by angieb (1193 Posts), Tue Mar 15, 2011 05:38 pm
1. I did not develop HELLP, could I with next pregnancy? Yes, unfortunately. But this is pretty unlikely, because if anything they will be watching you more closely than the first time and they definitely do not like to wait until pre-e turns to HELLP to deliver. (There are a few rare ducks like myself who get HELLP without the typical pre-e symptoms first, but that's *extremely* rare and unlikely to happen to you as it didn't go that way the first time around. Usually, it goes something like: pregnancy induced hypertension> mild pre-eclampsia > pre-eclampsia > severe pre-eclampsia > HELLP, so if they are monitoring you and you are monitoring yourself, they'll generally try to deliver before it gets severe, definitely. Obviously it doesn't work like that with everyone, but that's how it *generally* progresses, at least as a stereotype.)
2. Could I develop PE earlier than 32 weeks? I dont think I would be able to cope. is it true that it is normally less severe second time.
It is true. There's nothing scientific or research based that I've seen to indicate you are at especially high risk to get sick sooner, but in the couple of years I've been watching women with subsequent pregnancies on this forum, it seems like the women who get sick the second time around earlier are *usually* the ones who got sick in the mid-30 week range the first time. Maybe it's because doctors are a little more nonchalant about women who get sick later and don't do underlying condition tests, recommend low dose aspirin, monitor as closely, etc. Maybe it's because those women tend to wait a little longer between pregnancies than those of us who had losses. I'm not sure what it is exactly, but it's just a trend I've noticed just purely based on observing this forum. (And the women who do get sick earlier that I'm referring to usually only start getting sick a week or two earlier, not 2nd trimester early.)
That being said, according to the research, you have a good chance of making it a lot farther next time.
I delivered from HELLP, IUGR, and fetal distress at 23 wks +2 days the first time, this time I'm 30 weeks and things look fairly decent.
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/