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Birthing Instincts

#428: Venous Thromboembolism (DVT & PE) in Pregnancy, Sorting Through The Data

Birthing Instincts

Dr. Stuart Fischbein + Midwife Blyss Young

Parenting, Kids & Family, Alternative Health, Health & Fitness

4.5631 Ratings

🗓️ 27 August 2025

⏱️ 93 minutes

🧾️ Download transcript

Summary

In this week's episode, Blyss and Stu discuss the medical complexities of deep venous thrombosis (DVT) and pulmonary embolism (PE) during pregnancy. They particularly focus on a listener's experience with blood clots during her second pregnancy and explore the risks, treatments, and recommendations associated with VTE. The discussion includes in-depth analysis of medical guidelines, the effectiveness of heparin and Lovenox, and the considerations for home birth and hospital protocols. Through data and expert opinions, they aim to provide a comprehensive understanding of managing blood clot risks in pregnancy.


Mentioned in This Episode

Dr. Stu’s Deep Dive on Twin Birth Scans: Patreon.com/birthinginstincts 

Birthing Instincts Podcast, Episode 346: The One Hour Prenatal Visit

Thromboembolism in Pregnancy

Reducing the Risk of Venous Thromboembolism during Pregnancy and the Puerperium

Customized growth charts for twin vs singleton pregnancies and their ability to identify small-for-gestational age associated risk of adverse perinatal outcome


In This Episode

Venous Thromboembolism Medical Guidelines and Recommendations

Diagnosing Pulmonary Embolism

Anticoagulant Therapy During Pregnancy

Managing Anticoagulation Around Delivery

Postpartum Anticoagulation Therapy

Risk Factors for VTE in Pregnancy


Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


This show is supported by

Connect with Dr. Stu and Blyss

Transcript

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0:00.0

Welcome to the Burling Instincts Podcast.

0:05.0

I'm Dr. Stewart Fishbein, community-based practicing obstetrician and long-time advocate for birth choices.

0:10.0

And I'm Bliss Young, a licensed midwife.

0:13.0

Join us in our conversational style podcast where we talk about everything birth.

0:17.0

Sometimes we laugh, sometimes we cry, but we're happy that you're here. So here we go.

0:21.6

Hi, good morning.

0:23.6

Good morning.

0:24.6

I almost froze.

0:26.6

So tell me why computers freeze when it's 95 degrees outside.

0:31.6

I don't know.

0:33.6

I don't know.

0:34.6

I don't know.

0:35.6

Physics.

0:36.6

And my Starlink says, I am good.

0:41.5

So you are,

0:42.7

you are,

0:43.9

as Tars would say,

0:45.1

you are lined up.

0:47.7

Oh,

0:49.0

never mind.

0:50.6

People who are interstellar fans

0:52.1

will get the reference, that's all.

...

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