Hi and congratulations! Ok, hopefully this doesn't happen to you, but I had an absolutely 100% miserable time with my last pregnancy. It was bad from the 1st trimester all the way up until and after the delivery. I was extrememly dizzy the whole time. I could barely see straight. My heart was racing all the time, but more so the first trimester, then was somewhat better. I was intensely nauseous the entire first trimester and absolutely STARVED - no matter how much I ate (and I ate A LOT) I could not get rid of that deeply hungry feeling. I also had to care for my 4 year old son and go through the summer like this. I could not take it anymore towards the end-- so I asked to be induced early. I was due around Sept. 6th -- I was induced the night of August 26th, had the baby the 27th. I saw a high risk OBGYN the first trimester, then switched to a regular OB and was monitored by the high risk OB's on the side. I have to say though, as much as I tried to educate the Dr's about POTS, they didn't really get it. I had a consult with the anesthesiologist prior the delivery date to make them aware of what the epidural and different medications might do to me because of the POTS. In the end, the actual delivery was fine -- I did ok with all the pushing, the Pitocin and with the epidural. I have to say in retrospect, I regret the early induction-- I feel guilty for not letting my daughter come out when SHE was ready. If I could go back and do it again I would ask for help with my son, so that I could just rest at the end and wait for my daughter's arrival. It was just too hard to be THAT sick and care for the four year old. Anyway my daughter came out just fine -- she is now 14 months old and doing well. I will never have another baby though -- I can never go through that again. My most important advice to you is GET HELP from friends or family if you can. Pregnancy is demanding enough, let alone having a serious illness on top of it. You'll need to rest. Good luck.