High-risk OB, is it always necessary?

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High-risk OB, is it always necessary?

Postby funobulaks » Wed Apr 09, 2014 6:20 am

Hi,

So, I finally graduated from my Reproductive Endocrinologist at 11 weeks with twins. I made my appointment with a regular OB figuring that at the moment (no history of miscarriage, no high blood pressure, no diabetes, not overweight) that I would not need a specialist. I went to the appointment and she did all the intake stuff, pap smear, blood and such and then just did a quick ultrasound to check for heartbeats. She then told me that she would see me monthly, but that I would be seeing the high-risk OB for all the measurements of the babies. Is that normal?? Also, when I asked her which was baby A and which was baby B, she wasn't sure. Made me a little worried because I have been used to having amazing care at my RE's office. Did you all see OB and high-risk OB at this stage of pregnancy?

Thank you
Me (Henriette)- 34, DH - 34
Married in Denmark May 2005
TTC since April 2012, 3 failed medicated IUIs......
....then finally a BFP after IUI #4 w/Menopur
Beta #1 =19, Beta #2 = 200,
It's TWINS!!
It is a boy AND a girl!!

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Re: High-risk OB, is it always necessary?

Postby spirited7777 » Wed Apr 09, 2014 10:09 am

my understanding is that multiples are automatically high risk because of all the additional things that can happen with them. being overweight isnt automatically high risk, unless you have bmi over 40.
me: 35 df: 30
ttc #1 - 2-13
bfp - 5-13
m/c - 6-13 - 10w0
6 month ttc break
bfp - 11-1-14 - new yrs oops/shocker - first time lucky after break
26-3-14 - first ultrasound (13w6), measuring 4 days behind, everything else looks great. 4d image strongly suggests it's a boy, he looks like dh already! go team blue! :)
2-4-14 - 2nd ultrasound - measuring perfect - 14w6 - short legs making me think it might be a girl after all!

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Re: High-risk OB, is it always necessary?

Postby buggie » Wed Apr 09, 2014 10:26 am

I believe I went to my regular OB for my normal appointments, and saw the MFM (or perinatologist) at 12 weeks for the NT scan, 20 weeks for the anatomy scan, then 24 and 28 for growth scans. I was going to start going to the MFM every 2 weeks at that point, but I developed pre-e and my guys were born at 29 weeks so I never made it! The 12 and 20 week exams weren't a twin thing for me though, I think I just saw the MFM because my doc didn't do those exams in her office.

So for me, I started with the MFM around 24 weeks. It was very important to see them though as they were the ones who pulled the trigger on deciding when it was best to get the boys out, though my OB did my section.

As for baby A and baby B, they can switch places. All A & B means is who is closest to your cervix.
Robyn
IVF #1: Twins!
TWIN BOYS Emmett and Beckett arrived at 29w2d!
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Re: High-risk OB, is it always necessary?

Postby ready2bmom » Wed Apr 09, 2014 5:59 pm

I'm 43yrs old, PG w/ twins (from IVF), and have had 3 M/Cs in the past. Otherwise I'm healthy and haven't had any PG complications. And my OB said "no MFM necessary".
My OB saw me more frequently than she sees an expectant mom of a singleton. I had extra U/Ss throughout, to check the cervix and the babies.
That being said, I kind of wished I did have an MFM I was seeing also, just with being used to the extra care from the IVF clinic. Also just for more peace of mind.
I would guess that either way, you're going to see the OB and MFM about the same amount as you'd see just the OB if you weren't with an MFM. It might be nice to have a 2nd opinion on stuff, as long as it's not too much of a pain to switch between 2 different offices.
Me: 43 DH: 45
Natural PG: M/C 7/2011 :angel: Tri 5 & 15
IVF1, 5/2012: M/C 8wks :angel: Tri 11
FET: 10/8/12 :angel: (D&C @13wks, 12/2012) Tri 21
IVF2: 4/2013, w/ PGS
PGS 3 blasts (all 3 abnormal)
IVF3: 6/2013, w/PGS
PGS 3 blasts (1 NORMAL, 2 Abnormal)
IVF4: 7/2013, w/ PGS
PGS 5 Blasts (1 NORMAL)
FET: 9/2013, 2 embryos
BFP! 13dp5dt BETA 2000, 15dp5dt BETA 4700, 18dp5dt BETA 18000
1st U/S, 6wks,4days: TWINS! HBs: 122 & 125
16wk U/S: 1 Boy and 1 Girl!
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Re: High-risk OB, is it always necessary?

Postby dun2859 » Wed Apr 09, 2014 6:58 pm

I saw my regular ob. My RE felt that I wasn't considered high risk. However, my ob did an u/s at every apt and started seeing me every 2 weeks after 24 weeks. She also had me do NST's around 32 weeks. I think every doctor/facility is different. It's ok to ask a lot of questions! My thoughts were, I'm only planning on doing this once, so I don't really care if I annoy people! My doc told me I was her favorite twin patient at the time! She said I never complained. LOL!! Best of luck to you!!
IVF April 2009 Angel 8w4d IVF July 2010 - Twins born March 9, 2011 - Brinley Noelle and Casey Adam Jr.
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Re: High-risk OB, is it always necessary?

Postby mgresham21 » Mon Apr 21, 2014 12:40 pm

Started seeing my MFM at 12w for nt scan.... And will see her every 4 weeks until after my anatomy scan and then every 2 weeks I think..... I also see my regular ob every 4 weeks.... So I have an appointment every 2 weeks.
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Re: High-risk OB, is it always necessary?

Postby babydust2me » Fri Apr 25, 2014 7:35 am

I first saw my OB around 10 weeks and he immediately referred me to a MFM as well. I was only 27, it was my first pregnancy, I was otherwise healthy, and I was carrying di/di twins, but my OB was much more comfortable working with the MFM. So I started seeing the MFM around 12 weeks and I had monthly appointments with each doctor. Like Robyn, my MFM was the one to pull the plug and put me on bedrest when I was diagnosed with pre-e, and ultimately went into premature labor at 33 weeks. But my OB did the actual c section. I actually very much liked seeing both doctors because it was reassuring having so much monitoring after being infertile.
Cassidy (29) DH (30) TTC#1 since Oct 08

IUI#2 - BFP!
Morgan 3lbs13oz & Reagan 3lbs10oz born at 33 weeks after 3 years TTC
19 days in the NICU

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Re: High-risk OB, is it always necessary?

Postby funobulaks » Sat Apr 26, 2014 10:04 am

Thanks everyone - makes me feel a lot better to hear that it is a very common arrangement. I must admit htat I am happy to get to see the babies more frequently.
Me (Henriette)- 34, DH - 34
Married in Denmark May 2005
TTC since April 2012, 3 failed medicated IUIs......
....then finally a BFP after IUI #4 w/Menopur
Beta #1 =19, Beta #2 = 200,
It's TWINS!!
It is a boy AND a girl!!

Blog: http://www.elusivejewell.blogspot.com

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funobulaks
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Joined: Tue Feb 11, 2014 10:32 am


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