J.B.
Hi,
I am very sorry for your losses.
I have a homozygous C677T mutation. I found out after my second preterm labor and placental abruption. My son was stillborn at 22 weeks, and my daughter was 25 weeks when she was born. Sadly, her lungs were just too immature and she died in the NICU after 5 weeks. My first pregnancy was perfect, and my Daughter who is now four was full term. After my diagnosis I went to a perinatologist, who had me take a baby aspirin and a folgard (folate, B6 and B12) along with my PNV. After I concieved, I switched from the aspirin to Innohep (a low molecular weight heparin like lovonox). I switched from the Innohep to regular heparin for the last couple weeks of the pregnancy. This pregnancy was complication free, and my son was born full term. He is now four months and doing great. I am still taking the Folgard, the PNV and aspirin, and will continue those indefinitely.
I am not familiar with Dr. Lederer, but if s/he is a regular OB who can handle high risk pregnancies, then s/he should be willing to handle your care along with a perinatologist co-managing your case. That is how I was treated.
I hope you will have a smooth pregnancy. My prayers are with you.
-Jackie