Wednesday, August 20, 2008

Day 4

Ok. I am starting to freak out.

I had my regularly scheduled Gyn appointment yesterday with my family doctor. I thought she already had the results from the urine test, so I said "yes, this is supposed to be my pre-conception health check," she didn't quite get it. Then she asked me the first day of my LMP, and she said, "Oh, your late!" And I said, "yes, I know, I'm pregnant" She almost fell off her chair and was very flustered. "Oh, now I get it..let me go get my other supplies." Triple S and I just kinda laughed at her. This doctor is so great. She does prenatal care up to 32 weeks. She is so thorough and asks many questions and gives you so many recommendations (all typed out and on a sheet you take home so that you can remember). I feel like I want to stick with her, but I also feel like there is value in a doctor who sees lots of pregnancies. But my last OB was so busy - we were lucky if we got 5 min sometimes and I don't think she was very careful. We were just a textbook pregnancy. My family doc recommended another OB that usually takes her patienets at 32 weeks, but she is 45 min away. There is also a doc that has ben recommended to us, he's a high-risk specialist. I have a call into him. What do you all think I should look for?

I am also thinking of buying a dopplar. Any opinions?

I am also thinking of getting a mid-wife or doula or some other pregnancy support.

EEEEKK! Yep, it's a total freak out.

At least my family doc ordered blood tests, so I have a little cushion. But who knows how long it will take to get in for first ultrasound etc.

Eek EEk EEK!

8 comments:

misha said...
This comment has been removed by the author.
misha said...

You and I have very similar first pregnancy stories. So my personal plan for the next pregnancy is to go to my old ObGyn until the third trimester and then switch to a high-risk specialist. This plans holds if I have a textbook pregnancy. There are two reasons for it: (1) if our health is generally good, there is not much a doctor can do until the fetus is viable, (2) high-risk specialist is more expensive under my insurance plan.

I don't know about the doppler. My doctor said that my daughter could not have been saved even if I had a doppler. After all, I had a regular doctor appointment that morning and everything was fine. So, I don't know.

Travelwahine said...

Well, I went to a high risk specialist with Ethan. And at 32 weeks switched back to my regular OB who also does high risk. The day I switched back and had my first appt. with her was when Ethan died in the night sometime. The high risk practice was at a university and very,very busy. I was there 4 hours once just to see a different doctor for like 5-10min. I have wondered if I would've stayed with high risk if the outcome would've been different. But, I think not.

My baby, Ethan, died of a cord accident at 32 weeks. Right after his death I did start to research cord accidents. I did come across the Pregnancy Institute and Dr. Jason Collins. He actually studies cord accidents. I spoke to him and he works with your MD and at 28 weeks will begin to monitor you. You do have to fly down to Louisiana and he sends you home with a monitoring device, he gets a printout of the baby and will relay this information to your OB. I actually did talk to him and he sounds like he's done this quite a bit. I think I will definitely go to him if I'm blessed again to be pregnant. Hope this helps.

Mrs. Spit said...

Well, a few things.

I would stick with the doctor that had the time to answer my questions. All the knowledge in the world is of no use, if they won't take the time to listen to you, and impart it.

I would hire a doula. You likely don't need a midwife, as they are usually able to deliver babies, and that's not a route I'm getting the feeling that you are comfortable with.

If a doppler makes you feel better, then go for it. Tell your doc, and get her to show you how to use it.

Your insurance may not permit you to have a high risk doctor. That's something to consider, if you have to pay out of pocket.

Ya Chun said...

Thanks ladies- excellent points all around.

I think for me if we had had a late ultrasound, maybe we could have seen the cord around the neck. And more education on kick counting and interpreting fetal movements (ie suddenly active, steadily active) may have helped.

I had seen teh protect your pregnancy site right after Serenity died- and forgot about it! Thanks for the reminder travelwahine.

Mrs Spit, very good point about asking the dr to show me how to use the dopplar! I seriously would not have thought about that.

I have calls out to a few doulas. Guess they were all busy helping deliver babies today!

CLC said...

I don't know about the doppler. Would it make you more crazy? I have heard they can be hard to use and what if you can't find the heartbeat, because you are using it wrong, not because the baby died? I guess you only know if it will be a comfort or not.

I also talked to someone who spoke to Dr. Collins, and he's very expensive and doesn't accept insurance. I think the quote I heard was in the $3000-5000 range plus your travel expenses to LA. A high risk doctor at a good hospital with a level 3 NICU should be able to provide you with a similar degree of confidence. But he is the only one out there that I know of that is so focused on UCA. So, it might be worth the money.

CLC said...

Also, my doctors told me that next time they will do the late ultrasounds weekly (after 32 weeks) with blood flow analysis to look at the cord and where it's at. Maybe you can ask your doctor about that?? Normally they don't look at the cord because 40% of babies are born with the cord around their neck and it's not usually a prob. It's a whole cost-benefit thing, I guess.

Travelwahine said...

I forgot to tell you CONGRATULATIONS!!!
I will praying for you and your little "macadamia" :)