pregnancy antibody risks (-e) Perinatologist?

[lovedRN]

Hello,
I was warned that there is a risk of complications if I get pregnant again and am trying to figure out exactly what those risks are to me and the baby before I schedule a tubal ligation. My first pregnancy was totally normal. (My husband and I are o+ blood types) My second pregnancy showed an -e antibody. Regular blood work was done and the numbers never rose above 1:1. My sons biliruben levels jumped very fast after he was born and he was under bili-lights for five days.
I was told the antibody issue becomes a larger problem with each pregnancy and there is a good chance I may have a miscarriage if pregnant. If I did make it to 9 months, there may be more severe complications with the baby. He suggested we not have any more children. This is fine, but I am a person who needs more details before making my decision. I do not need anything sugar coated but want to educate myself as much as possible. What is the worst case scenario? My OB suggested I see a perinatologist, but the nearest one is over 3 hours away.
Thank you for your time,
lovedRN

[Debbie Miller, RN]

Hello,
I don't know your particular case but many women successfully carry babies even with these antiphospholipids, though there is an increased risk for loss. I would make the three hour trip in order to see the perinatologist before making such a life-affecting decision. By getting the odds ratio you may feel more confident. The peri could also determine if you might benefit from aspirin therapy if you do get pregnant.

Best wishes.