Anna - baby Paul is adorable! I'm so happy for you
Ryann - I'm not sure about adjusting for 'near-term' preemies. I'm not sure if you are on the community at babycenter.com, but there is a fantastic 'Preemie Parenting' group and I know they could answer your question.
Blair - 20ish weeks is really early for PUPPs. I would definitely ask your OB when you see him/her.
Rio - have you gotten that C-section incision checked out? I'm no expert, but I didn't have any bleeding out of the incision after less than 48 hours from surgery. I'm just about 4 weeks post-C-section, and my incision looks great. No more scabbing, just still slightly red on the actual incision line (not red around it). I was moving around pretty much without pain after a week. I really think you should get that checked out ASAP.
Ashley - Happy Birthday! 29 will be such a great year for you!
AFM - we met with a different high risk OB today to get his opinion on what to do in a future pregnancy. I'm really nervous after what he said. He said that there was no reason I shouldn't be able to carry a singleton to term. He said the same thing that my last doctor said - basically, we will watch my cervix to make sure it doesn't change and only do a stitch if my cervix starts to shorten. I told him that that plan really worried me. Everyone told me that my first set of twins was a fluke and super unlikely to happen again. Even when I got pregnant with twins again, I was told twins wasn't ideal, but that I should be able to carry them to term (or close to term). Now I'm being told that BOTH my twin losses were flukes and that as long as it's not twins again, things should be fine. (I would do P17 injections and probably be on preventative bed rest starting at 18-20 weeks.) I told this doctor that I was terrified of losing a singleton and then being told, 'oh, okay. Seems like you do have a problem'. I'm not willing to use a singleton pregnancy as a 'test case'. I *need* to bring my next baby home with me. This doctor seems a lot more sympathetic and open to listening to my concerns. He said he would take me on as an OB patient when I get pregnant again. I like him a lot more, which means a lot ---- but I'm still super worried.
I asked what the downside of having a cerclage placed (transvaginally, probably) at 10-12 weeks. He said it risks miscarriage and infection. But I pointed out that if we put a preventative cerclage at 10-12 weeks, the odds of it holding are sooooo much better than waiting to see and placing one later if needed. He said it's most likely I won't need one, so that's why he would recommend waiting. I asked if he would place one at 10-12 weeks if I really really wanted it for peace of mind. He said he would, if that was really what I wanted, but he thought it unnecessary.
So I think the plan is to switch to this other highrisk OB that we like better and place a TVC at 10-12 weeks. I think I'm comfortable with that plan (still second guessing myself all the time.... what if I miscarry after the TVC - should I not do a cerclage at all because it isn't really necesary? What if I place the TVC and I do have cervical problems but the TVC doesn't hold - should I do TAC instead?). I think I just have to make the best decision I can and trust myself and my doctor.... it's just hard because that's what I was doing this time - and we lost the boys.
The high risk OB we saw today is also the head of the IVF department at a different hospital. He knows our IVF doctor and says that if we are happy with the clinic there, we should stay there (we could switch to his hospital). Our success rates have been pretty decent (of 10 embryos transferred -- 5 failed, 1 miscarriage and 4 healthy but too-preterm babies --- so 40-50% success rate per embryo). The only reason I would switch is because I applied for a job at the second hospital (working as an office manager in the urology dept) --- if I work in the same building as an IVF clinic, it would be really hard to justify commuting every morning to a different IVF clinic!

Interview tomorrow, wish me luck.