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Pregnancy: Animal studies have not shown any evidence of fetotoxicity or teratogenicity.
In the pregnant rat, the transfer of 35S-enoxaparin sodium across the maternal placenta to the fetus is minimal.
In humans, there is no evidence that enoxaparin sodium crosses the placental barrier during the second trimester of pregnancy. There is no information available concerning the first and the third trimesters.
As there are no adequate and well-controlled studies in pregnant women and because animal studies are not always predictive of human response, this drug should be used during pregnancy only if the physician has established a clear need. (See section Warnings and Precautions).
Lactation: In lactating rats, the concentration of 35S-enoxaparin sodium or its labelled metabolites in milk is very low.
It is not known whether unchanged enoxaparin sodium is excreted in human breast milk. The oral absorption of enoxaparin sodium is unlikely.
However, as a precaution, lactating mothers receiving enoxaparin sodium should be advised to avoid breast-feeding.
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