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Preconception meeting - is it necessary?


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  #1  
December 17th, 2009, 07:30 AM
Mega Super Mommy
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I've been reading some of your posts here, and some of you mention preconception meetings when planning new pregnancies after the stillbirth. Do you think these meetings are really helpful? What do they usually do at these meetings? Are these done in regular OB offices? I don't think that my OB who I delivered both my daughter and Eric does these kind of meetings. I'm sure if I ask he'll do one, but I wonder if he'll say anything new to me other than the things that I already know. I mean we don't know why Eric died, so is the preconception meeting something that we need to go to maybe to another specialist?
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  #2  
December 17th, 2009, 08:41 AM
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For me, it was the reassurance I needed to be confident that going into the next pregnancy, I would get what I needed to ensure the arrival of a live healthy baby. It allowed us to put a plan in place for the whole 9 months of what they would provide me with for reassurance. We had ours with a perinatologist and he reviewed what we did know about Robert's death, which wasn't much, and my medical history, and then he proceeded to tell us what he wanted us to do and what he was willing to do to ensure a healthy baby. I found it very comforting to know that these people would do everything in their power to help us. You probably would want to have the appointment with a specialist, such as a perinatologist, to see what extra things they can do to get your next baby to arrive safely. Ours offered extra ultrasounds, extra early genetic screenings, advised me to take a baby asprin a day weeks 12-37, and offered much more frequent NST's. Did your OB say anything about what he thought happened? Or that you would now be considered high-risk? Did he offer any type of additional screenings or testing?
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  #3  
December 17th, 2009, 08:52 AM
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My OB doesn't know what happened. My placenta analysis and autopsy report didn't show anything. Eric was very healthy. He said that his guess would be a freak cord accident (that somehow Eric stepped on his cord or that sort of thing). I asked him if I was considered to be high-risk from now on, and he said that no and that I just have a poor OB history. He did mention that if I were to get pregnant again and go back to him for my future pregnancy that he would monitor me more and have NST twice a week instead of one that he usually does. He mentioned that if I wanted to see a high-risk specialsist he would refer me to one, but he didn't think it was necessary since it would just mean an extra appointment but they don't really prevent stillbirth from happening.
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  #4  
December 17th, 2009, 09:57 AM
rebeccabaltimore and more's Avatar (rebeccabaltimore)
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I saw my OB regularly the entire 7 months between pregnancies, but that's because I was trying to control my diabetes, as it was the direct cause of Ethan's death. It was also helpful to come up with a gameplan for monitoring the next baby and map out how my diabetes management would change in response to the stresses of pregnancy.
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  #5  
December 17th, 2009, 11:29 AM
littlebeansmommy's Avatar Super Mommy
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I ditto what Jessica said. I had one when I was about 5 weeks pregnant (oops) and they laid out a game plan for the pregnancy with me. This was with a Maternal/Fetal Medicine group that is seperate from my OB's office. They double checked the testing my new OB had done and recommended a few additional tests to check for things that could have caused my stillbirth (cause is undetermined). She also recommended the baby aspirin as a precaution even though every test came back normal. She talked with us about not going past 39 weeks and the monitoring they would recommended to my OB after the 18 week u/s. It definitely helped give me some sort of peace about being pregnant again. With the group I'm with, I feel like with more sets of eyes watching and checking growth and stuff, we'd be more likely to catch any problems sooner rather than later.

Although a high-risk doctor can't prevent a stillbirth from happening, I'm very happy with the thorough care I am receiving from them and I'm thrilled my OB suggested going there. Since the doctor's at a perinatalogy group receive some extra training in maternal/fetal medicine, I feel pretty good that they would be able to catch something possibly more quickly than my regular OB. I've had all my ultrasounds done in their office since they have the best possible equipment and we've been very pleased with my care. Yes, there are more appointments, but I feel they are well worth it for my peace of mind. If it's something you think you'd like to do, and your insurance will cover it, don't let him talk you out of it just because he doesn't think it's necessary!
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Last edited by littlebeansmommy; December 17th, 2009 at 11:34 AM.
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  #6  
December 17th, 2009, 12:20 PM
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My OB never mentioned anything like that to me...I told him that I wanted to try again, and he said he suggests waiting 6 months, that's all he told me...He never said anything about future pregnancies or anything...I am not telling my doctors that i'm TTC so I wouldn't go in anyway, but I hope that as soon as I get pregnant, I can get in early and figure something out...I don't know if it's different for an earlier loss than a later...If you had an earlier stillbirth, will they still induce you before your due date? will the moniter the baby more closely? I know there's nothing they can do to stop a stillbirth, but I think the peace of mind will help with the extra care...Helen, are you thinking of TTC again?
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  #7  
December 17th, 2009, 01:39 PM
littlebeansmommy's Avatar Super Mommy
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Quote:
Originally Posted by MeganMomof5 View Post
My OB never mentioned anything like that to me...I told him that I wanted to try again, and he said he suggests waiting 6 months, that's all he told me...He never said anything about future pregnancies or anything...I am not telling my doctors that i'm TTC so I wouldn't go in anyway, but I hope that as soon as I get pregnant, I can get in early and figure something out...I don't know if it's different for an earlier loss than a later...If you had an earlier stillbirth, will they still induce you before your due date? will the moniter the baby more closely? I know there's nothing they can do to stop a stillbirth, but I think the peace of mind will help with the extra care...Helen, are you thinking of TTC again?
Megan ~ My stillbirth was at 28 weeks and yes, they are going to induce me by 39 weeks, even though I carried my first child to term although I can't speak for stillbirths earlier than that. They are also monitoring me much more closely this time with monthly ultrasounds and now 2x weekly NST's. I know you don't want to tell any of the docs that you are ttc again, but it might be a good idea to see if there is any additional testing they can do. I know that my former OB did not run a full bloodwork panel on me and my new OB was quite surprised. The old OB *may have* if I had gone back to her, but I specifically asked in the hospital after we found out and she said she would, but when I requested my medical records to be transferred, there were a lot of things she did not test for that my new OB did. It might help to see a doctor before hand just to know that you have taken all steps possible to get off to a good start in ttc.
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  #8  
December 17th, 2009, 01:51 PM
MeganMomof5's Avatar Platinum Supermommy
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They did do full blood work on me, I think they took like 11 viles of blood...he said all my blood work came back normal, and so did the placenta....I still haven't heard about the autopsy, and it's been over 2 months now ....I have a feeling it was probably her cord, but of course i'm not sure...I haven't told them about me TTC because of the whole cancer thing...I feel like i'm doing something wrong, but it's something I have to do (If that makes sense).
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  #9  
December 17th, 2009, 04:38 PM
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If I weren ot moving in the spring, and would have the midwives from last time I wouldn't even think twice about skipping a pre-conception appt. I already know that they would do extra US and even NST if I felt the need. If I asked they would send me to a peri to get checked, but honeslty there is not much need for it I don't think. In our case Colm had a lean cord and his death was a result of a cord accident. There is nothing that could have been done to save him. He was just at the verge of viability and would have had a difficult go if he had been born early.

Since we are moving and I will need to see people that ar enot fmailiar with me, I would like to be seen either before or very early in pregnancy to know how they would handle my situation.
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  #10  
December 18th, 2009, 08:53 AM
Mega Super Mommy
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Quote:
Originally Posted by MeganMomof5 View Post
My OB never mentioned anything like that to me...I told him that I wanted to try again, and he said he suggests waiting 6 months, that's all he told me...He never said anything about future pregnancies or anything...I am not telling my doctors that i'm TTC so I wouldn't go in anyway, but I hope that as soon as I get pregnant, I can get in early and figure something out...I don't know if it's different for an earlier loss than a later...If you had an earlier stillbirth, will they still induce you before your due date? will the moniter the baby more closely? I know there's nothing they can do to stop a stillbirth, but I think the peace of mind will help with the extra care...Helen, are you thinking of TTC again?
We've been thinking about TTC on and off. I don't know if I should go to the doctor to check my health first. I think I'm fine. They ran many blood tests in the hospital after I gave birth to Eric since I got an infection right after he was born. I guess since it sounds like some of you had preconception meeting while already being pregnant, I might as well wait till then.
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  #11  
December 18th, 2009, 03:07 PM
rebeccabaltimore and more's Avatar (rebeccabaltimore)
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I don't think preconception counseling is always necessary. In my case I had a lot of issues to fix between pregnancies, but if you don't have problems to fix it's probably not really necessary.
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  #12  
December 19th, 2009, 08:57 PM
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I would absolutely have done a pre-conception meeting for our second pregnancy. As a matter of fact, we decided that when Julia was about 18 months old we were going to go back to the same RE that helped us conceive Julia and Noah ... only we never had to do that; we miraculously got pregnant with Sydney the ol' fashioned way when Julia was only 7.5 months old.
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