Some questions for 2nd timers (or more)

Are you pregnant again after having preeclampsia once already in a previous pregnancy? Post your thoughts/concerns here - there are others who share your feelings. This is also the home of our Bedrest Buddies Support group.
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heather j
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Re : Some questions for 2nd timers (or more)

Postby heather j » Thu Nov 27, 637681 4:25 pm

BTW testing for underlying disorders and clotting disorders won't and possibly finding one, in fact, can't predict PE. It will, however, unveil some risk factor(s) that you and/or your provider may not even know you have, and knowledge IS power.

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heather j
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Re : Some questions for 2nd timers (or more)

Postby heather j » Thu Nov 27, 637681 4:22 pm

Okay, well, that sounds identical to my situation....the ob who delivered Nicolas gave me a 40% chance of recurrence, but no facts/figures or evidence to back it up. That, along with alternative opinions from other doctors including some who said "no, it's not coming back" and an np who said to forego b/c pills and head straight for a tubal, encouraged me to seek out the opinion of someone actually "trained" to deal with high risk pregnancies. As you can see from my signature, I am FOR SURE high risk, now. My new ob, whom I love, thought I would be fine with her and didn't want to refer me until problems arose. So, anyway, not wanting to get into a debate with her about it all, I found a peri I wanted to see and emailed him. Not an orthodox way of finding a doctor, but desperate times, right? He emailed back and told me to call for an appointment. BTW the peri only treated on a referral basis, but I got in without one (my insurance didn't require a referral - so you may check on this first if it matters to you)! When I went in for the consult, they ran the underlying disorders/thrombophilia panel and I found out I had a clotting disorder which needed to be managed in a subsequent pregnancy. With treatment, my risk was put at less than 10%, and near at least 80% without. Knowing that I have a clotting disorder impacts other areas of my life as well such as the use of oral contraceptives, and I NEVER would have known about it if I hadn't sought a peri who knew to test for it. So, that's the long version. For me, after SO many conflicting opinions about something as important as my life and quality thereof if I attempted another pregnancy, I felt that *if* I was even going to consider getting pregnant again - I needed an expert on board because severe PE and HELLP aren't seen everyday in a "normal" practice. That's me, though, only you can decide if you really want that. I hope your second consult leaves you with more answers than questions...it's a difficult decision no matter how you look at it!

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Re : Some questions for 2nd timers (or more)

Postby paige_va » Thu Nov 27, 637681 4:13 pm

Again, I can only relate my own experience. My doctor, too, put my chance of reoccurance at about 40%, with that figure being based on my now chronic hypertension. (My last pregnancy unmasked a predisposition to chronic hypertension. I had not had any problems with BP prior to the third trimester of my previous pregnancy.) Prior to TTCing this time around, my OB had me go to my PCP to ensure that my hypertension was indeed chronic rather than secondary hypertension and to start on meds if needed. He also had me undergo several bloodtests to check for clotting problems, liver function, and several other things. Finally, he had me do a 24 hour urine to ensure that my kidney function had indeed returned to normal after my pregnancy with my DD. All looked fine, except for my hypertension, which my PCP (an internist) determined to be chronic. I started on meds, and was given the green light to TTC at that time. I'm 24 weeks now and so far, so good.

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Re : Some questions for 2nd timers (or more)

Postby adgirl » Thu Nov 27, 637681 10:58 am

How did you get the referral for the peri? The OB I consulted said that a peri was not necessary unless there was a problem with the baby needing to be delivered early -- he said that one would be consulted during the pregnancy if needed, but that as of right now, no doctor could tell me anything different than what he had already said.

Here's the summation of our meeting -- he feels that I have a 40% chance of getting it again. I know that's kind of the average -- I didn't feel that was specific to my history, so I'm not sure how he got that number. He also said that all pregnancies carry some risk, there are no guarantees. He didn't feel my history should prevent me from trying again. He said that they would monitor me closely and I should expect if it happens again that it would present in the same way. He did say that I could go see a maternal fetal specialist if I wanted to, but that they wouldn't tell me anything different either. He didn't seem to think I need any kinds of tests for anything -- he said there were no tests to predict/prevent PE from happenning.

I'm going to meet with a different doctor next week. There are no peris in my area or maternal fetal docs. The OB I went to last week and the one next week both do high-risk pregnancies and deal with PE on a regular basis. What do you guys think?

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heather j
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Re : Some questions for 2nd timers (or more)

Postby heather j » Thu Nov 27, 637681 8:12 am

Like Paige, I can only partially answer your questions. After my first pregnancy, we were certain there would be NO more babies. Then I started seeing friends have little ones, and there was that inkling of desire. Still, it wasn't worth a repeat. Also, I walked away from my first pregnancy with NO answers about what had happened to me and how it happened. So after visiting the forums, I scheduled an appointment with a peri to find some answers (not necessarily with a future pregnancy as the driving force behind it), and after getting my questions answered, I found myself pregnant about a month after test results were in and we had started TTC. We both (DH and I) feel pretty confident about this pregnancy. That said, EVERYTHING about being pregnant again SCARES me to no end because everything has new meaning postPE. Aches and paines, headaches, etc. take on new meanings, and really it's pretty tough. I've been up and down as far as my confidence levels on any given day. The pregnancy has been great so far, but I find myself readdressing issues that I thought had already been put to bed about my fears. As far as postpartum issues go, I had PE prior to delivery, but HELLP postpartum. And I'm hoping and praying they both stay away this time. There was just this point where wanting another baby was bigger than my fear. Best wishes for confidence in whatever decision you come to!

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Re : Some questions for 2nd timers (or more)

Postby paige_va » Thu Nov 27, 637681 7:09 am

I can only help you out with one of your questions since I'm still in the midst of my second pregnancy. To tell you the truth, I'm not sure that I would have tried again had it not been for DH wanting a second so badly. I really tried to convince him that we should adopt, but he is the eternal optimist and wanted to try to have a second ourselves. Add to this the fact that my doctor was very positive about my chances for a good outcome the second time around, even with chronic hypertension, and we went ahead and took the plunge. I'm still waiting to see whether or not we've beaten the odds. If we have a third, that one will almost certainly be adopted. No matter what, the decision to have a second (or third or fourth) after PE is incredibly difficult and scary. I would encourage you to have a preconception consult with a doctor whom you trust implicitly and to get tested for any pre-existing conditions that may increase your chances of developing PE the second time around. Good luck!

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Some questions for 2nd timers (or more)

Postby adgirl » Wed Nov 26, 637681 11:15 pm

A bit of my history -- had PE develop by week 38 (protein at 36, elevate BP at 37, both at 38). Delivered at 38 weeks -- after a bout with TTN and jaundice, baby was fine -- now a perfectly healthy 2 1/2 year old! I was one of the lucky few who didn't get better after delivery. I was monitoring my blood pressure at home and it kept getting higher even with low levels of meds. I was in the ER 6 days post partum and had BP of 206/120 or something like that... they got it down to 140/90 within a few hours and sent me home -- anyway -- it was totally cleared up within about 12 weeks of weaning me off the drugs.

Now I'm wanting another child and scared to death!!! I don't really know what could have happenned to me the first time around, but I'm worried about leaving my little boy without a mommy if we try again.

On to the questions - what were your biggest fears about trying again??
If you had PE in first pregnancy, was 2nd more or less severe? What about time of onset?
How did you make the decision to try again?
Has anyone here had an experience of post partum problems in 1st pregnancy, and what happenned in subsequent pregnancies?


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