicate balance between these two systems
    However some situations can increase the tendency of blood to form clots in the legs that can travel to
    Lungs and brain and cause serious problems
    Like pregnancy,surgery ,certain inherited defects in blood
    Someone who has once suffered a clot is more prone to do so in pregnancy

    MANAGEMENT
    You will need the general advice before pregnancy that your Midwife and GP will discuss with you
    I am here to help you regarding the additional care needed due to you blood clot problem
    I will write to your GP to refer you to the Blood specialist who will do the necessary tests for you
    And will explain the risk you might have in pregnancy
    I advise you to continue with your current method of birth control
    Start taking Folic acid from now till 3rd mnth of pregnancyas it reduces Birth defests specially related to
    brain
    Once your Blood specialist reviws your results and we feel that you are in your best health to enter
    pregnancy then you can concieve

    As soon as you find yourself pregnant I would like you to contact the healthcare team so that the preg
    Can be confirmed
    Most probably you will need blood thining injections to be used throughout preg till 6weeks after
    Delivery.These are very safe for you and your Baby
    You will be taken care of specializes gp of doctors in preg including me Obstetrician,blood specialist and
    special nurses
    We recommend you to deliver in a hospital &Consultant led unit with all available facilities
    You can safely breast feed your baby
    CLOSING THE SESSION
    Do you have any question for me?
    Here are some written information sources for you and Support group information
    I will write your GP about the plan
    I will also see you once more in preg to discuss further queries
    THANKYOU FOR YOUR TIME

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