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Beware of Gore when Pregnant

Pregnancy is a happy period of waiting to welcome the arrival of the baby, but at the same time also thrilling. There are several health problems that may occur during pregnancy. One of them is blood viscosity disorder. In medical terms, thick blood is referred to as thrombophilia or hypercoagulation, which means that blood cells have a tendency to clot and clot, causing blockages in blood vessels. During pregnancy, blood viscosity can increase and the process of blood clotting is easier. Most people with thick blood do not have typical symptoms. In some people, this disorder does not even cause a complaint at all. Complaints due to thick blood appear only when blood clots form and clog arteries.

Why Can Blood Thicken When Pregnant?

Increased blood viscosity is a mechanism to protect a pregnant woman's body against the risk of bleeding, for example during a miscarriage or after giving birth. That is why, when pregnant, a woman becomes 4-5 times more at risk for developing thick blood or hypercoagulation. Viscous blood is estimated to occur in 1 in 1000 pregnancies. The following factors can increase the risk of blood viscosity, as well as complications due to the condition:
  • Have family members who suffer from thick blood
  • More than 35 years old
  • Pregnant twins
  • Overweight or obese
  • Less physical activity
  • Smoke
Suffering from certain diseases, such as lupus and antiphospholipid syndrome, can also increase a person's risk of developing thick blood. In addition, an enlarged uterus during pregnancy can compress blood vessels in the abdomen. This can cause disruption of blood flow, especially in the legs, and aggravate the condition of thick blood.

Types of Blood Viscosity and Symptoms

Some of the following blood viscosity diseases can cause blood to become thick:

1. Lack of protein C, protein S, and antithrombin

These three proteins play a role in preventing blood clots from forming, or in other words, functioning as natural blood thinners. If the levels of the three are low, blood clots will be easier to occur. This type of blood viscosity disorder is often caused by genetic disorders.

2. Antiphospholipid Syndrome (antiphospholipid syndrome / APS)

The diagnosis of this disease in pregnancy can be confirmed if a woman has had three successive miscarriages or at least one fetal death at an advanced gestational age. In people with APS, the body produces antibodies that prevent phospholipids to fight blood clots. As a result, the risk of blockage due to blood clots will increase. Women with antiphospholipid syndrome are at higher risk for pregnancy disorders, such as miscarriage, fetal death, preeclampsia, and low birth weight.

3. Factor V Leiden

Factor V Leiden is a type of blood viscosity caused by genetic disorders. Patients with this type of blood viscosity disorder can experience blood clots spontaneously without any precipitating factors.

Symptoms of Gore when Pregnant

Viscous blood usually only causes complaints after blood clots clog arteries. Some of the symptoms are:
  • Pain, swelling, and redness in the area that is blocked (usually in the legs or feet).
  • Cramps in the legs, especially in the third trimester.
  • The skin feels warm in the area of ​​blood clots.
  • Abdominal pain, if a blockage occurs in the blood vessels of the stomach.
  • Coughing, chest pain, and shortness of breath, if the obstruction affects the blood vessels of the lungs.
If left untreated, thick blood can increase the risk of pregnant women developing preeclampsia. In addition, blood viscosity disorders are also at risk of causing complications in the form of:
  • Miscarriage in early pregnancy or fetal death over the age of 14 weeks
  • Placental disorders
  • Impaired growth and development of the fetus
  • Premature birth
  • Low baby birth weight

How to deal with blood viscosity disorders during pregnancy

Given the thick blood during pregnancy has the potential to endanger the health of pregnant women and the fetus, the symptoms that lead to this disease need to be checked by a doctor immediately. Examination is also highly recommended for women who experience recurrent miscarriages. If you are diagnosed with thick blood during pregnancy, it is advisable to immediately consult a hematologist to get the right treatment according to the cause. Your doctor may prescribe blood thinners to prevent blood from clotting or clotting. In addition to preventing complications in pregnant women, administering these drugs can also increase the life expectancy of the baby being conceived, as well as reduce the risk of miscarriage. However, the use of blood-thinning drugs is not without risk. This drug can cause bleeding, which is characterized by nosebleeds or easy bruising. Therefore, the use of blood-thinning drugs needs to be stopped when pregnant women will give birth, in order to prevent postpartum bleeding. Although thick blood during pregnancy is quite uncommon, examination and early detection of this condition is important to do, especially in women with a history of blood viscosity and recurrent miscarriage. Proper diagnosis and early treatment can increase the chances for the fetus to grow and be born healthy.

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