by akemt (4961 Posts), Tue Apr 06, 2004 10:56 am
I'm so sorry for the loss of your son. I am glad that you and your daughter are doing well though. My suggestion would be to visit a perinatologist and ask them these kinds of questions. A peri can order certain blood tests to see if there might be any underlying conditions putting you at increased risk for preeclampsia (things like clotting or autoimmune disorders). They will be able to give you information specific to you. All I can give is general statistics, etc...and I am no doctor.
For ladies with chronic hypertension the stats are that 1/4 will develop what is called superimposed preeclamspia. It can be harder to diagnose because of the preexisting BP issues and possibility of organ damage. When it does happen, it seems that it is fairly nasty. The good news is that if your blood pressures are able to be controlled well by medication, your chances of a good outcome are great. Some women do go through a quite normal pregnancy, excluding the meds and extra watching from your doctor. Also, your last pregnancy being a twin pregnancy put you at increased risk, so if you were to get pregnant with a singleton, I'm sure that will better your odds compared to your last pregnancy (not that you have control over that!). You should be treated by a perinatologist (high risk specialist) from the get-go if that is possible. There are other meds that can be used durring pregancy, but you and your doctor would have to discuss which is best for you.
I hope I have helped! Please feel free to ask any more questions you might have and we'll do our best to answer.
Catherine (22), Moderator (pregnant again)
DH Britton (27)
Emma Margaret (03/02/03) 37 weeks from PIH & oligo
Baby #2 due August 11, 2004