SM, I am the wife of a BP, and it sounds like on the med front you are getting lots of great input. I want to address the fibromyalgic pregnancy. I too have fibromyalgia and in my first pregnancy had a HORRIBLE time, with my second pregnancy I had a much easier time...and that was with TWINS! You also shared you don't really feel ready to be pregnant again....I sort of understand that also because, with my first...although we agreed to try, my doctors had told me it would most likely take help to get me pregnant as I also have endometriosis. So...they anticipated on letting me try on our own for 6 -12 months and then would step in. They told us when to try so we did (12th & 14th day after the start of my period) but we didn't really take it seriously given what they had said....then.....BBOOOOMMMMMM.....FIRST time out of the gate PREGNANT! We knew in 3 days!!!!!!!!!!! I was already sick, already swelling breasts....UNBELIEVABLE. Then total SICK set in both physically and emotionally for quite a while. I didn't feel ready. I had it in my head a year and a half from then...I saw this time as my prep time to wrap my head around it all and get ready for the emotional shift to motherhood....I NEVER thought I would get pregnant THAT fast. But I did. And while I suddenly felt cheated out of this time I had anticipated and was now yearning for....I was violently puking 12 times a day, on fluid IV treatments that made me puke more...and in CONSTANT pain with the fibro (which I didn't know I had yet) and the braxton hicks contractions starting at 2 months that occurred daily. I was NOT a happy bunny...and then I felt worse because NONE of this fit my picture of how I would feel when this amazing blessing happened in my life...which caused me to then feel even MORE upset.....the spiral kept going and going and going...
So...as you can see, while I did not have the compounding issue of BP...I do get it. So here is my input for you on the emotional side about not feeling ready....Allow that to be okay, you will eventually catch up to the events and all will be fine, but if you fight the truth of those momentary feelings it gives them MORE power and it lasts longer and feels more intense. So just let it be okay that for today...you don't feel ready...because it IS okay. It doesn't change the fact that you are, and if you give yourself space, emotionally you will eventually catch up and you will accept and probably celebrate it in time. And as for the physical side of it, the best advise I can give you is REST. Get some help if you can for your one year old and just give your body the rest it craves. If you can afford to get someone to help around the house for a few hours a day or a few days a week - then get them. Work to stretch your joints gently, get a massage (one designed for pregnancy of course) and do the techniques that can help alleviate pain naturally...I found total rest one of the most essential things for me. Plus, by also accepting and not fighting your emotions...you will allow your body to hold itself less tensely and in turn, that will help to lesson the discomfort from the pregnancy to.
Be gentle with yourself right now, and try and be gentle with others too. It is OKAY to need extra help right now. Get the support from wherever you can.
Good luck to you, I hope some of that helps...LFW