Seek_Kolinahr I haven’t been through a complicated pregnancy, but as a CNM, I have lots of work experience in this area, so I’m going to try to answer some of your questions. First, the long labor, big baby, vacuum delivery and shoulder dystocia set you up for PPH postpartum hemorrhage. Your uterus was as exhausted as you were, so didn’t contract properly to control the bleeding from the placental implantation site. Some women do have a tendency to hemorrhage after every baby, but when there’s a history like yours, we’re rady for it and intervene quickly with medications and uterine massage and can usually keep it from getting scary. The big baby with shoulder dystocia is serious cause for concern and with anextt pregnany, your midwife or doctor should be talking with you about the option of elective C section. Second babies are usually a little bigger than the first, and shoulder dystocia is such a serious risk for the baby. At the least, they’ll be wanting to follow the baby’s growth with ultrasound near the due date. Sometimes if the mom gained a lot with the first baby, she can grow a more average size baby the second time by being really careful about nutriiton and weight gain. Also, if you had an epidural the first time, consider doing natural birth the second time so you can push more effectively and also get into more physiologic positions for labor and birth. Second labors usually are much more efficient than some first ones, so it would probably be shorter. Nausea and fainting can be different from one pregnancy to the next. Or not. No way to predict.