Hello! I should prosthetic aortic valve. My husband and I are planning a child, I was taken with warfarin at a dose of Clexane in 0.4 ml. 2 times a day. platelet norm in my case, what? How often should monitor blood?
Good evening!
In your case, the presence of pregnancy, you will be under greater control. Since CBC woman delivers on average once a month, most likely, your treating gynecologist together with the cardiologist will conduct monthly monitoring of platelet levels. Initially, when registering at the antenatal clinic, you can donate blood to determine the level of platelet twice a month.
Normally, platelets in the blood is 180-320 thousand. units per microliter. In pregnancy, this level is reduced to 100-310 thousand. units per microliter.
It is now widely used so-called INR - an indicator of the blood coagulation system, international normalized ratio. It is calculated based on the determination of prothrombin time. The lower blood coagulability, the higher INR. For INR prosthetic aortic valve is maintained in the range 2.0-3.0.
Therefore, at present it is difficult to say to what extent your doctors will keep the parameters of blood coagulation - this will depend on many factors. The most important thing you will do is to get under the supervision of a physician as soon as you suspect pregnancy. And strictly follow all the instructions of doctors.
Good luck to you!