Pulmonary Embolism in Pregnancy: Symptoms You Shouldn’t Ignore — with RACHEL ROSOVSKY, MD

Send us Fan Mail"It is probably nothing."The swelling is probably the third trimester. The breathlessness is probably the stairs. The ache in your calf is probably that run you should not have done. And most of the time, all of that is exactly right.Most of the time is doing a lot of work in that sentence.Dr. Rachel Rosovsky is a hematologist at Massachusetts General Hospital, where she has spent twenty years on blood clots, and she co-authored the first ever AHA/ACC guideline on acute pulmonary embolism. The American Heart Association reached out about this one, and I said yes immediately, because this is the conversation I do not think most of us have ever actually had.🔹 What a blood clot actually is, explained the way a former math and science teacher explains it 🔹 Why the symptoms of a clot and the symptoms of a normal pregnancy look almost identical 🔹 The risk factors worth raising before you are pregnant, not after 🔹 Why the postpartum window is the highest risk stretch, and also the one with the fewest appointments 🔹 Why the standard D dimer cutoff does not work in pregnancy, and what the guideline uses instead 🔹 Whether imaging is actually off limits when you are pregnant, and the honest answer 🔹 Blood clot history and hormones later on, including what the evidence says about the patch 🔹 Dr. Rachel Rosovsky's rule: take it out of your hands and put it in mineThis is not an episode about being afraid of your body. It is an episode about being allowed to ask a question without needing a good enough reason first.Most of the women in the largest survey we have on this were never told what to watch for. That part is fixable. That is the whole reason this conversation exists.Guest: Dr. Rachel Rosovsky, MD, MPH, hematologist, Massachusetts General Hospital. With thanks to @american_heart.Time Stamps0:00 introduction3:10 from math teacher to hematologist6:13 having a baby during med school10:10 choosing hematology12:31 explaining blog clots17:11 addressing the guidelines for pregnancy20: are you at higher risk if you’re pregnant? 24:41 potential problematic symptoms31:47 seeing a rise in risk postpartum35:53 where to seek care40:23 what care can look like47:12 looking ahead to perimenopause and menopause52:50 follow your intuitionCONNECT WITH CARRIEIG: https://www.instagram.com/carriepagliano/Website: https://carriepagliano.comCourse waitlist: https://course.carriepagliano.com/RSAWLR2R Screen: https://course.carriepagliano.com/R2RreadyscreenCONNECT WITH RACHEL:LinkedIn: https://www.linkedin.com/in/rachel-rosovskyWebsite: https://www.massgeneral.org/doctors/17898/rachel-rosovskyGuidelines: https://pubmed.ncbi.nlm.nih.gov/41712898/The Active Mom Podcast is A Real Moms' Guide to pregnancy, postpartum, perimenopause & beyond for active moms & the professionals who help them in their journey.   This show has been a long time in the making!    You can expect conversation with moms and professionals from all aspects of the industry.    If you're like me, you don't have a lot of free time (heck, you're probably listening at 1.5x speed), so theses interviews will be quick hits to get your the pertinent information FAST!   If you love what you hear, share the podcast with a friend and leave us a 5 start rating and review. It helps us become more visible in the search algorithm! (Helps us get seen by more moms that need to hear these stories!!!!)The Active Mom Podcast — a real mom's guide to pregnancy, postpartum, perimenopause & beyond, for active moms and the professionals who help them get there.Quick-hit conversations with moms, providers, and researchers... because you don't have a lot of free time (you're probably listening at 1.5x right now).Follow so you don't miss an episode. Rate & review ⭐⭐⭐⭐⭐ — it's how the next mom searching for these answers actually finds them. Share it with the friend who needs it.Questions or topic requests? DM me 💌