#428: Venous Thromboembolism (DVT & PE) in Pregnancy, Sorting Through The Data
Birthing Instincts
Dr. Stuart Fischbein + Midwife Blyss Young
4.8 • 691 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
Reducing the Risk of Venous Thromboembolism during Pregnancy and the Puerperium
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
- WeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order.
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- BIRTHFIT | Go to birthfit.com and use the code INSTINCTS for 20% off any fitness program.
- Pique Life| Go to https://piquelife.com/birthing to get 10% off for life on Pique's Herbal Teas!
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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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