Trying again after twins, chances of preeclampsia?

Are you considering having another child after preeclampsia? Trying again after preeclampsia can be an emotional challenge. You can find support with others who share your concerns here.
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Re : Trying again after twins, chances of preeclampsia?

Postby dohertyab » Sun Jul 06, 638628 5:44 am

Hello. I had identical twins in my first pregancy and developed HELLP at 28 weeks, delivered at 29 weeks. My girls were a little bigger than yours but they had an few extra days inside. The specialists told me that twins and first pregnancy were higher risk factors. The way it was described to me was if you took all the risks and it added up to 100 that twins and first pregnancies combined added up to 40, then you could add in underlying conditions, age, etc. Since there was no way I could have another first pregnancy and as my twins were conceived unassisted (except by hubby of course) so my risk of another set of twins was low and that I had no underlying conditions my risk of having complications again was lower than it was originally. I don't know the breakdown if I had twins again, but the specialist wasn't too worried about that. The numbers were quite arbitrary, just a way of saying that 2 larger factors were first pregnancy and twins.

The specialist said that in his opinion the risk to me was low, but ultimately the risk was 100% mine to decide. His risk in the whole thing would be 0%. I liked his acknowledgment that his idea of low risk didn't take into account what I was feeling and the decision was mine.

Even if you are the ideal weight and eat wonderfully, there is always the chance that you can develop pre-e and HELLP even if you have a singleton. I did have another pregnancy that was HELLP free, although I still had some placental issues. It took us a while to decide and part of that was the memory of our NICU time (11 weeks). My second pregnacy was certainly not stress free, however, I can't imagine our lives without Maeve now. Good luck and keep asking questions - it helped me a lot in deciding.

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Re : Trying again after twins, chances of preeclampsia?

Postby norlisa k » Tue Jun 24, 638628 11:52 pm

Hi Shelley,

I'm glad that your boys are healthy. I am in total agreement with doing a preconception consult with a maternal-fetal specialist, one that you are very comfortable with, and who will answer all of your questions patiently and to your satisfaction. He or she can go over "what happened" during the pregnancy with your twins, and give you an idea of any possible underlying risk factors/what they would do differently if you were to get pregnant again. As for going to term, I really don't think that there is anyone out there who can guarantee that. But if you do have a great perinatologist and medical team, and you are proactive, you can at least have some peace of mind.

Wishing you the best in finding a maternal-fetal specialist who can help give you some answers, and in making the decision to try again.

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Re : Trying again after twins, chances of preeclampsia?

Postby lauchlan » Sun Mar 26, 638626 9:09 am

There are so many *possible* causes of Preeclampsia, but no one really knows for sure. My suggestion would be to see a Peri or MFM doctor and have them run a bunch of tests to see if there are any underlying issues that might have contributed to your illness. It has taken me a long time (5+ years) to gain the strength to try again... and I was only comfortable doing so after about 30 vials of blood were taken. It was a long road to get to this point, but I'm confident in my team of doctors to give it another shot. No one is going to be able to tell you if/when it will happen again. Ultimately it's your choice, but testing for underlying issues could help you make a more educated decision.

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Re : Trying again after twins, chances of preeclampsia?

Postby lisacarmel » Fri Mar 24, 638626 8:30 pm

Hi and Welcome. Congrats on bringing your healthy baby boys home. I don't really have any advice but I'm sure someone will respond that does. Getting Pre-E was probably a combination of all those things and who knows what else. It's so hard to understand. I delivered at 26 weeks due to severe preeclampsia. I was given a 25% chance of it coming back to haunt me in a future pregnancy. I was also told that if I did get it, it would mostly likely be as severe and the outcome the same; meaning delivering very early. Hope this helps.

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Trying again after twins, chances of preeclampsia?

Postby shellificent » Wed Mar 15, 638626 7:20 pm

Hi, I'm 32 years old and last March delivered twin boys at 28 weeks 4 days after one month in the hospital due to preeclampsia. My boys were 1 pound 5 ounces and 1 pound 15 ounces at birth, and came home perfectly healthy. My protein levels were 5+ after the first week in the hospital on bedrest so they stopped checking and just drew blood every morning, telling me to watch for signs of trouble. I know it was brought on partially because I was carrying identical twins, and after research probably partially because I was overweight and didnt have the best diet while I was pregnant. I was just wondering what my chances of getting it again were. Do you guys think it was mostly twin related, plus first pregnancy? Will i go to term with a awesome diet and exercise if I get pregnant again? If there is any significant risk I will not try again. 12 weeks in the NICU and miraculously perfectly healthy babies should teach me not to press my luck. Thanks for any advice.

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