Honestly, he sounds a little too laidback for my tastes. I'd probably keep looking around. After three pregnancies of getting preeclampsia, he's only giving you a 10% chance of getting it a fourth time? I am not a medical professional or a stats person, and I don't know your history, but those odds seem a lot lower than what is logical to me. And given all of the things that can go seriously wrong if they wait just a little too long to deliver, I would be a little concerned. We've seen here time and time again with new posters, doctors that let things get pretty bad before the decision for delivery is made. (While I don't agree that inducing at the drop of that hat is necessarily the right move either, I would much rather someone have a slightly pre-term baby with some NICU time than a stillborn baby planning their funeral.)
I met with two different MFM's before getting pregnant after my first pregnancy. One of them was pretty concerned about pre-e, gave me a fairly high chance of getting sick again, but would be monitoring closely, etc. (As is appropriate with someone who had HELLP and a loss at 23 wks.) The other one just kind of shrugged it off, I remember her saying, "I'll sleep okay at night if you get pregnant with just one baby. I'll have a little more trouble sleeping if you get pregnant with twins." (while the other MFM was adamant I could NOT get pregnant with twins- the multiples topic came up b/c we were doing fertility treatments.) She was more concerned with my vertical c-section incision and the risk of placental accreta than pre-e. I since have made a friend who also saw the very laid back MFM,pre-conception, after she developed severe pre-e and had to deliver her son at 29 weeks. The MFM did no underlying condition testing on my friend (it turns out now that she has a blood clotting disorder and aplastic anemia), and told her that the pre-eclampsia was a fluke, wouldn't happen again, go ahead and get pregnant, we don't need to see you. Well, my friend got pregnant with twins on unmonitored clomid and delivered at 25 weeks and both of her babies ended up dying. So much for a "fluke" and "won't happen again". My friend still struggles with a lot of guilt that she just accepted what that MFM told her.
Anyway, my point is, too laid back can have disasterously bad consequences, as I'm sure you already know from being on the forums anyway. I sure wouldn't want that stress of feeling like you may have to talk him into inducing you if you get sick down the road. I think you have to go with your gut on this one.
Me (29) DH (30)
#1-Olivia Caetlyn-9-28-09-9-28-09, 23+2 wks, emergency classic c-section, class I HELLP, IUGR
#2- Lucas Oliver (rainbow baby)- April 2011, 36+2 wks, HELLP and pre-e free! (lovenox and LDA pregnancy)
#3-Matthew, late October 2012...mostly normal, 37 wks, (lovenox and LDA again)
My blog: http://www.butterflies-and-rainbows.blogspot.com/