Considering baby after Pre-eclampsia lost

This section is for discussions with other women who have probably been through the same signs/symptoms that you may be experiencing. Please note, we cannot offer medical advice and encourage members to discuss their concerns with their doctors. New members, come on in and introduce yourself!
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amandaoasis
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Re : Considering baby after Pre-eclampsia lost

Postby amandaoasis » Mon Jan 04, 2010 09:52 am

Great to hear your good news this morning! I hope all goes well.

rebecca2
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Re : Considering baby after Pre-eclampsia lost

Postby rebecca2 » Mon Jan 04, 2010 02:03 am

Congratulations Sanjay!

sanjay_sg
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Re : Considering baby after Pre-eclampsia lost

Postby sanjay_sg » Mon Jan 04, 2010 01:43 am

And finally my wife is pregnant again. It hass be almost 6 weeks now and still have'nt visited any gyno. This time i'm going to stay back in Singapore and also get my baby delivered here. I've finalised a good gyno at ****** singapore.
Her bp for now is very normal 105/68 and hope this remains like this and this baby is born with all health.

Sanjay

sanjay_sg
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Re : Considering baby after Pre-eclampsia lost

Postby sanjay_sg » Mon Dec 07, 2009 00:56 am

Hi,
I would like to thank you all for your precious time replying and advicing for my post. It has been already 6 months my wife had severe pre-eclampsia and we lost our baby. As adviced by you all I'm going to take her to a specialist in Singapore very soon and I'll keep this post active with those results.

Thanks again for all of you.

blythe
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Re : Considering baby after Pre-eclampsia lost

Postby blythe » Wed Nov 25, 2009 01:04 pm

I almost forgot - here is what are experts have said about "will it happen again"

http://www.preeclampsia.org/forum/viewtopic.php?t=331


brockner1
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Re : Considering baby after Pre-eclampsia lost

Postby brockner1 » Wed Nov 25, 2009 12:35 am

Hi Sanjay!

I remember your posts back in June. You have already got great information from ladies but just wanted to say hello to you. You would need to find a good MFM/Perinatalogist. For me, my doctor had said to wait atleast 3 months and i had to get number of blood tests done to check for any underlying condition (Thromobophilia, Protein C deficiency and few more that i cant remember right now).

blythe
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Re : Considering baby after Pre-eclampsia lost

Postby blythe » Wed Nov 25, 2009 09:50 am

Sanjay, I just wanted to say hello as well! I remember back in April that you were moving to India - are you back in Singapore to live now?

Have you found a high-risk specialist doctor?

I can only imagine how scary trying for another baby can be. Nobody can guarantee a healthy mom and healthy baby this time, but many, many of our members have had babies after a loss. Sometimes the babies still have to be born early, I would also look for a hospital that can take care of premature infants. Our experts have said that as long as they monitor the mother closely, they can deliver the baby early and save the mother's life - not the ideal outcome but at least with close monitoring I don't think you need to worry about losing your wife as well. I just don't know enough about Singapore health care to judge, but I would assume a big city like that would have health care comparable to most other big cities.

I searched pubmed for research articles - I put in search terms: singapore preeclampsia. Here are a few articles that stood out to me, perhaps the hospitals that are listed with the authors would be good to try.

http://www.ncbi.nlm.nih.gov/pubmed/17728960
http://www.ncbi.nlm.nih.gov/pubmed/16397721
http://www.ncbi.nlm.nih.gov/pubmed/15827664

Good luck to you and your wife and please ask as many questions as you both need!

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caryn
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Re : Considering baby after Pre-eclampsia lost

Postby caryn » Wed Nov 25, 2009 06:57 am

Sanjay, it is good to see you!

I agree with the other posters that I would find a specialist in Singapore and discuss matters, making a plan for how her next pregnancy would be managed and what the doctor believes her risks are. They will often do baseline testing of her blood and urine to check for hypertension, clotting problems, and autoimmune conditions. The recommendations for time between pregnancies can change based on those things -- if they want to treat her for a few months for something that they find to improve her chances -- so I would check that with the doc, too.

Am I remembering that you had a doctor in Singapore already because you were moving during the pregnancy and were transferring care?

jules2
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Re : Considering baby after Pre-eclampsia lost

Postby jules2 » Wed Nov 25, 2009 04:27 am

Hi Sanjay,

I am so sorry for your loss. My daughter was stillborn in May this year at 26 weeks, so I know how tough that is. I tried again straight away (I did not have a caesarean) and got pregnant quite fast but have just miscarried, sadly that is another risk we have to face.

In addition to testing for blood clotting disorders, I think your wife should have her blood pressure checked (I had a 24 hour monitor in September which "proved" my blood pressure is now ok), tests for thyroid and endocrine problems (including diabetes), and tests for auto-immune disorders. If possible, she should have her kidney function tested too. Its most likely, though, that all these things will be normal now, and there may be no obvious reason why your wife had this problem. That's frustrating but was largely the case for me.

I was extremely sick myself with sky high blood pressure (220/100), pulmonary oedema, and HELLP syndrome, so I understand your concerns for your wife; I am frightened for myself too. What helps me is having a great team of very senior doctors who are taking my case very seriously - they are confident they can keep me "safe" even if I am unlucky enough to have very severe pre-eclampsia again, there are just no guarantees for the baby, of course.

I hope this helps, good luck to you both

angieb
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Re : Considering baby after Pre-eclampsia lost

Postby angieb » Wed Nov 25, 2009 01:31 am

I'm sorry for your loss.

How long to wait will vary by the doctor you ask and circumstances and your wife's health. My ob said I only had to wait 3 months, my new high risk ob would prefer 6 months--both of those waiting times are because I had a c-section though. If I had had a regular delivery, they'd be fine with sooner. (Currently it's only been 8 weeks since I delivered and they are satisfied that everything is back to normal and healthy, but that's not always the case with everyone.)

There is some research to suggest that the more closely spaced the pregnancies, the better the chances for a good outcome.

You should find a high risk ob(MFM-maternal fetal medicine, or perinatologist) BEFORE your wife gets pregnant and come up with a plan. She should be tested for blood clotting disorders. They will give you a better idea of your risks of recurrence, what you'll do differently,and how the pregnancy will be managed in general. I had elevated liver enzymes and blood platelets when I got sick(HELLP), so my doctors wanted baseline numbers for those too so *in case* I get sick again, we'll know what is normal for me.

Good luck!





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