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Frustrated and confused

Forum: 2013 Playroom


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  • 1 Post By Kim3

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May 21st, 2013, 12:12 PM
ashleykathleen's Avatar Mega Super Mommy
Join Date: Mar 2010
Location: Texas
Posts: 3,612
Just got back from all my appts today (u/s to check fluids, NST, OB appt). To say I'm frustrated and confused would be an understatement...my fluid levels dramatically increased over the past 4 days (went from 24 to 28). Baby passed NST but it took forever because she just refused to move. I made sure to mention to my OB the dramatic decrease in movement that I have noticed over the last week or so an she wasn't pleased. She said I should be feeling more movement since I have all this extra fluid. I also have lots of blood in my urine and am starting to show my standard tell-tale signs of kidney issues (this has been a problem with every single pregnancy and I've managed to avoid it up until now).

Based on the EDD of June 10th that my OB and u/s use for me, I'm 37w1d today. My doctor is overall not pleased with how quickly my fluids are increasing, how little baby is moving despite having more than enough room with all the extra fluid, and she really doesn't like my kidney insuffiency that I'm starting to show. She told me if it was up to her she would induce me sometime this week...however, my insurance will not cover an induction before 39 weeks for polyhydramnios UNLESS baby is showing "extreme distress". On the one hand, I would like to bake her a little longer. On the other hand, if my dr is that concerned with what my body is doing and how it might effect the baby...why the heck does the insurance company get to have the final say?? The only reason this upsets me is that my dr is not the type to just jump the gun and recommend induction or csection unless absolutely necessary. The fact that my dr seemed so concerned is what freaks me out.

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May 21st, 2013, 12:16 PM
TeresaV's Avatar Mega Super Mommy
Join Date: May 2012
Location: NY State
Posts: 1,750
Sounds kind of subjective. What constitutes "extreme" distress? If the doctor is indeed not happy with the results, which it sounds like they are not, then why can't the doctor call it extreme distress? It seems like if the doctor is concerned that should be good enough for the insurance company.

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May 21st, 2013, 12:17 PM
zkat's Avatar Mega Super Mommy
Join Date: Aug 2009
Posts: 3,743
You can appeal your insurance company decision and I would at least call someone in this case just to see.

Sorry it is so stressful. Hopefully you get some resolution soon.
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May 21st, 2013, 12:35 PM
Mega Super Mommy
Join Date: Dec 2012
Location: Northeast USA
Posts: 2,153
I would talk with your doc again. The doc can write a note in a way that the insurance will authorize. Just takes the right wording.
TeresaV likes this.

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May 21st, 2013, 12:37 PM
MamaSkunk's Avatar Mega Super Mommy
Join Date: Oct 2012
Location: Minneapolis
Posts: 3,068
If your Dr is concerned about everything and wants to induce you next week then I would say do it hun. The risks of polyhydramnios I don't think I would push trying to bake her longer. And as far as the insurance company I guess I would say to hell with them for right now. Deal with them later or have the Dr note that there was extreme distress. And I guess I'd rather have to pay for the induction out of pocket myself if I was concerned about my baby's safety. Which you and the Dr seem concerned so I'd say schedule that induction!

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May 21st, 2013, 12:45 PM
Super Mommy
Join Date: Sep 2012
Location: St. Paul MN
Posts: 773
Would your doctor authorize "extreme distress?". We can't allow insurance companies to put our health and the health of our children in such danger because they have the say so. If it's better for her to come out now, then they'll see that with a properly worded note from your doctor.
Mommy to Isaac 8.1.07 Gabriel 7.2.09 and Samuel 6.15.13
Angel Babe 9-16-2012 5wks
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May 21st, 2013, 02:10 PM
Mega Super Mommy
Join Date: Nov 2012
Location: Iowa
Posts: 1,511
The insurance company can only goes off what the dr puts in writing. So it sounds like you need to char with your dr let her know about the insurance 'issue' and ask her what they can do to get this covered. Document, document, document!

I hope everything gets resolves quick and baby is okay

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May 21st, 2013, 02:16 PM
navywifey2003's Avatar Home Birth Mama
Join Date: Dec 2007
Location: Clovis, CA
Posts: 37,585
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I would say that not only are you at risk but so is your sweet girl. Screw the insurance company. What about kidney issues for you? What does your insurance say about that?

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