Oh my goodness, I really feel for you, two miscarriages is so emotionally draining, and now navigating all these specialist referrals on top of that must feel overwhelming. I actually went through something similar with my sister-in-law, who had a raised autoimmune marker after her second loss, and she ended up seeing A/Prof Leong Keng Hong, who is a rheumatologist here in Singapore with a lot of experience specifically in autoimmune conditions and pregnancy planning. She said he was very thorough and reassuring, he explained clearly how conditions like these can be managed so that women can still carry a baby to term safely, which gave her so much hope. Someone in my mum group also mentioned that the key is pairing your rheumatologist closely with an obstetrician who specialises in high-risk pregnancies, so the two work together on your care plan, especially once you start on aspirin or steroids during the pregnancy. A few mums had a smoother experience going through a rheumatologist who already has that kind of link with a maternal-fetal medicine specialist, so it might be worth asking whichever doctor you choose whether they have that setup. Do take heart, many women with autoimmune conditions have gone on to have healthy pregnancies with the right support and monitoring. Wishing you all the strength for this journey, and of course do check in with your own gynae too since she knows your full history best.