Anyone have another child after having HELLP?

Have you suffered from HELLP syndrome or had a pregnancy complicated by an underlying disorder? Discuss your concerns here
lillytye
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Re: Anyone have another child after having HELLP?

Postby lillytye » Mon Apr 17, 2017 09:05 pm

I was diagnosed with Class I HELLP with my first at 40 weeks. We spent a couple of days in ICU with an emergency c-section. That was 8 years ago and it has taken us all this time to gather to courage, knowledge and faith to try again for another baby. We always wanted more children, but after almost losing me my husband was firmly against more children. We had a surprise pregnancy last April, that resulted in miscarriage. I went on to have two more miscarriages and am now 13 weeks pregnant. I have been going every two weeks to see a high-risk ob/gyn who gave me the clear at 10 weeks to come monthly for awhile. I'm definitely nervous, especially after the traumatic experience we went through with our daughter. I take baby aspiring nightly and know the symptoms to look for in the event I began experiencing any complications.

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terri.morford
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Re: Anyone have another child after having HELLP?

Postby terri.morford » Wed Mar 08, 2017 12:04 am

Well I am up to 27 weeks, just hoping to keep cooking. I was a little nervous about being in a small town with this pregnancy but I feel like my doctor is taking it seriously. My tests at 18 weeks were to establish a base line. I met with the high risk doctor who came to town periodically and will see him again at 30 weeks. I also feel between my regular blood tests and my having hellp twice we can catch it if it happens. All this gives me some comfort but the worry is still there.

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emily.mcrae
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Re: Anyone have another child after having HELLP?

Postby emily.mcrae » Tue Mar 07, 2017 11:41 pm

I had HEllp with my first two children and had to be induced at 36 and 34 weeks. I am currently 18 weeks with numbet three and have low platlettes and increases reflexes. Doctor says not to worry they are just getting a base line for me. I don't know how I am not supposed to worry.
If in doubt, get a second opinion.

I had pre-eclampsia and HELLP at 23 weeks with my first, and my doctor didn't catch it. When I had my second, I was closely monitored by a DIFFERENT doctor, and she took very good care of me. I was closely monitored, took low-dose Aspirin, and had regular blood tests.

It's possible that your normal, everyday baseline is with lower platelets and increased reflexes. I don't know. I'm not you, and I'm not your doctor. But if you believe that you may be experiencing problems, and your doctor is dismissing them, find a new doctor.

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terri.morford
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Re: Anyone have another child after having HELLP?

Postby terri.morford » Fri Jan 06, 2017 03:54 am

I had HEllp with my first two children and had to be induced at 36 and 34 weeks. I am currently 18 weeks with numbet three and have low platlettes and increases reflexes. Doctor says not to worry they are just getting a base line for me. I don't know how I am not supposed to worry.

emconant
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Re: Anyone have another child after having HELLP?

Postby emconant » Fri Jun 03, 2016 05:53 am

Yes My first pregnancy ended at 21 weeks because of hellps, it was very scary to be pregnant again. I came home 3 days after my son, because i developed level 3 hellps after delivery. I was in the hospital for 3 months before his birth at 36 weeks, because liver enzymes would spike then drop. I so glad we tried again but we took 5 years.

Tbersano
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Re: Anyone have another child after having HELLP?

Postby Tbersano » Sat Jan 10, 2015 07:26 pm

I had got pregnant 6months after my first pregnancy and I had a totally normal pregnancy and my water broke on it own the day before my schedule c section.

bettyboo
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Re: Anyone have another child after having HELLP?

Postby bettyboo » Fri Aug 22, 2014 07:51 pm

Hi. I am a type 1 diabetic. I was booked to be induced before due date as baby was getting quite big, but this is usual with type 1 diabetic pregnancies. During pregnancy sugar levels and blood pressure fine. Sailed through with no problems at all. Having healthy pregnancy. Until the day the abdominal pains hit. I got to the stage I couldn't breath and I was being sick i hubby's car on way to hospital. When I got to hospital my blood pressure was through the roof. Ended up having emergency C section, although they'd got my under control and in a better condition the baby was loosing oxygen. She ended up in special baby unit for a week before I was able to hold her. She was in a cooling suit to prevent brain damage. It worked! She was also 4 weeks early. She's now a healthy 2 1/2 year old. I'm now getting very broody and just too worried to risk it all again. My husband is against the idea. I suppose because he could have lost us both that night. I'd like advice, with the diabetes I have, would it be wise to have another baby?

flipflop76
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Re: Anyone have another child after having HELLP?

Postby flipflop76 » Mon Aug 04, 2014 08:00 pm

Hi,
I had HELLP with my first baby at 36 weeks. Thankfully my son was born healthy via c-section, but was a little peanut under 5 lbs. I had been having high bp but not diagnosed with pre-e before I started having symptoms of HELLP. Well, I actually believe the signs of pre-e were there but I missed them. I did have instances where I'd see spots, especially in stores where light was very bright, but I didn't think much of it until afterwards. I had high bp but was not spilling protein in my urine, a class sign of pre-e. It wasn't until I had upper abdominal pain that I decided I needed medical attention, and had my son that same day.

I then went on 2 years later to deliver a health baby girl without experiencing HELLP again. I was referred to a high risk fetal/maternal specialist who followed me closely throughout my pregnancy. When my bp started creeping up they put me on a daily baby aspirin and bp medication. I had weekly non-stress tests during the last month or so of my 3rd trimester, and had a scheduled C-section.

What scares me now is the after effects of HELLP syndrome. Mine was a fairly mild case, I didn't end up in the ICU and my bp returned to normal in the weeks following delivery. But my dad recently had a stroke, and I know I'm at higher risk for developing heart disease and stroke after having HELLP. Plus, I think about my daughter someday having children and hope she doesn't have to go through what I did. I'm not sure if there's a genetic component or not. There is no history in my family of pre-e or HELLP.
Jacob - Born via c-section at 36 weeks due to HELLP syndrome
Sarah - Born at 39 weeks, hypertensive during pregnancy but no HELLP!

mnickerson
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Re: Anyone have another child after having HELLP?

Postby mnickerson » Thu Apr 10, 2014 03:44 pm

I had HELLP at 36/6 with my first, who was born 2/15/12. I delivered a healthy baby boy six days ago on 4/4/14 at 39/1 with no HELLP at all! I was scared the entire pregnancy, but I am so thankful for a wonderful doctor and my own diligence in watching myself. It was totally worth it.

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caryn
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Re: Anyone have another child after having HELLP?

Postby caryn » Mon Feb 03, 2014 00:38 am

There is some ongoing work into this. A few links:

http://www.ncbi.nlm.nih.gov/pubmed/23399716
"The incidence of gestational hypertension and preeclampsia was 9.7% and 2.5% for women who took folic acid, and 9.4% and 2.4% for women who did not use it. The adjusted risk ratio associated with folic acid use was 1.08 (95% confidence interval, 1.04-1.11) for gestational hypertension and 1.11 (95% confidence interval, 1.04-1.18) for preeclampsia."

So if folic acid is supposed to be antagonizing B12 and causing PE/HELLP, it's responsible for .11 of the risk above 5%, which is to say one patient in every 200 patients, I think. Although the confidence interval is pretty big for me to say that so precisely.

http://www.ncbi.nlm.nih.gov/pubmed/21040211
"Homocysteine levels in both maternal and fetal serum were significantly higher in the severe pre-eclampsia group compared to mild pre-eclampsia and control groups. However, homocysteine levels in both maternal and fetal serum were not significantly different between mild pre-eclampsia and control groups. No significant differences were observed in folic acid and vitamin B12 levels in both maternal and fetal serum between the groups."

So, there are no significant differences between the populations when it comes to serum levels of these vitamins.

More interesting, though, I think is the question of why the placenta might be altering these homocysteine levels in the severe patients! We know that the initial implantation of these placentas is altered in very early pregnancy and that one of the primary jobs of the placenta is to change maternal metabolism to support pregnancy. Does affecting B12 levels when placental implantation is severely compromised do something to allow the placenta to sustain pregnancy? Or is it just a spandrel?
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy


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