In my ever-in-gestation Star Wars edits, I lose the nonsense about Padme "losing the will to live" (Anakin chokes her nearly to death, and then she dies just after giving birth). But then I also intend to cut the line in RotJ about Leia remembering her mother. Letting Padme live doesn't really resolve the issue. If Luke and Leia are twins, how come Leia can remember Padme but Luke can't? Would Padme really have abandoned Luke to be raised by Owen and Beru if she was still alive and raising Leia?
Mind you, I'm not telling anyone else how to handle their edits. I'm explaining the choices I intend to make. There is no perfect solution, so whatever anyone does is just one's own best guess as to how to fix it with the footage available.
Also, it's often easier to snip one small part out of the OT rather than try to make the PT fit exactly. For instance, I intend to cut Ben's line in Ep. IV about Anakin being "a great pilot and a good friend." We see no examples of those things anywhere in the PT, and it's a tiny snip that doesn't drastically alter Ep. IV. It's not because Ep. IV is flawed; it's just a matter of making the best of what we have to work with.
And again, that's just my way of doing it. I actually look forward to seeing the "Padme lives" edits because it's a unique and innovative way to handle the problem, and as I said, there is no one perfect solution.