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Forum: High Risk Pregnancy


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October 9th, 2008, 12:53 PM
victorialv's Avatar Mega Super Mommy
Join Date: Aug 2007
Posts: 2,926
Hi ladies, I was told that this board might be a good place for advice. I am thinking about switching doctors and would really appreciate your honest opinion. I chose my doctor based off of 2 different recommendations, but I am just not sure how I feel about my care. I have 2 gene mutations of MTHFR, so I take heavy levels of B Vit's and Lovenox 40mg/day, along with BA. This is what concerns me:

1. He does not know what Metanx is (it is the vitamin which contains big doses of B Vit and Folate).
2. He has done 1 ultrasound at 20 wks and does not plan on doing anymore.
3. He does 0 testing to make sure Lovenox is working correctly.
4. His nurse is a total nit-whit; among other things, she told me to go to L&D if I think there is a problem rather than call them.
5. They chose not to take blood/urine samples this last appt. and told me they would only do so if I had elevated BP from now on.
6. I am a completely normal patient to them. I receive the exact same care someone would that had 0 problems.

Should I find another doctor this far along? I really like him, and I know he is very well known/respected in the community as a great OB, but I am starting to worry that they think everything must be hunkey-dorey as long as my fundal measurement isn't way off (I measured 28 y-day, but I measured 26 at my 25 week appt.?!), and my BP checks out.

Would love your thoughts...........

Angels in Heavan.
Helena May, June 28, 2007 & Alexander Michael, October 11, 2007
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October 9th, 2008, 01:52 PM
Cindermella's Avatar Freakin Know it all
Join Date: Aug 2005
Location: Canada
Posts: 13,606
Your fundal measurement can change drastically solely based on the position of the baby.

If you really like this guy then tell him you would like a blood test to check on the status of the lovenox. Who prescribed you with the lovenox in the first place?

There is nothing wrong with being treated normally.

I am the "who" when you call, "Who's there?"

I put the "D" in lysdexia

Sanity is a cozy lie.

Click here to remember Donovan
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October 9th, 2008, 02:16 PM
ambee's Avatar Platinum Supermommy
Join Date: Jan 2006
Posts: 5,740
I'm not sure I'd necessarily switch doctors at this point in the game, though I would definitely talk to him about your concerns. At my doctors office having any kind of clotting disorder immediately makes you high risk. As a high risk patient we recieve more ultrasounds and just a little more close eye kept on us.

If you're concerned I'd sit down with him and ask him why he thinks you don't need to be treated as a high risk patient. He may have very valid points that would make you feel a lot better. Or, he may not and you may decide you'd rather switch to a doctor that takes you a bit more seriously...

Good luck, keep us updated!

*Thank you so much to Jaidynsmum for my beautiful siggy!*

Sophie Lucille: In my life for a moment, in my heart for a lifetime. May 25th, 2006 at 16 weeks.
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October 9th, 2008, 06:34 PM
M!che!!e's Avatar Platinum Supermommy
Join Date: Jul 2005
Location: NYC born and raised. Now stationed in Savannah, Ga HAAF!
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i know there is risk with lovenox injections, a friend of mine has thrombophilia and has needed them for both of her pregnancies. i know there is a risk of fetal brain hemorrhage with the injections (she told me when she was pregnant with number 1 that it was a controversial therapy) and if i were you i would complain. you are high risk and high risk mothers need special treatment. you are far along, i am surprised your ob hasn't referred you to a high risk ob, even for occasional visits.

if i were you i would stick it out with him (mainly because most ob's won't take patients this late in the game) but maybe see if you can get into high risk ob for a consult. i wish you luck with this.

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October 10th, 2008, 07:32 PM
victorialv's Avatar Mega Super Mommy
Join Date: Aug 2007
Posts: 2,926
Thanks ladies, I really appreciate all your thoughts and opinions. I am still not sure what I am going to do, but maybe a few days processing everything I have read will help me decide.

Who prescribed you with the lovenox in the first place?

There is nothing wrong with being treated normally.[/b]
My RE prescribed everything I am taking currently. I know there is nothing wrong with being treated normally, and some high risk mommies would actually prefer that, but not me.

I am anxious now with regards to all things pregnancy-related after my 2 mc's and like to know e-v-e-r-y-thing, so skipping tests and that sort of thing makes me really nervous.

Angels in Heavan.
Helena May, June 28, 2007 & Alexander Michael, October 11, 2007
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October 14th, 2008, 03:33 PM
Posts: n/a
Them choosing to not do urine samples in the third trimester is pretty stupid. I wouldn't be comfortable with that at all. Urine needs to be checked every appointment and the fact they feel its not needed is strange.
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