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Dr discourages trying for #2

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.

Dr discourages trying for #2

Postby hollyree » Sat Mar 23, 2013 10:26 am

Hi everyone,
I'm new to the board but not this website. I had preeclampsia in 2001 when I was pregnant with my son. Looking back at my medical records it looks like it started around 28 weeks in terms of elevated bp and proteinuria. I think I started swelling around 20-24 weeks. My son was delivered at 37 weeks due to my bp at 170/100 plus headache. Everything went well. I had a c-section due to failure to progress when induced. Five years later, I found out I was pregnant again but miscarried at 9 weeks. Fast forward to now and my husband and I are really wanting to try for #2. I have PCOS and am not ovulating therefore will have to go on Clomid if I want to get pregnant. My bps have been through the ROOF! I had no idea they were that high. When I went for my first visit with my ob/gyn for my yearly check-up and to discuss getting pregnant, it was 170/100! The last time it was that high I was put into the hospital to deliver my son! My bp's have been running around 160/100-108 when checked with a machine but when its checked manually it's 150/94-100. Still high but not AS bad. My PCP put me on Bystolic for my bp--just started that yesterday. My ob/gyn was VERY discouraging about getting pregnant again with my bp as high as it was and my history of preeclampsia. Add in the fact that I'm 36. He told me I would be very sick and could possibly stroke out if I got pregnant again. He told my husband that if I was his wife he wouldn't let me get pregnant. I greatly appreciate his honesty but am not ready to give up the hope of having another baby. I just wanted to know if someone else had a similar situation and how did your second pregnancy go? I know its different for everyone but I need to hear something positive. I was devastated after seeing my ob/gyn Thursday! Also, has anyone taken Bystolic while pregnant? I've lost 35 lbs in the past few months (which was partly why I was so shocked by my bp) and am trying to lose more before I even contemplate starting the Clomid. Any advice or suggestions would be greatly appreciated!!
Me 35 DH 37
DS - born 9/7/01 at 37 weeks due to severe PE
12/2006 - miscarried at 9 weeks
HTN - Bystolic 10mg
PCOS - Infertility
REALLY wanting to try for #2!
hollyree
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Posts: 5
Joined: Sat Mar 23, 2013 02:58 pm

Re: Dr discourages trying for #2

Postby midwestmom » Sat Mar 23, 2013 05:35 pm

Hi, I'm so sorry you got such discouraging news. My first thought in reading your post is - where is the opinion from the MFM? Can you find a maternal fetal medicine doctor in your area to get an opinion from? PCP's don't see high risk patients like us often and your standard obygyn may not either. MFM's deal with "our kind" (;-)) everyday - high risk patients with issues like chronic hypertension, fertility issues, >35 years old, etc, so if I were you, I would seek out the opinion of an MFM before making any final decisions.
Congratulations, by the way, on losing 35 lbs!!! what an accomplishment!!! I'm trying to losing weight myself....not an easy thing to do!
I know it's not easy, but try to stay positive as you sift through ALL of the opinions, and please keep us posted :-) Lauren
Lauren
Son born by emergency C-section due to severe preeclampsia in August 2009. Born 29wks2days weighing 3lbs, he is a healthy toddler now.
midwestmom
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Re: Dr discourages trying for #2

Postby sam10 » Sat Mar 23, 2013 07:51 pm

I agree, please seek a second opinion and if possible with an MFM (high-risk oB). They are usually less scared of us PE ladies :D
Preeclampsia puts us all at high risk of developing high blood-pressure and other cardiovascular diseases, also later in life. So it will be important to keep your BP under control. Keep in mind that BP thresholds are different for pregnant women than it is for those of us who are not pregnant. If you are seeing the same high numbers that made your docs running while you were pregnant, it might not put them into such a state of alarm outside of pregnancy. They are on the high side and need to be looked at by a specialist. You might want to find a good general practitioner and also check with a cardiologist who is familiar with the risks/after effects of PE. I set up a whole team of docs before I got pregnant again with my second baby and I was very picky ;) The MFM might have recommendations of doctors also.
Welcome to the forums :D
~Julija (40)
MC 3/2009 and 3/2011
Henry (1/1/2010-1/7/2010) - forever loved and missed; severe PE with Hellp; partial placental abruption, classical c-section at 25.6 weeks
Matilda (Nov. 2012, born at 35.4 weeks) - severe PE


Our pain has been put into words, placed into empty cradles, to remember that all our babies lived, that they mattered and always will. - Field of Cradles http://www.fieldofcradles.org/
sam10
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Posts: 1436
Joined: Sat Feb 20, 2010 12:04 am
Location: Boston, MA

Re: Dr discourages trying for #2

Postby hollyree » Sat Mar 23, 2013 09:46 pm

Thanks a bunch ladies! It was just today that I read somewhere else about consulting an MFM so I will definitely look into that before proceeding. Do you know if you have to be referred by your OB or can you just make an appt? I definitely think I would feel better if I did see one. I'm so thankful for this board or I would never have known that I should probably see one. The OB I'm seeing now mentioned the high-risk clinic that's nearby but only to tell me that I will probably be frequenting it regularly if I do get pregnant because I'll most likely be really sick.

The bp has been very concerning to me because I almost think it may be some underlying issue causing it. My bp's returned to normal after having my son but my weight is about 40-50 lbs heavier than it was then so that may have something to do with it as well. Even though I've lost a good bit of weight I still need to lose more. I'm giving myself 3 months to get my weight down more and make sure my bp is well under control before proceeding with any fertility treatments.
Although I certainly don't wish this complication on any one, its certainly nice to have others that know what you're going through.
Me 35 DH 37
DS - born 9/7/01 at 37 weeks due to severe PE
12/2006 - miscarried at 9 weeks
HTN - Bystolic 10mg
PCOS - Infertility
REALLY wanting to try for #2!
hollyree
Registered User
 
Posts: 5
Joined: Sat Mar 23, 2013 02:58 pm

Re: Dr discourages trying for #2

Postby midwestmom » Sun Mar 24, 2013 08:21 am

Whether or not you need a referral to an MFM may depend on your insurance - do you have a PPO or HMO? With a PPO you shouldn't have a problem, with an HMO I believe you would need a referral. I would call the MFM's office and speak to the front office about how to get an appointment, they'll know all the answers. Good Luck!
Lauren
Son born by emergency C-section due to severe preeclampsia in August 2009. Born 29wks2days weighing 3lbs, he is a healthy toddler now.
midwestmom
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Posts: 71
Joined: Fri May 18, 2012 04:28 am

Re: Dr discourages trying for #2

Postby hollyree » Sun Mar 24, 2013 11:58 am

Thanks midwestmom! I'm pretty sure we have a ppo. I will try to call them this week about an appt. Do I discuss this with my OB or just move along with the MFM? The MFM I want to see I believe also delivers so I could probably just see him. But I don't know how that will affect my OB here and moving forward with fertility treatments. All of your information has been so helpful!! I'm feeling somewhat more optimistic that I was previously. Thanks again!
Me 35 DH 37
DS - born 9/7/01 at 37 weeks due to severe PE
12/2006 - miscarried at 9 weeks
HTN - Bystolic 10mg
PCOS - Infertility
REALLY wanting to try for #2!
hollyree
Registered User
 
Posts: 5
Joined: Sat Mar 23, 2013 02:58 pm

Re: Dr discourages trying for #2

Postby sam10 » Sun Mar 24, 2013 03:31 pm

Different offices have different set-ups. Some regular OBs do tandem care (well I call it that, so not an official term :-) ) with an MFM, so you would see both the regular OB and the MFM. They would consult with each other. Some MFMs take over the entire care from start to finish (from positive pregnancy test to post delivery check-up). I did go with the second option, as I found it easier to deal with one doctor rather than two. So, check with the MFM first and see what they offer. I did inform my regular OB about my decision to only be seen by the MFM of my choice. But I don't think you would have to.
I did talk to my MFM about fertility treatments, and he said absolutely no twin or multiple pregnancy (more placenta means more risk). He recommended then a fertility doc, so everybody felt comfortable with everybody :-)
~Julija (40)
MC 3/2009 and 3/2011
Henry (1/1/2010-1/7/2010) - forever loved and missed; severe PE with Hellp; partial placental abruption, classical c-section at 25.6 weeks
Matilda (Nov. 2012, born at 35.4 weeks) - severe PE


Our pain has been put into words, placed into empty cradles, to remember that all our babies lived, that they mattered and always will. - Field of Cradles http://www.fieldofcradles.org/
sam10
Forum Moderator
 
Posts: 1436
Joined: Sat Feb 20, 2010 12:04 am
Location: Boston, MA

Re: Dr discourages trying for #2

Postby hollyree » Mon Mar 25, 2013 07:48 pm

Well, I called and got an appt. with an MFM for preconception counseling. The earliest I could get was MAY 13!! Crazy! Anyway, I was back at work today (I'm a teacher and we had spring break last week) so I go to the nurse's office after school is over to have her check my bp and it was 160/100 AGAIN! And I'm on meds! This is stressing me out--which isn't good for the bp, of course. I cannot believe it is this high! I called my doctor to ask her about bumping up my meds possibly but never heard back from her. I've got to find a way to destress everyday and not let everything stress me out! Usually I can turn it off, especially when I'm at work, but all the bad news that I heard last week just won't go away. *sigh* I know things will get better but right now I'm having a difficult time putting it out of my mind. :(
Me 35 DH 37
DS - born 9/7/01 at 37 weeks due to severe PE
12/2006 - miscarried at 9 weeks
HTN - Bystolic 10mg
PCOS - Infertility
REALLY wanting to try for #2!
hollyree
Registered User
 
Posts: 5
Joined: Sat Mar 23, 2013 02:58 pm

Re: Dr discourages trying for #2

Postby sam10 » Mon Mar 25, 2013 09:35 pm

It is so hard not to stress. Finding activities that you find helpful to calm down is certainly a very good idea. Has your doctor let you know when an adjustment of meds would be needed? I am also wondering if you might want to ask about switching meds and if that would be an option.
MFM consults seem to get booked quite a bit. I remember having to wait for a while too. In the meantime you can put together all your questions that you will have for the MFM. I always go apointments with a notebook with all my questions written down, several pens (well one could fail ;-) ) to take notes, and my partner (4 ears are better than two and I tend to forget what has been said) and because there is lots of info to digest. There are some older posts that summarize typical questions to ask. I will try to dig them up for you. But you can also try the search function.
~Julija (40)
MC 3/2009 and 3/2011
Henry (1/1/2010-1/7/2010) - forever loved and missed; severe PE with Hellp; partial placental abruption, classical c-section at 25.6 weeks
Matilda (Nov. 2012, born at 35.4 weeks) - severe PE


Our pain has been put into words, placed into empty cradles, to remember that all our babies lived, that they mattered and always will. - Field of Cradles http://www.fieldofcradles.org/
sam10
Forum Moderator
 
Posts: 1436
Joined: Sat Feb 20, 2010 12:04 am
Location: Boston, MA

Re: Dr discourages trying for #2

Postby sam10 » Tue Mar 26, 2013 07:29 pm

Here is a link to an old post with questions you might want to ask the MFM. It was a summary of the questions I put together.

viewtopic.php?f=30&t=42134

If you have any other questions, let us know.
~Julija (40)
MC 3/2009 and 3/2011
Henry (1/1/2010-1/7/2010) - forever loved and missed; severe PE with Hellp; partial placental abruption, classical c-section at 25.6 weeks
Matilda (Nov. 2012, born at 35.4 weeks) - severe PE


Our pain has been put into words, placed into empty cradles, to remember that all our babies lived, that they mattered and always will. - Field of Cradles http://www.fieldofcradles.org/
sam10
Forum Moderator
 
Posts: 1436
Joined: Sat Feb 20, 2010 12:04 am
Location: Boston, MA

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