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Should I be concerned?


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  #1  
July 28th, 2009, 02:41 PM
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Sorry I have been MIA but I have been unable to log in sindce the site change. I had to completely use a new email address to redo my account today. Anywho...
I asked my OB last visit how often I would be seen and how often the ultrasounds would be. He said that I would be seen every 4 weeks until the 3 trimester then more often (sounded just like with a singleton pg). He said I would have a 20 week ultrasound and then one around 30 to 34 weeks and that would be all. I am concerned this is not watching a twin pregnancy enough. I will be 15 weeks on Thursday. I had to pull their teeth today to go ahead and schedule my 20 week ultrasound. They said they don't schedule ahead. The girl is only there 2 days a week. I am upset. Should I be? What should I do? Here in AL BCBS assigns you a nurse during your pregnancy, and she had told me that I could expect frequent ultrasounds. I am thinking about calling her and seeing what I should do.
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  #2  
July 28th, 2009, 03:12 PM
Celry's Avatar Platinum Supermommy
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Sounds a little odd to me, but the game plan may change as you get further long.

I was supposed to have one u/s a month after my 20 week one. I ended up with more because of the amount of contractions I was having. I wasn't supposed to start having weekly u/s until 32 weeks, but started those around 24 weeks and then stopped at about 28 because things looked good. I started up again at 32. I had regular OB appointments every 4 weeks at first. I think those were going to be bumped up to every 3 and then 2 as I went along and once per week after 32 weeks. I've been having weekly appointments since 24 weeks for NSTs because of my contractions.

If you aren't happy with your care, you should definitely look around. You may want to switch to someone who handles a lot of multiple pregnancies. My current OB does, my old OB did not. I felt more comfortable with my current doctor because she has an incredible record with twins and triplets.
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  #3  
July 28th, 2009, 03:25 PM
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Personally, I would be upset. From everything I read every twin pregnancy is at higher risk and needs to be monitored more closely. Sometimes it seemed like a hassle going to the Doc so much but I know I needed to...and I had no issues (that really concerned them) until I was almost 36 weeks and that issue took me into an emergancy c-section on a day I wasnt even scheduled to see the doctor. I saw mine every two weeks starting at either 20 or 22 weeks, then weekly at 28 weeks.

I would ask your dr why he doesnt want to see you more often. You could also see if your nurse can give you a referal to another dr.
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  #4  
July 28th, 2009, 09:41 PM
*Mandy*'s Avatar Co-Host Moms of Multiples
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I was feeling the same way you were.I had one ultrasound at 6 weeks and then never had another one until 18 weeks.I was SO worried.I go see my OB every month just like a singleton pregnancy would,I also don't see a Peri but they did give me the option.They had told me there's no need to unless a problem arises then i will be sent to the Peri,so far so good though and i've just been seeing my OB because they also specialize in twin pregnancies.I have had an ultrasound at 18,21 and 25 weeks.I'm almost 26 weeks and have my last monthly appointment in August and then i will start going every two weeks and getting ultrasounds more frequently.My OB seems to follow the same schedule as a singleton pregnancy(besides the sonograms every 3-4 weeks) up until the 3rd trimester as well.

Are you having Fraternal or Identicals?If your worried i would defiantly bring it up to them again and also ask about seeing a Peri.
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Last edited by *Mandy*; July 28th, 2009 at 09:43 PM.
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  #5  
July 29th, 2009, 06:16 PM
*TornadoJenn*'s Avatar Jenn's the name
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I personally wouldn't go for it. They should be watching you closer. That is my opinion.
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  #6  
July 29th, 2009, 10:47 PM
mayandsofiasmommy's Avatar Platinum Supermommy
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Quote:
Originally Posted by TandBsMom View Post
Sorry I have been MIA but I have been unable to log in sindce the site change. I had to completely use a new email address to redo my account today. Anywho...
I asked my OB last visit how often I would be seen and how often the ultrasounds would be. He said that I would be seen every 4 weeks until the 3 trimester then more often (sounded just like with a singleton pg). He said I would have a 20 week ultrasound and then one around 30 to 34 weeks and that would be all. I am concerned this is not watching a twin pregnancy enough. I will be 15 weeks on Thursday. I had to pull their teeth today to go ahead and schedule my 20 week ultrasound. They said they don't schedule ahead. The girl is only there 2 days a week. I am upset. Should I be? What should I do? Here in AL BCBS assigns you a nurse during your pregnancy, and she had told me that I could expect frequent ultrasounds. I am thinking about calling her and seeing what I should do.
I would switch doctors NOW! You cannot go every 4 weeks, that is ridiculous. Things can change SO fast with a twin pregnancy. Starting at 20 weeks, I was in every other week w/ a quick u/s at every appt. since dopplers are not reliable w/ twins.

Can you request to see a perinatologist?
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  #7  
August 6th, 2009, 03:49 PM
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I have been on vacation so I have not been around to post. I am not seeing a peri. To see one we would have to drive 1.5 hours away. I am having fraternal twins. I will most definitely balk at the idea of 2 more ultrasounds. I will fake something. Girls, I may need some help on what to fake. LOL We are so limited on Drs here and I work in the medical field and don't know of another one I would go to. I feel stuck.
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  #8  
August 8th, 2009, 02:37 PM
mayandsofiasmommy's Avatar Platinum Supermommy
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Can you switch to another OB? Can you talk to your current one and tell him you need more u/s and that it is standard to get one every other week? Where are you located?
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  #9  
August 8th, 2009, 03:21 PM
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I'm 17 weeks now, and have now clue what is normal, but so far I had an ultrasound at 13 weeks then another at 20. I had an appointment at 12weeks, 16weeks, and then my next is 20weeks. I'm going to see about seeing my doctor maybe a little more frequently.
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  #10  
August 16th, 2009, 06:33 AM
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I have an appointment with my OB tomorrow and will talk to him about my concerns. It has been 4 weeks since I saw him. I have my ultrasound scheduled for Aug 31 and I will be 20 weeks. I had my last one at 12 weeks. Drs are so funny about what they will listen to and accept. My nurse with Blue Cross said I might have to go in a lot complaining of decreased fetal movement. I think after a while they might catch on to me.
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  #11  
August 16th, 2009, 08:00 AM
mayandsofiasmommy's Avatar Platinum Supermommy
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I just wanted to add that I saw my OB I think once a month until week 19 or 20. That is when I started the every other week visits. But definitely bring up your concerns. I would ask to be seen more!
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  #12  
August 16th, 2009, 08:51 AM
TheyGrowLikeWeeds's Avatar Platinum Supermommy
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Some OB's are not really used to dealing with twin pregnancies. They will continue to treat you like a regular singleton cause that's what they are used to. Being a twin pregnancy, that should require a closer watch. You are in the high risk category (this does not mean your pregnancy will have complications, but it just needs a closer watch than singletons). You should go switch your OBGYN to one that has handled high risk pregnancies before. A high risk clinic is in your best interest.

I was seen every month from day one. Once it was determined I had multiples, I was in every month for a check-up and a quick ultrasound just to check for fluids and movement. Some OBs don't trust the Doppler's responses so that might be a personal opinion on the doctor.

If you feel you are not getting enough treatment, then do go look for an office that is equiped to handle your pregnancy as you feel more comfortable with.
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  #13  
August 16th, 2009, 09:24 AM
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Just to let you know, I had an u/s confirming pregnancy at 8 weeks, u/s for first trimester screening at 12 weeks, anatomy u/s at 18 weeks. I have one coming up that will be 24 weeks and then I have them scheduled for every 4 weeks, all growth scans.
As for Dr. appointments, I have been going every 2 weeks since 14 weeks so they can check my cervix as I am at risk for incompetent cervix. Now I am 24 weeks I am clear of that but their standard care for twins is every 2 weeks until 30, and then every week. At the doctors office they do a quick u/s to check heart rates as they told me doppler is inaccurate with twins.
I am not sure how typical my office is but I am really pleased to be seen so often; it is reassuring everything is okay.
Good luck
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  #14  
August 16th, 2009, 10:25 AM
tundrababy's Avatar Mega Super Twin Mommy
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Quote:
Originally Posted by TandBsMom View Post
I have an appointment with my OB tomorrow and will talk to him about my concerns. It has been 4 weeks since I saw him. I have my ultrasound scheduled for Aug 31 and I will be 20 weeks. I had my last one at 12 weeks. Drs are so funny about what they will listen to and accept. My nurse with Blue Cross said I might have to go in a lot complaining of decreased fetal movement. I think after a while they might catch on to me.


I only saw my OB every 4wks until I was 28wks and during that time I only had one outpatient u/s at 20wks then every 4wks after that. My OB happened to do u/s in office b/c he had one in the office and the boys HB was always similar if not exact for every visit until I was 20wks when it was easier to tell the boys apart. It seems like every girl has a different experience with OB during their twin pregnancy - my OB doesn't really consider di/di pregnancies (he averages 20 twin sets yearly) high risk and although I got more monitoring than my singleton pregnancy it seemed like some girls with singletons in my DDC got a lot more monitoring than me. I never saw an peri (this was all until I had pre-e start @ 32wks) or any other specialist - just my OB. I think in the end it really comes down to how much you trust your OB, I love OB (too bad no more kids for this mama!!) and trusted him implicitly.
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