moving from RE to OB

moving from RE to OB

jnoels
jnoels

January 3rd, 2012, 4:57 pm #1

Hi Ladies,

So my RE (and my health insurance) is officially graduating me and passing me off to my regular OB. Had an u/s yesterday and things looked good. Everything is measuring on track ( 7weeks), and the heart rate was strong 141. However, I am still feeling REALLY anxious, and I really, really, really wish I could stay with Check for a few more weeks.

A couple of questions for you gals about moving back to your regular OB:

1. I have an appointment for 2 weeks from now, when Ill be 9 weeks. Should I push for one sooner?

2. This office does not perform u/s or scans in the office they send you to a differently facility for that. I feel like that cant be standard practice. Im considering switching OBs for a variety of reasons, but I wanted to hear from you ladies first: there ARE OBs who do the ultrasounds and scans in their own offices, yes? It seems like that would have to be the case. (Nervous about this in part b/c if I go in at nine weeks, and THEN schedule an u/s it could be as late as 11 weeks, and I really, really, really dont think I can wait that long.)

3. I know that Ill be a high risk pregnancy two previous miscarriages and 36 at delivery. Should I push to go ahead and make a first appointment with a perinatologist, rather than a standard OB?

4. For anyone in the Philly area suggestions for a great OB?

Thanks, ladies!

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jnoels
jnoels

January 3rd, 2012, 5:22 pm #2

The English teacher in me is reeling - I copy and pasted from word and I guess some punctuation got lost. Oh, the run-ons!
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Mrs. A
Mrs. A

January 3rd, 2012, 5:23 pm #3

Hi Ladies,

So my RE (and my health insurance) is officially graduating me and passing me off to my regular OB. Had an u/s yesterday and things looked good. Everything is measuring on track ( 7weeks), and the heart rate was strong 141. However, I am still feeling REALLY anxious, and I really, really, really wish I could stay with Check for a few more weeks.

A couple of questions for you gals about moving back to your regular OB:

1. I have an appointment for 2 weeks from now, when Ill be 9 weeks. Should I push for one sooner?

2. This office does not perform u/s or scans in the office they send you to a differently facility for that. I feel like that cant be standard practice. Im considering switching OBs for a variety of reasons, but I wanted to hear from you ladies first: there ARE OBs who do the ultrasounds and scans in their own offices, yes? It seems like that would have to be the case. (Nervous about this in part b/c if I go in at nine weeks, and THEN schedule an u/s it could be as late as 11 weeks, and I really, really, really dont think I can wait that long.)

3. I know that Ill be a high risk pregnancy two previous miscarriages and 36 at delivery. Should I push to go ahead and make a first appointment with a perinatologist, rather than a standard OB?

4. For anyone in the Philly area suggestions for a great OB?

Thanks, ladies!
Congrats on the "graduation"! It's very exciting! But I know what you mean about wanting to stay with Cooper. Becky was so fantastic and I didn't want to leave. I was with them for far longer than you (had some issues with P4 and placenta taking over) and it was so hard to cut the apron strings!

1. Technically there is no medical reason to be seen sooner than the next 2 weeks but if you want peace of mind and are anxious to get those early OB discussions going then don't feel bad about asking to be seen sooner.

2. OB u/s practices vary. Some are due to OB preference and others due to insurance. My OB's office has a travelling sonographer who comes in and does the u/s. I had all my u/s done in office by her. However, a friend of mine who is also a patient of the same OB had to go to an u/s facility for all her u/s because her insurance would not cover them if done in-office. So it really depends. I'd first find out what your insurance will cover before making final decisions on OB based on this.

3. How far along were your other 2 miscarriages? You very well may be fine with seeing your standard OB. At your first OB meeting you should have the discussion about bringing in perinatology care (a.k.a MFM - maternal-fetal medicine).

4. Can't help with this one...I'm in northern NJ. But I'd ask Becky if she could ask Dr. Cohen for a recommendation.
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Mrs. A
Mrs. A

January 3rd, 2012, 5:24 pm #4

The English teacher in me is reeling - I copy and pasted from word and I guess some punctuation got lost. Oh, the run-ons!
you are better off using a "text" program like Notepad. Otherwise all the punctuation and apostrophes and the like get lost via Word copy/paste.
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jnoels
jnoels

January 3rd, 2012, 6:18 pm #5

Congrats on the "graduation"! It's very exciting! But I know what you mean about wanting to stay with Cooper. Becky was so fantastic and I didn't want to leave. I was with them for far longer than you (had some issues with P4 and placenta taking over) and it was so hard to cut the apron strings!

1. Technically there is no medical reason to be seen sooner than the next 2 weeks but if you want peace of mind and are anxious to get those early OB discussions going then don't feel bad about asking to be seen sooner.

2. OB u/s practices vary. Some are due to OB preference and others due to insurance. My OB's office has a travelling sonographer who comes in and does the u/s. I had all my u/s done in office by her. However, a friend of mine who is also a patient of the same OB had to go to an u/s facility for all her u/s because her insurance would not cover them if done in-office. So it really depends. I'd first find out what your insurance will cover before making final decisions on OB based on this.

3. How far along were your other 2 miscarriages? You very well may be fine with seeing your standard OB. At your first OB meeting you should have the discussion about bringing in perinatology care (a.k.a MFM - maternal-fetal medicine).

4. Can't help with this one...I'm in northern NJ. But I'd ask Becky if she could ask Dr. Cohen for a recommendation.
I appreciate the response! This transition feels so important!
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Joined: June 9th, 2009, 5:21 pm

January 3rd, 2012, 6:37 pm #6

Hi Ladies,

So my RE (and my health insurance) is officially graduating me and passing me off to my regular OB. Had an u/s yesterday and things looked good. Everything is measuring on track ( 7weeks), and the heart rate was strong 141. However, I am still feeling REALLY anxious, and I really, really, really wish I could stay with Check for a few more weeks.

A couple of questions for you gals about moving back to your regular OB:

1. I have an appointment for 2 weeks from now, when Ill be 9 weeks. Should I push for one sooner?

2. This office does not perform u/s or scans in the office they send you to a differently facility for that. I feel like that cant be standard practice. Im considering switching OBs for a variety of reasons, but I wanted to hear from you ladies first: there ARE OBs who do the ultrasounds and scans in their own offices, yes? It seems like that would have to be the case. (Nervous about this in part b/c if I go in at nine weeks, and THEN schedule an u/s it could be as late as 11 weeks, and I really, really, really dont think I can wait that long.)

3. I know that Ill be a high risk pregnancy two previous miscarriages and 36 at delivery. Should I push to go ahead and make a first appointment with a perinatologist, rather than a standard OB?

4. For anyone in the Philly area suggestions for a great OB?

Thanks, ladies!
Obviously b/c of triplets, but if you arent happy with the US situation- switch by all means!! Everywhere I have been has in house US. The only place I know of here is a midwifery program that sends to the hospital. Honestly, push for an MFM if you want it. I read somewhere that anyone with 2 or more m/c should. Good luck!!
Me- 30
Day 3- FSH 10.4, E2 42; Day 10- 16.6; Possible endo, slight anti sperm antibodies
DH- 30, low Morph
TTC 23 Cycles
2 Cycles on Clomid- BFN
3 Cycles on Femara & IUI- BFN
Now- Natural plus antioxidants, Acu/Herbs till IVF when we're ready emotionally
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Wells42
Wells42

January 4th, 2012, 10:36 pm #7

Hi Ladies,

So my RE (and my health insurance) is officially graduating me and passing me off to my regular OB. Had an u/s yesterday and things looked good. Everything is measuring on track ( 7weeks), and the heart rate was strong 141. However, I am still feeling REALLY anxious, and I really, really, really wish I could stay with Check for a few more weeks.

A couple of questions for you gals about moving back to your regular OB:

1. I have an appointment for 2 weeks from now, when Ill be 9 weeks. Should I push for one sooner?

2. This office does not perform u/s or scans in the office they send you to a differently facility for that. I feel like that cant be standard practice. Im considering switching OBs for a variety of reasons, but I wanted to hear from you ladies first: there ARE OBs who do the ultrasounds and scans in their own offices, yes? It seems like that would have to be the case. (Nervous about this in part b/c if I go in at nine weeks, and THEN schedule an u/s it could be as late as 11 weeks, and I really, really, really dont think I can wait that long.)

3. I know that Ill be a high risk pregnancy two previous miscarriages and 36 at delivery. Should I push to go ahead and make a first appointment with a perinatologist, rather than a standard OB?

4. For anyone in the Philly area suggestions for a great OB?

Thanks, ladies!
I would definitely switch to MFM. With my first pregnancy, I went to a "specialist" OB who worked with AMA pregnancies (I was 38 at the time of delivery), and even though my pregnancy went well, my delivery was really complicated and I don't think that would have happened had a received the kind of care I had with this last pregnancy. This time when I found out I was pregnant, I went directly to a MFM doctor, and when I found out she didn't have very much experience, I switched to another MFM doctor at another hospital. I felt awkward about this, but I am sooooo glad I did it. My pregnancy got really complicated, and they were there for me every step of the way. Remember, you deserve (!) the best possible care, so if you have any doubts, switch. Good luck!
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