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What tests/ultrasounds DO you do?


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  #1  
November 23rd, 2010, 07:08 AM
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What are the things you DO have done and why?
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  #2  
November 23rd, 2010, 07:21 AM
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I do have the level 2 u/s at 20 weeks. Mostly because I want to make sure there are no problems that could come up during delivery that are otherwise difficult to diagnose (placenta previa, defects that would require immediate medical help after the birth, etc...). Other than that, I opt out of most things.
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  #3  
November 23rd, 2010, 08:18 AM
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I do the 20 week ultrasound to make sure there are no heart problems or other problems that could cause a difficult delivery. I do homebirth, so it's important for me to make sure baby is all good in there. If there are any signs that indicate a problem that u/s could diagnose, I will do another to confirm/deny. But so far in 2 pregnancies the 1 u/s has been just fine.
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  #4  
November 23rd, 2010, 08:23 AM
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We do the quad screen (DH wants to know if anything may be wrong, I am neutral on it, and they have to draw my blood at that point anyway to check my thyroid levels)


and we do the 20w scan - we would want to be prepared if there was something like a cleft palate, omphaloceal, heart defect, etc.


other than that, I think we skip everything.
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  #5  
November 23rd, 2010, 08:34 AM
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This last time we opted out of the quad screen. My OB didn't see me until 12 or 13 weeks this time so no one ever offered that early u/s that measures the space under the neck... I forget what its called at the moment. I would have skipped it anyway. We did do the 20 week u/s. I also do glucose and GBS. I feel the glucose is important. I know a few women who have lost babies because of undiagnosed diabetes. I always gain a lot of weight, so it puts my mind at ease. GBS... it is standard care. I'm iffy about this. Luckily I have come out negative, so I didn't have to worry. Here, if you opt out of the test and are planning home birth then have to transfer they assume baby has an infection and treat him/her as such, which usually includes spinal tap. If I tested positive I'm not sure what I would do. Although my last labor was 2 hours 20 mins, so there would be NO time for anti-biotics anyway. I think the whole thing is screwy, but I made my decision based on the treatment of baby and just crossed my fingers I was neg.

I also had one NST the morning before Kate was born at my 41 week appt.
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  #6  
November 23rd, 2010, 08:49 AM
Isaeph's Avatar Jennifer the Momma
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We did the triple screen, 20w u/s, gd, and gbs with ds1. We decided immediately after the triple screen that we'd opt out in the future, no one told us we could at the time and we had no clue. With dd we did the u/s (but not until 31ish w since we didn't have care at 20w as we were moving then and took a while to find care), and gbs...again, didn't know I could refuse. With ds2 we had an u/s around 21w and that's it. Next time we might not do an u/s either. Still thinking through that one.
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  #7  
November 23rd, 2010, 09:25 AM
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I did the 20 week u/s and the glucose test, I'll also be doing GBS, and hoping for a negative result. I can waive antibiotics, but it does become an issue should a transfer be required.
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  #8  
November 23rd, 2010, 09:57 AM
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Everything but the Gestational Diabetes test and Rubella screen..
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  #9  
November 23rd, 2010, 11:24 AM
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I do everything but the std screenings (yes, I do know my husband is faithful and have had normal screenings in the past), quad screening and deny most pelvic exams unless there's a reason.
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  #10  
November 23rd, 2010, 11:55 AM
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I did bloodwork early on, to check iron levels and beta levels and such (10ish weeks)
Then I had the anatamy u/s @ 20wks
@28weeks I did a blood glucose draw & iron check (glucose was 2hrs after eating no yucky drink)
and I'm going in again 34wks to dbl check iron again but only because my iron while in the normal range was kinda low
then @ 36wk I have the GBS test.
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  #11  
November 23rd, 2010, 01:00 PM
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I had the early HCG tests done, because I had terrible cramps at like 4 - 6 weeks along.
I did the early blood tests at 9 or 10 weeks.
They did the STD test without consulting me, really. Even though I'd just had it done for a separate issue (and didn't even need it done THEN), and I told them this.
I did 1 glucose test at like 12/14 weeks (because I'm overweight, they wanted 2)
I did the triple marker test
I did the 20 week ultrasound
I did the 2nd glucose test at 28 weeks, and they tested my iron and Rubella...

I'm curious. They've tested my Rubella EVERY TIME I've had blood drawn. Why? is that REALLY necessary?

I did have a 3D ultrasound done a month and 1/2 ago, but that was elective, and completely because I wanted to see my tiny bitty baby again, before he was born.
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  #12  
November 23rd, 2010, 01:16 PM
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With both girls I had blood levels drawn and HCG levels done early on because I had bleeding early for both. I also had an early u/s done for dating with both girls because both times I wasn't sure when I had gotten pregnant. With Lily I thought I was not as far along as I was and with Vi I thought I was further along than I was.

With Lily I also had an u/s around 7 weeks because my HCG levels were super high but the dating u/s didn't find anything so the OB thought she was in my fallopian tube and it was an ectopic pregnancy. But the specialist found her right away.

Then I had the 20 week u/s with both girls. Lily had one more u/s to get a better pic of her heart because the 20 week u/s wasn't very clear and it looked like she didn't have all the chambers.

I did the GD and GBS screenings with both as well.
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  #13  
November 23rd, 2010, 06:04 PM
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With dd1 I did the AFP (hate that), the 20wk U/S and then I had a cpl lvl2 U/S because the AFP had a marker of downs-->I researched the AFP and saw how unreliable it was and how it stressed me out so bad during my first pregnancy that I've not done it again. I didn't do glucose w/ Kailey, I don't think I did the Strep thing... in either case it wouldn't matter I had to be on antibiotics during labor for my heart anyway...I had a pap w/ Kailey and it HURT.

Twins: (m/c), I had blood draws and u/s & was on promethium for a couple weeks until I could get the u/s that confirmed no more babies.

DD2 I did..... uh.... 20 wk scan at 25wks aaaaannnnndd...... I think I did the strep thingy ( I can't ever remember those things), but doesn't matter because I wouldn't take the antibiotics anyway (don't need them anymore for my heart).

I'm 95% sure I'm pregnant, testing in the morning, but if I am we will only be doing the 20wk scan.




1.) What is the STD screening? Maybe I just know it by a different term/name?

Quote:
Originally Posted by Caelen View Post
I do everything but the std screenings (yes, I do know my husband is faithful and have had normal screenings in the past), quad screening and deny most pelvic exams unless there's a reason.
What prompted me to ask this is if I go a certain route in care this time they'll suggest a pap because I don't get them done regularly and I'm wondering if I should deny it.
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  #14  
November 23rd, 2010, 07:05 PM
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Quote:
Originally Posted by Stiana View Post
With dd1 I did the AFP (hate that), the 20wk U/S and then I had a cpl lvl2 U/S because the AFP had a marker of downs-->I researched the AFP and saw how unreliable it was and how it stressed me out so bad during my first pregnancy that I've not done it again. I didn't do glucose w/ Kailey, I don't think I did the Strep thing... in either case it wouldn't matter I had to be on antibiotics during labor for my heart anyway...I had a pap w/ Kailey and it HURT.

Twins: (m/c), I had blood draws and u/s & was on promethium for a couple weeks until I could get the u/s that confirmed no more babies.

DD2 I did..... uh.... 20 wk scan at 25wks aaaaannnnndd...... I think I did the strep thingy ( I can't ever remember those things), but doesn't matter because I wouldn't take the antibiotics anyway (don't need them anymore for my heart).

I'm 95% sure I'm pregnant, testing in the morning, but if I am we will only be doing the 20wk scan.




1.) What is the STD screening? Maybe I just know it by a different term/name?



What prompted me to ask this is if I go a certain route in care this time they'll suggest a pap because I don't get them done regularly and I'm wondering if I should deny it.
Curious as to why you don't get a pap done regularly? I don't get them done if I am pregnant, but do on a yearly basis.
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  #15  
November 23rd, 2010, 07:19 PM
Sk8ermaiden's Avatar Platinum Supermommy
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We do all the normal blood tests (no quad screen.)
I did the GD test even though I don't like it. Next time I'll be doing tandem care and I may do it with my midwife and decline with my OB.
We do the anatomy scan.
I did GBS even though I think it's SO stupid. I'll do it again, but this time I'll make sure I pass.
I allow BPP/NST at/after 41 weeks, to check on things and keep my providers calm and positive.
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  #16  
November 24th, 2010, 01:30 AM
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95% sure you're pregnant!!!!?! - I want to see a POAS pic tomorrow morning! LOL!

tests - because of 2 previous m/c I had an early ultrasound scheduled - started to spot that morning but all was well. (had 2 subchorionic hematomas) Had a second u/s about a week later just to check on the SCHs.
Also did a 20 week scan - because I had a home birth and just wanted to check that baby wouldn't need to be born in a hospital. (baby ended up being an emergency transfer - but not because of anything preexisting and is fine now! )
Did the normal blood work - iron/std test
did the GBS test
No quad screen, no nucal fold, no amnio, no cvs.
I had a pap done at my 6 week post partum. - I'd say do that. I hadn't had one in about 4 years. Every 3 years is Canada's new recommendation for women who have had normal results. There isn't really a point doing one now if you are pregnant because they won't do anything about it if it's abnormal - just check it again 6 weeks post partum. SO why find out something that will cause you stress when your pregnant if there isn't anything you can do about it?
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  #17  
November 24th, 2010, 06:40 AM
Caelen's Avatar Platinum Supermommy
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Quote:
Originally Posted by Stiana View Post
With dd1 I did the AFP (hate that), the 20wk U/S and then I had a cpl lvl2 U/S because the AFP had a marker of downs-->I researched the AFP and saw how unreliable it was and how it stressed me out so bad during my first pregnancy that I've not done it again. I didn't do glucose w/ Kailey, I don't think I did the Strep thing... in either case it wouldn't matter I had to be on antibiotics during labor for my heart anyway...I had a pap w/ Kailey and it HURT.

Twins: (m/c), I had blood draws and u/s & was on promethium for a couple weeks until I could get the u/s that confirmed no more babies.

DD2 I did..... uh.... 20 wk scan at 25wks aaaaannnnndd...... I think I did the strep thingy ( I can't ever remember those things), but doesn't matter because I wouldn't take the antibiotics anyway (don't need them anymore for my heart).

I'm 95% sure I'm pregnant, testing in the morning, but if I am we will only be doing the 20wk scan.




1.) What is the STD screening? Maybe I just know it by a different term/name?



What prompted me to ask this is if I go a certain route in care this time they'll suggest a pap because I don't get them done regularly and I'm wondering if I should deny it.
The doctor I am seeing this time wanted to do cultures and stuff to test for chlamydia and a blood screening. The blood screening they did without my consent because I had to have a blood draw done anyway (my first time at the office, no transfer of records) but I declined the pap and cultures. I also declined HIV testing for the blood tests since the opportunity to decline was offered and I didn't want to mess with it. I had everything done "by the book" with DS and there was nothing wrong with me. I don't imagine it changed in a year and a half. The pap I will do PP (I'd had one done not long before turning up pregnant, so its unecessary, I'm not due for one) and I will not do the cultures for chlamydia.

If you decline the pap is up to you really. I do them yearly and wasn't due for one, plus I had been having a good deal of spotting and didn't want the added stress of it causing more possibly. We think that my cervix was just very sensitive at that time, but it wasn't like that with my first pregnancy. Maybe someone else can help you out on that one or discuss it with your doc. They'll likely want to do one if you haven't had one done in a while, but its within your rights to decline it.
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  #18  
November 24th, 2010, 06:47 AM
Caelen's Avatar Platinum Supermommy
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Oh and I think the pain or lack of pain with a pap can totally depend on the doc..

With my first pregnancy it wasn't painful at all, but I managed to get a NP that was very gentle. She had kids of her own so I would imagine the personal experience helped!

Then after pregnancy I was on a state program in MN for birth control (4now) and was going to planned parenthood for exams. They had the most wonderful doctor ever there! I told her that I hoped she ended up in a normal obgyn office someday because I would love to have her be my OB for prenatal care. Again, she had kids of her own, so I think the experience helped!

For my last pap I had some grouchy old male obgyn and it did hurt. I wasn't pregnant at the time either.

I think the care provider can make a lot of difference!
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  #19  
November 24th, 2010, 07:11 AM
monica8's Avatar Platinum Supermommy
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We do two u/s. One for dating, the other at 20 weeks.

I do the blood work and GD test. Also they listen to the HB on doppler at every appointment.

Basically I'd like the 20 week u/s and nothing else. I go to an OB right now and they'd give me a lot of slack for not doing the others. I really like my doc, but we're switching to a midwife for my next pregnancy because of all the stuff they consider routine.
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  #20  
November 24th, 2010, 07:21 AM
Earthy.Mama's Avatar .*.*.*.*.*.*.*.*.*.*.*.*.
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Oh I had a Pap done just this last fall, and it really hurts to get one when pregnant so I'd decline it.

I am a week late, but the test is negative this morning so it must be other factors. Oh well...

I did the HIV thing w/ Kailey but haven't w/ others. I don't see the need to continue with the STD testing thing.
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