Pregnant again & Trying to learn

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.
tenecwalker
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Re : Pregnant again & Trying to learn

Postby tenecwalker » Tue May 15, 2007 05:33 pm

Heather,
Thanks for the advice. I had thought about a high risk doc just in case, but then I was worried they might risk me out for really no reason. But I guess it is better to be safe.

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heather j
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Re : Pregnant again & Trying to learn

Postby heather j » Tue May 15, 2007 05:09 pm

Jamie,
Hi! Sounds like you've picked an excellent hospital that is equipped to meet your delivery needs ... which should be very comforting. What you may find helpful in planning for this pregnancy would be to form a "team" of providers. Get in a consult with a high risk doc so that you have that background and connection if and when the need arises and remain with your OB barring that there are no complications that warrant a closer relationship with the specialist. Plan for a water birth, but have a backup plan in place if it appears that the water birth may not happen - it very well could, though! Planning for post PE pregnancies can be a bit mind boggling, but it sounds as if you are covering all the bases. Congratulations on babe #2!

laura
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Re : Pregnant again & Trying to learn

Postby laura » Tue May 15, 2007 03:41 pm

quote:Originally posted by tenecwalker

Laura - I will check out that link. The hospital I'm going to is the only hospital around that allows waterbirths, but to use that section you have to be low risk and everything going normally, otherwise you are in regular L&D.

Well that just bites, doesn't it? I know when I was induced with my first girl, the best I felt in days was the time they let me spend in the jacuuzi. I think we should all get jacuzzis, just on principle!

The good news is that the odds very good that you will go on to a nice, normal long pregnancy and won't have need for that NICU-- Best wishes!

tenecwalker
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Re : Pregnant again & Trying to learn

Postby tenecwalker » Tue May 15, 2007 03:12 pm

Laura - I will check out that link. The hospital I'm going to is the only hospital around that allows waterbirths, but to use that section you have to be low risk and everything going normally, otherwise you are in regular L&D. They also have the highest level NICU, in case I have complications.

Kristen - I'm glad you are PE free so far! I don't have any horses anymore. I sold mine when Ryan was born. I just use that name everywhere I go, because it is always available. =) Hopefully we'll be able to afford them again sometime in the future.

kristen8843
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Re : Pregnant again & Trying to learn

Postby kristen8843 » Tue May 15, 2007 03:05 pm

Jamie,
Sorry I can't answer your questions, but I wish you luck and a long, boring pregnancy ahead of you. I'm currently 36.5 weeks into my second pregnancy...so far, PE free.

I just had to post when I saw your screen name....I have foxtrotters and haven't been able to ride since November. It's killing me with this nice weather to not be able to saddle up and go!

laura
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Re : Pregnant again & Trying to learn

Postby laura » Tue May 15, 2007 03:03 pm

Hi Jamie, and welcome! Congratulations on your pregnancy, it sure sounds like you have a lot to process!

In a pregnancy after PE, our docs recommend that you do at least a consult with a high risk doctor (you can find one at http://www.smfm.org) to figure out if there are any particular red flags you should keep in mind during this pregnancy.

As for a water birth- I know that one of the hospitals I delivered at had remodeled their entire mother-baby unit to include birthing tubs in all the suites- it might be worth some checking to see if this option is available in your area- that way if you do end up with complications again, you've access to the birthing tub AND access to medical assistance if you should need it.

Best of luck having a great pregnancy and the delivery of your choice!

tenecwalker
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Pregnant again & Trying to learn

Postby tenecwalker » Tue May 15, 2007 02:52 pm

After ttc for 15 months, a m/c in Nov 06 and 2 rounds of clomid I am due 12/1/2007. It's hard for me to think that I had pre-eclampsia with my son (born 2/24/05) since I didn't realize it until the day I was induced. I really didn't think that much about it, until I found out I was pregnant again. Now, I'm trying to learn as much as I can.

Here is some background information. When pregnant with Ryan I was seeing midwives and hoping to have a waterbirth at a birth center that was attached to our local hospital. Around twenty seven-ish weeks I started having upper right quadrant pain all the time. It wasn't always severe, but it was constantly there and sometimes severe. At that time I don't think I mentioned it to the midwives, because I just figured that the baby had an extremity lodged under my ribs. Fast forward to about 38 weeks. I began having itching all over, but mostly on my hands & head. From research on the internet I found a condition called cholestasis - main symptom itching with no rash, also upper right quadrant pain. I told the midwives at my 39 week appointment about it and they blew me off. So, after more research and finding out the devastating things it can cause I bugged and bugged them and their drs until they would let me go in to labor & delivery to be checked out at 39w 3d. Upon arrival to labor & delivery my blood pressure was 150+/100+ and was taken a few times thereafter at 200+/100+ They told me they were going to induce me immediately for pre-eclampsia. I tried to tell them it was just because I was upset over the midwives not taking me seriously. They got out my charts from my appointments and they showed my blood pressure being elevated all the way from 29 weeks and pre-eclampsia status at 35 weeks. My midwives had never mentioned that my blood pressure was up. They always said it was fine.

Ryan was born 23 hours later in good health, even though his placenta was in bad shape with calcifications and part of it had died. I had extreme swelling after his birth and my blood pressure was raised for about a week afterwards.

Until recently I didn't even believe I had pre-eclampsia. I requested my records from my doctors office and sure enough it showed my raised blood pressures on my chart - that they never informed me of. And then after researching I found that upper right quadrant pain and itching were also signs. I'm not returning to that practice, because I believe they dropped the ball when it came to my care at the end of my pregnancy.

I have chosen a new OB, but I guess I'm mostly looking at guidance on where to go from here? I still want to have my waterbirth, but I know that if pre-eclampsia turns up again that is going to be out. I guess I want it as an option just in case it doesn't come back. What is typical monitoring during a subsequent pregnancy? I feel like I know more so the things I need to be watching for. I also will insist I get the numbers each visit, instead of a "looks good." I want to be able to be a better advocate for my health and the baby's health. I'm going to have my first visit in a couple of weeks (I've been under the care of a fertility specialist until now). What types of things should I make sure and discuss at this visit?

Thanks if you've made it this far!

Jamie


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