by tree (819 Posts), Mon Apr 22, 2013 09:53 pm
Hi Nic, Welcome to the forums!
I think it is perfectly normal and healthy to be nervous or scared about getting pregnant again. Your doctor is usually your best resource for information on the odds that Pre-E will recur, but there are some general guidelines. The first one is that Pre-E tends to be less severe and occur later in subsequent pregnancies. This is good news if you developed it late in your first pregnancy. The second thing that may work in your favor is the "two year window." Many doctors believe that getting pregnant within two years after delivery reduces the odds of developing Pre-E. Pregnancy causes a remodeling of the spiral arteries, and this can lead to better implantation, which reduces the chances of Pre-E. None of these things guarantees that you won't get Pre-E, but you have a few things that would work in your favor.
Your doctor may have some thoughts on testing for underlying disorders that could predispose you to developing Pre-E or on ways you might reduce your risks by improving your health. There are a bunch of threads on the board about testing for underlying disorders, and those are worth discussing with your doctor. My doctor and I chose tests based on my family history and symptoms. It seems like very few of us get an explanation from that testing, but it is worth doing in many cases because it may enable you to understand and/or manage your risks more effectively if they find something. Doctors also have varying opinions on how closely we should be monitored. Most seem to agree that a consult with a high-risk Maternal-Fetal Medicine (MFM) is a good idea to help develop a monitoring/treatment plan. Good luck with your decision!
Daughter born April 2009 at 35 weeks due to Class 1 HELLP