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Considering termination

Are you pregnant again after having preeclampsia once already in a previous pregnancy? Post your thoughts/concerns here - there are others who share your feelings. This is also the home of our Bedrest Buddies Support group.

Considering termination

Postby jtkdillashaw » Sun Aug 18, 2013 09:43 pm

by jtkdillashaw (3 Posts), Sun Aug 18, 2013 09:43 pm

I am currently 9 weeks 1 day pregnant. I have had 5 pregnancies. 3 were miscarried before 12 weeks and 2 developed pe. I have two beautiful daughters who are as healthy as can be. I have chronic hypertension. The first pregnancy was induced at 37 1/2 weeks. Perfect. The second in 2005 was bad. My BP shot up quickly out of control and was put in the hospital on bedrest at 32 weeks after being on home bedrest at 28 weeks. The last night of pregnancy my BP reached 200/170! Bad. She was induced and delivered the next day at 34w5d. She was kept in the NICU for 15 days and with a few hiccups of reflux problems, she is my miracle. My OB said after that delivery that pregnancy is toxic to my body and strongly advised against another. Well, a non-planned pregnancy has happened and we are in a really hard place. After meeting with my OB, she suggests termination. I visited a perinatologist who did an US and showed that the little bean is measuring at 7weeks, but heartbeat is strong. My husband and I are so torn. The perinatologist told me that if I started eating a completely raw diet with no meat, no dairy, and no gluten, then my chances of not developing pe is better. Her idea is unattainable. It cannot be healthy to be that strict. No dairy (calcium) no meat (protein). Those both seem like very important parts of a pregnancy diet. Well, my question is has anyone had to make this decision? Does anyone have some advise for me? (I'll take any and all advise given) I want this baby more than anything, but not at the risk of my husband or daughters losing me (or having a baby that will have development problems for life)
jtkdillashaw
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Re: Considering termination

Postby MomTimesThree » Mon Aug 19, 2013 01:26 am

by MomTimesThree (570 Posts), Mon Aug 19, 2013 01:26 am

I'm so sorry for the difficult decision you are facing, and the complicated pregnancies you have had in the past.

I would seek a second opinion with a different perinatologist (also known as a Maternal Fetal Medicine Doctor) more familiar with pre-eclampsia, while eating a healthy diet is important for anyone who is pregnant, pre-eclampsia is determined by the placenta, and there is no known diet that can avoid it- if there were we would all be on it and no one would have pre-e! Other moms with more experience in the science behind pre-eclampsia will I'm sure chime in to help explain. You can search MFMs in your area here, https://www.smfm.org/MFM%20Member%20Locator%20Page.cfm.

Many parents here have gone on to have healthy, or healthier pregnancies than their previous ones. You are a different patient to your team after having such a complex pregnancy, and are treated differently with many more proactive steps taken. At the same time, only you will know what is right for you and your family- I do think a second opinion is warranted to get a clearer more informed picture of what this pregnancy might look like and what your monitoring and chances of recurrence would be.

Please keep posted when you can.
Lauren
2008-Our Baby Girl, PTL born too early at 30w6d, Fought so hard... Forever Loved & Missed
2010- Lil' Bro, Pre-E at 29 weeks... Induced at 36w6d, Born 37w
2012- Lil' Sis, Super-imposed pre-e at 25 weeks, PTL & GD at 35 weeks, Evicted 36w
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Re: Considering termination

Postby whereowhere » Mon Aug 19, 2013 03:48 am

by whereowhere (56 Posts), Mon Aug 19, 2013 03:48 am

Hi, I agree too that you should try to consult with an MFM who is very familiar with PE. I have come to realize that though PE is a very scary disease, and of course very risky, with self monitoring, and monitoring closely by good doctors, they are very able to do something that would at least save your life. I think the risk of losing your life to PE is quite low and though you may be at risk for getting preeclampsia it may show up or it may not.

I was given a 60 % chance of recurrence of PE after my last pregnancy where I lost my dear twins at 21 weeks. They gave me those percentages because I had developed preeclampsia almost the earliest you can develop it. That was a BAD pregnancy for me, and I had an ectopic pregnancy and a miscarriage before that loss, so it seemed my chances were very low of having a healthy pregnancy. Yet, just as happens with quite a few people on here, I am going on to have had a healthy pregnancy. I have had no signs of preeclampsia! I am 34 and 1/2 weeks and will deliver by C-section in only 17 days. I think what they say about all pregnancies being different can be very true. You compare this pregnancy and my last and they are night and day!

I must say, when you mentioned your baby's heartbeat, my heart just quickened. I would encourage you to allow nature to take it's course and not to try to decide something like termination for your body or for the one you are carrying.
Ectopic Pregnancy-2010

Miscarriage-2011

Lost my beautiful boy & girl twins at 21 weeks to severe preeclampsia-2012
Mommy & Daddy will love you forever my sweet babies!

Pregnant again, due September 26, 2013. Praying for a pre-e free pregnancy.

Delivered a healthy baby girl at exactly 37 weeks, pre-e free! Had some hypertension post-partum but resolved with BP meds.



C-section planned for September 5, 2013 at exactly 37 weeks.
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Re: Considering termination

Postby angieb » Mon Aug 19, 2013 04:15 am

by angieb (1192 Posts), Mon Aug 19, 2013 04:15 am

YIKES, I would get new doctors for sure! It's like you have the blind leading the blind there. I really can't believe an ob/gyn would suggest termination for your history. I mean, it's not great, but I have seen far far worse go on to have healthy subsequent pregnancies.
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/
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Re: Considering termination

Postby princess purr » Mon Aug 19, 2013 05:29 pm

by princess purr (1092 Posts), Mon Aug 19, 2013 05:29 pm

I would totally recommend seeing a different doctor. It is beyond important to eat healthy when pregnant and that means getting enough calcium and protein. Also, I would think/hope they would want to test you for clotting disorders, maybe have you on baby aspirin and lovenox etc. Preeclampsia is very scary, but after having lost a daughter at 26.5 weeks, I can't imagine having to be faced with the choice of terminating a pregnancy. It would give me to many what ifs... what if this time would have been different.. what is this time would have been the little boy etc. It is your choice, but a more knowledgeable doc would be my first step. For my first ultrasound my baby measured 6 weeks (it had been 8 weeks since my last period) they will be going with your u/s date, not your period date because a lot of women have irregular cycles.
Val (34) & Carlos (32)
Married: April 29th 2011
Veronica Rosina, 11/25/2004-11/27/2004
Born at 26.5 weeks (1 lb 4oz, 14 inches) because of severe preeclampsia (doc says I was on my way to HELLP but not there yet)
Nicholas Robert, 11/22/2013 7 lb 7oz 19.5 inches, born at 36 weeks (due to previous classical c-section) PE FREE!!!!!!
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Re: Considering termination

Postby jenh » Mon Aug 19, 2013 10:25 pm

by jenh (117 Posts), Mon Aug 19, 2013 10:25 pm

If you "want this baby more than anything", then I think you have your answer. I absolutely agree you need a new doctor. There's no guarantee of what might happen, but a good doctor will help you manage the risks to get you the best possible outcome.
Jen
Wife to Brett 6/30/02
Mom to Ethne Joy 10/12/03, 35 weeks, severe PE
Mom to Catie Grace 12/8/06, 37 weeks, mild PE
Mom to Riley Faith and Gavin Arthur 7/7/09, 36 weeks, PIH 22 weeks, PE 31 weeks, severe post partum PE
Mom to two angels 12/05 and 7/08
Running a Marathon for the PF: http://www.whatyourunningfor.blogspot.com
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Re: Considering termination

Postby jtkdillashaw » Mon Aug 19, 2013 11:37 pm

by jtkdillashaw (3 Posts), Mon Aug 19, 2013 11:37 pm

I have made another appointment this week with a different Maternal/Fetal Specialist. I will post what advise I get from this one. Thank you all for your encouraging words. You really don't realize how needed they were!

Jenn
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Re: Considering termination

Postby MomTimesThree » Tue Aug 20, 2013 02:46 am

by MomTimesThree (570 Posts), Tue Aug 20, 2013 02:46 am

I'm so glad to hear it! Keep posted!! :)

This was a really great thread with questions to ask a prospective doctor-
http://www.preeclampsia.org/forum/viewtopic.php?t=3910

You may want to already have your medical records with you, or have at least the most salient parts of your previous pregnancy's record send to the doctor ahead of time.
2008-Our Baby Girl, PTL born too early at 30w6d, Fought so hard... Forever Loved & Missed
2010- Lil' Bro, Pre-E at 29 weeks... Induced at 36w6d, Born 37w
2012- Lil' Sis, Super-imposed pre-e at 25 weeks, PTL & GD at 35 weeks, Evicted 36w
MomTimesThree
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Re: Considering termination

Postby bsherricca » Tue Aug 20, 2013 12:49 am

by bsherricca (45 Posts), Tue Aug 20, 2013 12:49 am

I am hoping the new MFM you plan to see will be more encouraging than your current doc. I endorse getting a second opinion ...there are many women on here who have developed PE very very early and gone on to have uneventful pregnancies ...nonetheless its a very scary decision that you are faced with and ultimately only you can decide what is best for your family but i offer a different perspective as someone who has both struggled with fertility issues and someone who was almost aborted ....sometimes fear keeps us from experiencing the best of us (thats how my dad put it when he told me that my mom almost aborted me ) not a nice conversation to have but it was his way of apologizing / rationalizing what they almost did i suppose :) ....my heart goes out to you plz post an update from your MFM visit
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Re: Considering termination

Postby whereowhere » Tue Aug 20, 2013 02:59 pm

by whereowhere (56 Posts), Tue Aug 20, 2013 02:59 pm

jtkdillashaw wrote:I have made another appointment this week with a different Maternal/Fetal Specialist. I will post what advise I get from this one. Thank you all for your encouraging words. You really don't realize how needed they were!

Jenn


Hi Jenn,
So glad to hear you are going to get another opinion. I just agree with what most of the ladies here are saying that there have been worse pregnancies and rarely does a doctor say pregnancy is toxic to a woman. That just seems like a doctor who is freaked out, and can't handle high risk pregnancies or the thought of them. It may be the doctor themselves is scared because they're afraid they'll get it wrong. There are plenty of women who undergo very high risk pregnancies all the time. Honestly, my instincts just say that just because we may have severe problems and losses with pregnancies at times, does not mean that something that is a natural process for a woman to go through (pregnancy) is toxic. I look forward to hear what the new specialist has to say. I think that talking with a specialist who deals with high risk pregnancies is going to have a different perspective. I really hope you've found a good, positive and encouraging MFM! Let us know!
Ectopic Pregnancy-2010

Miscarriage-2011

Lost my beautiful boy & girl twins at 21 weeks to severe preeclampsia-2012
Mommy & Daddy will love you forever my sweet babies!

Pregnant again, due September 26, 2013. Praying for a pre-e free pregnancy.

Delivered a healthy baby girl at exactly 37 weeks, pre-e free! Had some hypertension post-partum but resolved with BP meds.



C-section planned for September 5, 2013 at exactly 37 weeks.
whereowhere
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Joined: Sat Jul 28, 2012 04:18 pm

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