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Is my OB pushing unnecessary tests on me?


Forum: Due Date Club of November 2014

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  • 2 Post By michelleH
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  #1  
June 25th, 2014, 09:09 AM
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Join Date: Mar 2014
Location: ohio
Posts: 92
At my last appt I saw a new dr. She was very pushy. I usually see the midwife who is very sweet, but the OB's do the deliveries so we have to meet them all. This Dr said she highly recommends that I see the perinatologist due to my age. I got the impression this specialist is going to do a level 2 U/S. I am already scheduled for a level 2 anatomy scan on July 3. I tried to ask questions about why the specialist is needed. She really didnt answer them. I had MaterniT21 done and it came back normal. The girl that called from the office today said they do genetic counseling at the appt with the specialist. I'm under the impression the mat21 did the genetic testing. My insurance isn't covering much of my prenatal care at all. And I'd really rather not pay for tests I don't need.
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  #2  
June 25th, 2014, 09:42 AM
michelleH's Avatar Super Mommy
Join Date: Jan 2014
Location: Rochester, NY
Posts: 911
How old are you?

If the materniT21 test came back normal, what else are they looking for? If they will not answer that question directly, I would tell them that you don't want the appointment.


If the specialist is going to do an ultrasound and you already have the other ultrasound scheduled, I would ask specifically what the difference is between the two procedures and go with the more complete one. No need to have two, it's a waste of time and money if they are just duplicating the work.


And honestly, if the OB is pushy now, I'd be very wary of what will happen when you are actually in labor. She's not going to get less pushy when that time comes. Two appointments ago, the midwife I saw was very dismissive and arrogant, I didn't like her at all. It's making me very unsettled that I'll end up with her at my delivery. Hopefully she was just having an off day, but it's not a comfortable thought.
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  #3  
June 25th, 2014, 10:00 AM
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Join Date: Mar 2014
Location: ohio
Posts: 92
There are 3 drs that do the deliveries. I am going to make it clear that I do not want this one to deliver my baby. For other reasons besides this. A few of my friends who have used this practice said they got to choose who delivered their baby. Even at my last visit the medical assistant asked me if I was doing the quad screening. I said no I had mat21 done. She says oh so you are refusing the test. I said no it is not necessary and I had to explain the test to her. I think they recommend all these test knowing most moms don't know the difference or they are nervous.
Im 38.
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  #4  
June 25th, 2014, 10:38 AM
michelleH's Avatar Super Mommy
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Location: Rochester, NY
Posts: 911
In my opinion, they just test and test and test and test because most of the insurance companies pay for everything. Another term for that style of practice is "defensive medicine" I think it's just throwing stuff at the wall to see what sticks.

When we were going over the blood tests they wanted me to have I refused most of them. Then a few of them turned out to have actual reasons behind them, and I changed my mind on those. But I still refused the "we do it because we do it" tests.


If they can't articulate a reason for a test, I don't accept it. I'm not interested in "we're just seeing if there is anything there." If there is an indication or risk factor, then yes, I'm all for it.


For example, I'm RH-, so "standard of care" says that I need to get a shot so that I don't develop antibodies to future children. Well, logic says that if my husband is also RH- then my baby can't possibly be RH+. So it made far more sense to us to have him have a blood draw and find out his RH factor instead of me getting an unnecessary "just in case" injection.


I read an interesting article a while back that made a lot of sense to me. The theory was that many practitioners get you used to just doing what you're told to do during pregnancy so that you don't question them; you just follow their orders. Once that pattern is established over nine months, they have a much better chance of you just accepting any/all interventions that they "recommend" (read: push) once birth time comes around.
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  #5  
June 25th, 2014, 11:03 AM
jellis82's Avatar Super Mommy
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Location: AZ
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Just sounds like a pushy doctors office to me. I haven't had any testing so far other than just the initial blood tests. They said I could to the quad screen if I wanted or be sent out for an NT scan (they don't do them in our town), but I just figured that would mean more money out of pocket for me and I'm honestly not worried about the baby having any issues. I would say if they can't give you a good reason for seeing the specialist then tell them no. There's absolutely no reason for you to spend more money seeing a specialist as well if there isn't a real issue that makes you high risk. I don't understand why they think you need genetic counseling if your MaterniT21 test showed absolutely nothing.
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  #6  
June 25th, 2014, 04:02 PM
ReaganorDean's Avatar Mega Super Mommy
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I agree with you. I think just go for your anatomy scan. If all looks good, then why pay for the specialist. At the practice I go to, the anatomy scans are done at a perinatal office anyway, so if there's a problem you're established there as well. For me they have me following up again at 28 weeks for another ultrasound since I have placenta previa and the baby is currently breech. I'm on board with that plan because it's important information to know before birth, or c section if things don't change.

In your case your bloodwork already came back good, so why push an issue unless the anatomy scan shows anything to worry about? I don't like what I'm hearing about how mothers older than 35 are treated at some practices. Just because you're older than 35 doesn't mean there's automatically alarm. Considering your test came back normal, it sounds like they're just being super pushy. I would speak with another OB at the practice and that him/her know your concerns.
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  #7  
June 25th, 2014, 04:49 PM
michelleH's Avatar Super Mommy
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Location: Rochester, NY
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The only thing I would absolutely find out is what the difference between the two scans is, and what the difference in cost would be. It doesn't hurt to be through, IF they have a reason for looking for anything else. Who knows, it may turn out that the two scans are identical and they just recommended you totally waste your time and money!
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  #8  
June 26th, 2014, 01:41 PM
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Join Date: Mar 2014
Location: ohio
Posts: 92
I think I will meet with the specialist after reading about possible complications that could occur late in pregnancy. However, I am declining the extra U/S until the specialist has viewed my A/S. I did call the office and ask a few questions. I wasn't ready to have the DR call me back. But, I am getting a level 2 A/S which is what the specialist would do. I will talk to the midwife on July 3rd wen I go in. The appt with the specialist is towards the end of July.
Thanks for your input ladies!
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