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I switched from OB to MW... appt today


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  #1  
May 26th, 2011, 08:27 PM
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Basically I was sick and tired of the inattentive care from my OB. When I fell 2 weeks ago, she said "I'm sorry you fell, but the baby is ok." That really ticked me off because this message was relayed over the phone, and she didn't even address that my initial call was because I WAS CRAMPING affter my fall... I knew Bug was ok... I felt movement. Factor this in with the fact that she treats me as a normal OB pregnant patient, won't acknowledge any of my high risk issues and says to talk to the peri or a specialist about it... I didn't like that. I've always loved the experience of a midwife. Well whaddya know? The MW practice I used to visit added a perinatologist to their offices!!!!! They are happy to take me on as a patient. Basically I will have my standard prenatal care from the MW, and anything above them will be reviewed by the peri and I will see him once a month in conjunction with the MW!

I got a few questions answered that the OB never had time for, and I thanked her... she said "Welcome to the care of a MW!"

I posted the basics as a FB status and I'll add the more detailed stuff here
-My midwife appointment went great today. Little guy had a heart rate of 152. I'm measuring big (duh) and I still haven't gained any more weight. There was a bunch of other detailed medical crap discussed that I'll spare you, but of course you can ask if you want to know I see the peri in two weeks, and I'll be released to the full time care of the midwife with a different peri overseeing my high risk needs.-

Issues-
1. I'm measuring big. Baby always has measured big, even ahead of MY calculations. I'm fairly certain of my O date, but because of u/s measurements, and how big my uterus is, how early i've experienced XYZ, I've honestly wondered if something was off. The first u/s where they saw more than a clearing, i was 5w3d (4w6d based on LMP), but BUG measured 6w even. At my 12w u/s, Bug measured 10 days further than LMP date, 7 days further than *MY* O date... and I really started wondering if maybe I was off. I mean, I wasn't charting/temping/OPKing/CM or CP checking, I just felt O like cramps and I figured that was it. When i got my BFP, I was 12DPO from *MY* calculations, 9DPO from LMP calculations... and that test blared like I was 2 weeks late. The MW said it sounds like it could be likely, but they don't really need to variate much when it comes to EDDs unless I am overdue. I won't have that problem. But my concern was the injections. I know Lovenox is harder to reverse in an emergency than Heparin. So what if, when I'm 37 weeks, Bug is actually 38 and wants to come... Will I be ok as far as timing and being off the shots? So I am wondering how this will pan out as I get further along. Maybe they will switch me to heparin when i hit 36 weeks? I'm not sure... but she acknowledged that concern and made a point to take a note down in my chart. She's willing to agree that I could be as much as 7-10 days ahead of LMP date.

2. Preterm labor. I've realized I can't say "Well, maybe I'll get lucky and it won't happen this time." Because I can't. It happened with Robert. I figured it was a fluke. I said it and it happened with Emma. I figured I just had some crappy luck. With Adelle, I said it again... and guess what; it happened AGAIN. So I know it will happen. I was terrified of having to spend from 26-36 weeks on Terbutaline. She said "They actually blacklisted it in Feb for long term use. Patients aren't allowed to be on it for more than 24 hours now." So then I have to worry about what I will do for preterm labor prevention... and I asked about progesterone shots. She said I would actually be a good candidate for them considering my history. But that is over her head and I definitely need to bring it up with the peri at my next visit.

3. L&D- if I make it to 35+ weeks, I'm golden. I won't have to be sent to the high risk hospital! L&D is cake for me, it's just getting there that is a problem.

She was more than happy to have me as a patient, even with my risks/complications. She's happy that I am happy that I get to have the MW experience I want. I'm so excited and I actually believe this will happen this time! So as long as nothing goes wrong before then, I see the peri with the big practice on June 8th for my 2nd tri scan, I'll talk to him about a few things for testing after birth to see my risk factors for any future pregnancies and if they would be possible or not, then I'll be released from them for the duration of the pregnancy.

I know, that's a lot to say... and I think that's it. Thanks for reading!
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  #2  
May 26th, 2011, 08:48 PM
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I just made the switch to MW and it is heaven. They are so attentive. I am in love with mine. I am sorry that pregnancy is so rough on you. I sure hope that preterm labor will be less of an issue. That is tough!! Good luck with their practice!
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  #3  
May 26th, 2011, 09:02 PM
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How exciting!!!!!!
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  #4  
May 27th, 2011, 06:01 PM
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Yay! I hope to be able to see a MW if I ever conceive.
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  #5  
May 30th, 2011, 08:18 AM
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I had midwives for my first two children along with an OB for back up. It was great. She was much more about what the patient felt/thought than just the problems if that makes sense. I wanted to see one here but due to my history (before my losses) they couldn't take me. I saw an OB whom I absolutely love now. So I think it can go both ways. I am glad you are happy with the midwife and I hope you make it to 35 weeks and get the delivery you want.

I had preterm labor with my first two....I hope I don't have it with this one.
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  #6  
May 30th, 2011, 05:37 PM
plan4fate's Avatar I may bend, but not break
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that all sounds fantastic!

I'd love a midwife, but since Midwife's can't deliver in Wisconsin hospitals (from what I can find anyways), that'll be out. I'm a huge wuss for pain, and since there's a 1 in 3 chance I'll break my pelvis pushing, I'd like the option of an epidural so Sucky OB's for me in the future.
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