Hi ladies, I'd love some feedback about this scenario.
I've had T1 for over 30y, hypothyroidism, PCOS. I'm 32, almost 33. In October of 2010 we gave birth (heck, who am I kidding, *I* gave birth!) to our daughter who's healthy and happy and active. I had a great pregnancy, kept by A1c's in the 5's and 6's, and felt great until the end. I developed hypertension in the last 8 weeks, and full blown pre-eclampsia when I hit the labor deck at 39w1d. I was apparently pretty sick (they pumped me full of magnesium sulfate, tons of fluids of various kinds, and I was severely hypertensive for days, developed pulmonary edema). I will say, though, that the "sick" was about the pre-e, not the diabetes (though I know the latter made me at risk for the former).
We want another baby. bad. I met with my OB (community, not high-risk OB) who basically said "count your blessings. you're healthy. your baby is healthy. call it quits". I almost screamed. and cried. But I went to a high risk OB for a preconception consult and she basically said, "look, all the stuff that made you high risk before still makes you high risk now. but because you developed pre-e, your risk of getting it again doubles, as do the risks of a pre-term delivery and super preemie baby". Now, mind you, the risks doubling look like this: risk of pre-e went from 10% to 20%, risk of delivery before 37 weeks goes from 10 to 20% and risk of severe prematurity (<28 weeks) goes from 1 to 2%. How the heck am I supposed to know whether these are "acceptable" risks? I mean, if pre-e comes back, it could some whenever it wants, and the cure is delivery. So if it comes at 29 weeks, or 39 weeks, same outcome, but different consequences for baby. I am scared about starting down this road and running into trouble (esp with a toddler at home) but I also am so committed to the idea of having a sib for our little girl (and for various and sundry reasons, adoption and surrogacy aren't options for us right now).
Would love some perspective. :) thanks!