Second pregnancy after severe preclampsia/eclapmsia

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.
norlisa@gmail.com
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Re: Second pregnancy after severe preclampsia/eclapmsia

Postby norlisa@gmail.com » Wed Apr 13, 2016 05:30 pm

Hi Maria,

I agree with what Eleni said. Preeclampsia doesn't have a definitive path, unfortunately, and each case is different, each story and pregnancy is different--even with the same mom!

While we can't predict what will happen with each pregnancy, what did give me huge peace of mind was having the best perinatologist for me. I'm happy to see that you have a perinatologist/MFM who is knowledgeable and wants to be as proactive as possible. Having a great partnership with your doctor is key, making sure that he can answer all of your questions to your satisfaction, and that all your concerns are addressed. This doesn't guarantee a preeclampsia-free pregnancy, but vigilance and knowledge, and a great partnership with your doctor can hopefully at least give you the peace of mind that you're doing what you can to make this pregnancy as healthy as possible.

Wishing you the very best on this journey,
Norlisa
Patient Support Network Volunteer

boy/girl twins, 38.4 weeks, postpartum preeclampsia twice
boy, 36 weeks, preeclampsia/postpartum preeclampsia

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milagro.rojas
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Re: Second pregnancy after severe preclampsia/eclapmsia

Postby milagro.rojas » Thu Apr 07, 2016 07:01 pm

Hi Eleni,

Thank you so much for answering my question.... My new gynecologist (since the previous one never though me looking like a BALLON at 25 weeks was weird) is a MFM expert. He told me in an intinial conversation that we can prevent/treat eclampsia if it happens again by doing an ultrasound with a doppler at week 20, having urine exams to determine if there is protein in it, etc. He was honest and said there is a 33% change of me getting it again but I do not know how bad the consequences are for that 33% and that makes me nervous as you can imagine.

I think I should loose some weight to, as you said, get into a healthier me. While I make a decision I should start doing that anyways.

Thanks for reading me and taking the time to answer.

Maria

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Re: Second pregnancy after severe preclampsia/eclapmsia

Postby eleni » Wed Apr 06, 2016 03:42 pm

Hi Maria,

I had preeclampsia in my second pregnancy after a tragic first pregnancy though I was under MUCH more watchful care, took low dose aspirin from early on, and managed to get a few weeks further along. It was a much better outcome, even though I definitely got it again.

While you may got other people chiming in with their personal experience, this is the #1 question that all preeclampsia survivors ask and the truthful answer is a combination of "it depends" and "nobody knows for sure." (Because it really is different for everybody.) Neither of which is very encouraging, I realize. But you can do something about getting closer to knowing your RISK of developing it again. First, consider seeing a specialist who will closely examine any underlying issues you may have (for example, blood clotting issues, autoimmune disorders), evaluate your personal and family history, and will help you get to your healthiest self before you get pregnant again. Armed with that information, you can better determine your risk tolerance as you try again. If you want to hang your hopes on the many women who have gone on to have successful, PE-free pregnancies, you will find many many heartwarming, hopeful stories. If you want to focus on women who get it again, you'll find those stories, too.

Other considerations you may have include your proximity to good healthcare and how much your healthcare provider really knows about preeclampsia. A good place to start is here (https://www.smfm.org/members), but by no means is this an inclusive list nor is this a guarantee that they all are "preeclampsia experts." You should interview your physician, if possible, before getting pregnant.

I"m not a medical doctor and this is just advice based on what I would do, after years of learning a LOT about this topic. Mostly, know that we are here for you and wish you all the best! Every mother should have a healthy, happy pregnancy!! :-)

Warmest wishes,
Eleni
Eleni Z. Tsigas
Executive Director
Preeclampsia Foundation

2x PE survivor; 29 week daughter died, 35 week IUGR son made it after 2 weeks of NICU fun; 3rd pregnancy PE-free resulted in strapping 8 pounder son, born at term.

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milagro.rojas
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Second pregnancy after severe preclampsia/eclapmsia

Postby milagro.rojas » Wed Apr 06, 2016 03:12 pm

Hi,
I had severe preclampsia/eclampsia on my first pregnancy. All of the sudden at week 33 I had a seisure, went into respiratory arrest, coded blue and had a transitional isquemia afterwards. Everyone says I should be dead so as my baby. We are both healthy, happy and with no consequences.

She will be 2 in november and we always wanted two kids. We are questioning if we should try again. I do not was to go thru almost dying again, or losing a baby...

I have a few questions:
1. how many have had a normal pregnancy?
2. if you had preeclampsia again, was it as severe as the first time?

thanks,
Maria


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