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Would you be worried?


Forum: January 2013 Playroom

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  #1  
September 12th, 2012, 09:40 AM
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Ok, so remember how I said my doctor wants me to go to maternal fetal medicine for my ultrasound? She specifically told me that it's because I am farther along and the hospital's ultrasound machines aren't as good as the MFM ones, and that sometimes when you're a little farther along they have trouble getting all of the measurements so she'd rather me go get a level II u/s.

SO, they made my appt. for a day and time that I am unable to go, so I had to call and change it, and I found out that not only am I getting an u/s, I'm seeing the genetic counselor first, then the ultrasound, and then the doctor afterwards. I really wasn't expecting all of that. I have zero experience with maternal fetal medicine or any type of specialists so I don't really know what the whole protocol is. I do know that I haven't had ANY screening tests or anything, so I thought maybe that's why my regular doctor scheduled this. The only thing I've had is the dating ultrasound, and they called me after that to say that everything looked great.

So would you be concerned!? I just don't know why I'm seeing a genetic counselor.
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  #2  
September 12th, 2012, 09:59 AM
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It may very well be jut part of their protocol as MFM specialists. I had to got to MFM with my first to keep checking my low-lying placenta, they did the same thing. Took a full family history, all the genetic conditions and variables, all that. It was just information they required for their records.

Have you tried calling to clarify or asking your doc who set up the appt?
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  #3  
September 12th, 2012, 10:06 AM
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I still need to call for clarification on the glucose test, so I'm going to mention it then and see if this is just standard. I mean, it must be, because it's not like I've had any questionable test results or anything, unless something looked weird on my dating u/s, but you'd think they might mention that to me instead of saying everything looked great. I feel alot better knowing it was standard for the MFM specialist you went to.
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  #4  
September 12th, 2012, 10:16 AM
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It is standard with the perinatologists in this area. Can I ask how old you are?
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  #5  
September 12th, 2012, 10:29 AM
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That's the standard with MFM/Peri's here too. I see a Peri for my "regular" OB, and I see a GC too. Mine is due to my age. I would say if you are older, they might recommend some additional screening, but otherwise, they might just want to talk to you because that's standard protocol.

Good luck, let us know how it goes!
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  #6  
September 12th, 2012, 10:30 AM
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Oh I feel sooo much better now! Thanks girls!

I am 35, so I thought maybe that was one reason also. I haven't had any screening because we didn't know how far along I was and my doctor wasn't sure which tests to order at first I guess, since they hinge on how many weeks you are.
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  #7  
September 12th, 2012, 10:35 AM
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Oh, then it's b/c of your age I'm sure. They probably just want a chance to talk to you about what screening tests are available for you. I had some additional they recommended because of what was partially causing my infertility (we did IVF), but we also got the Sequenom testing (also called Harmony or MaterniT21) which is more accurate then the 2nd Tri quad screen for Downs (though it doesn't check for SB).

So, it's probably just routine since you are going to MFM! I wouldn't worry a bit.
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  #8  
September 12th, 2012, 10:51 AM
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I feel so relieved, ty! I knew you gals would help

I'm glad to be going there anyway, because my doctor also said they would probably want to keep an eye on my baby's growth since my daughter was so tiny when she was born (4lb12oz full term). So I'm glad I'll get a chance to actually talk to the doctor.

Will they do any exams or anything besides the u/s?
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  #9  
September 12th, 2012, 11:06 AM
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Mine didn't, but then again, I go to this type of doc every few weeks. You will likely get a 30 min (ish) meeting in an office with the genetic counselor, and then your LII u/s. For my practice, the way it works is that the u/s tech first comes in and does the u/s. He/she does a lot of looking/measuring, and depending on who it is, doesn't usually say too much other than to point out an arm, leg, footprint here and there. The tech then goes and reviews the results with the doctor. Then, the doctor on call for u/s comes in. (In my practice, one of the doctors has u/s "duty" each day.) They review the results that the tech reviewed with them with us, and on occasion, will take another look for him/herself. There is one of the docs that ALWAYS likes to look for himself, so when he's on duty, we get 2 u/s Another usually does as well. The doctors then ask if you have any questions, and send us on our way!

No further tests or anything, unless the GC has referred you for a blood test/screening!

Hope that helps! Feel free to ask any questions you have! x
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  #10  
September 12th, 2012, 11:13 AM
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Thanks so much for the info! I HATE feeling like I'm walking blindly into a situation. It feels sooo much better to know what to expect, what is typical, etc. It wouldn't be quite as bad if this appt. were tomorrow, but I didn't want to worry for the next 2 weeks, lol.
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  #11  
September 12th, 2012, 11:16 AM
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No worries, I totally understand. This is all routine for me, so ask away! I'm sure you have nothing to fret about! x
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  #12  
September 12th, 2012, 11:55 AM
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Its standard at the OB that I see too I actaully like it this way because you get more 'info' about your baby then at a quick U/S.

Take a deep breath and enjoy seeing your baby <3
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  #13  
September 12th, 2012, 12:10 PM
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Glad you're feeling better! Anything unexpected can really throw you for a loop, eh? Sounds like it's fairly common procedure, so I wouldn't stress, mama.
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  #14  
September 12th, 2012, 01:31 PM
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When I did my Level ll US I spoke to the specialist also. I think its standard, but I understand why it would be upsetting.
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  #15  
September 12th, 2012, 10:18 PM
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Quote:
Originally Posted by marybeth76 View Post
Oh I feel sooo much better now! Thanks girls!

I am 35, so I thought maybe that was one reason also. I haven't had any screening because we didn't know how far along I was and my doctor wasn't sure which tests to order at first I guess, since they hinge on how many weeks you are.

It's because of your age (the GC), I wouldn't worry too much. It's standard operating procedure for 35 yoa + for GC.
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  #16  
September 12th, 2012, 10:42 PM
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At first I was worried and confused since they said everthing looked great. But after reading all the resposes it seems to make sense, everything they want you to do. Easier said than done to relax but I sure hope these mommas took some of the edge off! (hugs)
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  #17  
September 13th, 2012, 11:05 AM
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When I was sent for a Level II, I was really nervous at first, too. Though the reason they scheduled the Level II for the mid-term scan was due to bleeding and cramping, so they wanted to make sure they knew what it was and had a MFM specialist available to consult. Until then I'd seen midwives, so I was bumped up to high risk, until further notice, I guess.

During the scan (which lasted about a 1/2 hour), they found 10 fingers and 10 toes, and 2 ventricles that were oversized, a condition called ventriculomegaly. We were told about the possible causes and implications, the additional tests that they wanted to conduct, and then asked to wait to speak to a Genetic Counselor, and that's when it hit me that this is serious. I didn't flip out... but my heart started to sink.

Later, I called a friend who is a Genetic Counselor and worked in a similar environment during one of her internships. She said that it's very standard for anyone meeting with a MFM specialist to also meet with a GC, for all of the reasons mentioned above. In some ways, it's making sure that everyone has plenty of information about the situation (even if all of the information is, "your baby is awesome"). And in some ways, it creates another job. I know that's a cynical way of looking at it, but in your situation when there's no acute reason to suspect a GC would be necessary, it does sort of explain why that just comes along with the territory of an MFM visit - which was scheduled for you primarily because the MFM has the Level II ultrasound equipment!

That is a very long way of saying: I feel your anxiety, a genetic counselor feels scary, but I agree with the others and this sounds a lot like standard operating procedure.
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  #18  
September 13th, 2012, 01:07 PM
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That's why I love this board and think all mamas should be a part of a board this awesome. I was really worried/anxious at first but now I feel SO much better. Now, I just get to stress about the regular stuff, like praying that everything looks ok on the u/s!
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