So many posts to reply to... Thanks everyone, can't quite respond to every comment, but believe me I have read all and all links too. I'll start from the top though...
kstevens - We don't currently have a perinatologist, although we did discuss it with our OB pre-pregnancy as an option if needed.
In gerneral we are fortunate in many ways, one of which being that we have great confidence in our OB (unlike the experience that hfwarner3 had!). With that said, perhaps someone can fill me in if there is anything in particular that a perinatologist could add at this point?
re: Don't worry, if you get it again... - the thing that got me the most was that we delivered Isabel at a hospital that has an excellent reputation for both research as well as care and I kept noticing that folks expressed surprise - I figured they woudl have "seen it all." Perhaps they were trying to appeal to the need to feel individual and not appear indifferent to things... it does leave me wondering what I was missing though, heh.
Regarding testing, although I don't know exactly all the tests that have been done, we did go through some additional testing after Isabel once we suggested to our OB that we were not done...
Our OB is not a "high risk" OB, but as I mentioned above she has stated a willingness to refer us as needed (and I believe our relationship is good enough that if we expressed concern she would do so if at all medically justified). We are currently in a 2 week appt cycle and I check her bp daily now and sometimes more if she is feeling odd, notices more swelling, etc.. (So far fairly steady, btw)
No active extra monitoring for #3 yet - but we are not yet showing difinitive signs of trouble (however we have had postitive US's - perfectly in-line growth). This is actually something I have wondered about though since Isabel was so light at birth (her length was close to 'normal for age') I do wonder how long she was in trouble (i.e. did she lose that much weight in the last week? the day our OB sent us to the hospital I remember a comment that 'the baby's belly is smaller than expected' from the US tech.
thanks for the links - I really appreciate your taking the time to dig them up. Good reading - took a rather long time to read all 13 pages of hfwarner3's experience, couldn't stop reading though, what a nightmare!
No, not currently on any medications - (see prior post) she is not really "high" yet. With Isabel it went from this "slow drift" to a spike at 30 weeks with protein spilling about 4 days after the BP rise. Perhaps I should write up my "Isabel story" somewhere to reference so I don't repeat it in bits and pieces.. heh.
Thanks for the specific info related to bp trending. In the interest of accuracy I will get a copy of the offical records for all three of our pregnancies and see how they look when graphed (heh, maybe it won't change a thing, but I can feel like I have done something, right?)
We are preparing mentally and logistically for early delivery (was hard with one child at home, will be different with two of them) and are preparing the girls for mommy to be away in case she is hospitalized - the seperation being the most traumatic part for the girls. We have our plans/backup plans. Will hope for the best... every week that goes by we are happier (will likely have to celebrate crossing 31 weeks).
Gordon K -
You are I believe the third to mention having a perinatologist on the team... so I'll have to reiterate my question from above - at what point is it appropriate/necessary to bring in the peri? Although the ultra-conservative side of me wants to have every specialist in the world look at us "just in case" this doesn't seem to really be a good use of time and may just result in more anxiety. What would a perinatologist likely do at this point that would result in a different course of treatment?
Thanks again to all who responded and I hope I have answered all questions/comments as necessary. I appreciate the information and general support.