Once preclamptic, always preclamptic? (prev pgs ment)

[rv]

Hi Dr. Cusick: You have helped me years ago and it is nice to see you again.

In '02 with my DD I was on modified bedrest in the third trimester for preclampsia. With DS in '04 I was on strict bedrest the first month for unexplained bleeding and then strict bedrest 2nd and 3rd trimester for severe preclampsia... I was hospitalized for my last month. My first pg was a cake walk as far as the delivery. My DS was far from that and they almost lost both of us (no c-sction).

I am awaiting an appt with a new peri, but wanted your opinion before we do our FET this Fall...

If my health is better (lower weight, meds for BP (Benicar) and (BuSpar) for anxiety.....)

Is there a high chance I will be preclamptic? And as or more severe? Are those meds allowed while pg?

I am not trying to get out the crystal ball or anything, but would appreciate your opinion.

Rachelle

btw I will be 43 this year

[Bill Cusick MD]

Hi R

Hope all are well- good to hear you are getting tuned up for another pregnancy, remeber your vitamins with folic acid

with 2 previous pregnancies complicted by preeclampsia, you risks for recurrence are very high (60-70%)- when and how severe would be the unknown

Although disputed by some, daily abby aspirin started early in pregnancy may help to delay or modify the severity of preeclampsia

gl

wc