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  1. #1
    Posting Addict MrsHooah2U's Avatar
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    Default Need advice :(

    Ugh.. Hi girls. I'm sorry I don't post much around here, I mostly lurk, but I need some advice/encouragement I guess.. Here's my situation.

    I had one of my 'first' OB appointments yesterday and I did not get some good news. I had an EXTREMELY traumatic birth my son and I am determined to have a CALM natural birth with this one... At my appointment they decided I needed to follow a high risk plan (due to BP issues with DS/current heart problems) and that I should always see a doctor. I was REALLY hoping I wouldn't be considered high risk so I would be able to see a midwife. Well not the case. Since we're military and you're nothing more than a "number" I don't have a set doctor already, so now 11weeks into my pregnancy I'm on the doctor hunt. We have several doctors to choose from, and I really want to find someone who is going to be supportive of a natural child birth and minimal medical interventions. The doctor I saw yesterday who went over my medical files, I wasn't thrilled with, he kept pushing all this genetic testing (which is optional) and I kept telling him we'll likely pass and he just kept saying we'll talk about it at your next appointment. He also made the comment don't be surprised if I ended up with another induction... I'm freaking 11 weeks pregnant; this pregnancy could be totally different than my son's! He clearly doesn't sound like the doctor for me. My next appointment is in 4 weeks (15 weeks give or take) and I can make that appointment with any doctor, but I'm worried if I don't like that doctor, then my next appointment will be 4 weeks after that (so now we're nearly at 20 weeks) and then I'd have to change my doctor again, kwim? The only other time I ran into doctor troubles with my son was when I was actually in L&D and my BP's were high, DUH (I was being induced for that!) and the doctor on call at that time comes in and says "Oh, your BP's are high, let's give you an epidural." Ugh.. So that doctor is also out.

    I know I can put my foot down but I'm just worried they won't be supportive. I need to grow some gonads and learn to tell these doctors what's up. I just felt like at yesterday's appointment the doctor kept pushing for all this testing and I kept saying no thanks and he just kept saying, we'll talk about it at your next appointment. I SAID NO DARN IT! ugh..

    I don't know.. I guess I'm just going to have to be on the doctor hunt or the next few weeks?? I've already asked around to the GF's I know who have delivered at our hospital for suggestions-- no one had to see a doctor (in our facility, you default to a MW and if you're high risk, then you have to see a doctor) If anyone has any advice it'd be appreciated-- thanks
    Pamela ♥ Tanner
    Jacob James:10/17/09 @ 5:58 am/ 5.13 lbs 19"(37w2d)
    Aubree Olivia: 6/24/11@ 10:31 pm/ 8.3 lbs 19" (38w4d)

  2. #2
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    Make an appt with the MW anyway and see what happens? worst case scenario- they make you go back to the OB which is what you are facing anyway, so a little risk is worth it!

    i know current health issues might not always respond to diet and exercise and things like meditation or prayer or whatever you feel might help, but many many many MW's have better luck preventing and controling complications like pre-e/toxemia with diet than OB's do with higher power drugs. do whatever you possibly can to keep yourself in the best health and give them no reason to keep you high risk!

    and a not about that optional genetic testing- i always decline. and when i spoke with the nurse about it, she told me flat out that it was designed for people who likely had issues or were of advanced maternal age and it totally annoyed this nurse when teen moms and young moms opted to have the testing with NO family history of genetic diseases and no risk factors.... its a waste of time and money in her opinion. and i could only agree. the OB must make a cut of $$ off the testing if you don't have a family history of genetic disorders and he's pushing it that bad.
    ~Jenni~
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    Mega Poster krazykat's Avatar
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    Just a thought... if you go Tricare Standard, you can choose any provider that you would like as long as they have the necessary credentials, etc. Tricare Standard covers 100% of prenatal care. The only thing out of pocket would be $16 and some change each night you are in the hospital.

    I went Standard and had a home-birth MW. Her fee was $3500 (I switched to her at 38.5 weeks pregnant too btw), and she has let me pay her on a plan. But she is also billing Tricare for everything, and I would say about 80% of what she has billed so far has been covered. Whatever they cover, she is going to reimburse me for.

    I would at least talk to a MW b/c sometimes OBs consider things "high risk" that a MW wouldn't necessarily risk you out for, kwim? And I agree with the PP that many things are preventable with the proper diet and exercise. Ask for a second opinion to see why exactly you would be considered high risk. Each pregnancy is different. Even if you had Pre-E before, that does not necessarily mean that you will have it again.

    GL girly!! I hate navigating the Tricare system... such a PITA, but it proved to be so worth it for me during this last pregnancy.
    Ariel & John: Military Family since May 17, 2006

    Sylvia: 12/18/08, Justus: 9/17/10, Bunni: 5/11/12, Surprise Baby: Guess Date 11/5/13



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    Community Host kridda_88's Avatar
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    I agree at least talk to a midwife. Some midwifes have different ways of considering a woman high risk. Especially compared to what OB's consider high risk. I also have to say don't go back to that doctor. If he is ALREADY pushing for testing and mentioning induction then it will be worse as you get closer. I had a friend that just went through this exact thing with her doctor. She is itty bitty and he was worried about her having a huge baby so he started talking induction when she was only 9 weeks along. Then as she got further along the doctor was panicking about a small baby and induced at 38 weeks and she had a 4Ib 12oz baby that was growing right on track but small because it's parents are both small.

    Anyway, where I was going with that was once a doctor starts talking like that he doesn't stop and only gets worse. If you are just searching for another Dr you don't have to wait till your next appointment to schedule a visit with another one to try and find one you like. Heck you could see a doctor every week for the next 5 weeks till you find one you like if you want. My advice is when you first meet the doctor the first thing you tell them is what you want in your birth and if their first words are "we'll see" then ditch em then and there.
    K&S-8/18/07
    DS1-7/18/08, DS2-2/23/10, DS3 1/18/12

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    Posting Addict MrsHooah2U's Avatar
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    They are considering me high risk for these factors:
    *I had high BP with ds/border line pre-e (my appointment yesterday my BP was already "slightly" high..and we do have number from pre-pregnancy that show me at a totally normal level..)
    *I have heart arrhythmia issues.

    Ariel, I know what you mean about the Tricare standard, my thing is, I don't mind the hospital. My delivery went SO bad with DS, being at the hospital already was one less thing to worry about. I'm a worrier and if I was at home or in a birthing center, I'd just stress about the "what ifs", so with that said, I'm not sure that switching to standard is going to work best for me. And on top of that our L&D just re-did their unit and have birthing tubs and I'm SO excited to be able to use them hahaha!!

    I understand that every pregnancy can be different and I really had high hopes for that. I still do, but we're not off to a great start with the already high BP. They want me to do a 24 hr urine collection to get a base line on that and I'm sure I'll be doing them regularly.

    I am going to push my brains out to ensure that I get my natural birth. I made my next appointment with a different doctor who I had a little bit better experience with during one of my many emergency appointments and was very "pro" what I wanted (at the time, it was an ultrasound to see the HB). So we'll see how my next appointment goes. Something else with that, it will be a second opinion to decide if I really need to be categorized as high risk.
    Pamela ♥ Tanner
    Jacob James:10/17/09 @ 5:58 am/ 5.13 lbs 19"(37w2d)
    Aubree Olivia: 6/24/11@ 10:31 pm/ 8.3 lbs 19" (38w4d)

  6. #6
    Posting Addict MrsHooah2U's Avatar
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    Quote Originally Posted by kridda_88 View Post
    Anyway, where I was going with that was once a doctor starts talking like that he doesn't stop and only gets worse. If you are just searching for another Dr you don't have to wait till your next appointment to schedule a visit with another one to try and find one you like. Heck you could see a doctor every week for the next 5 weeks till you find one you like if you want. My advice is when you first meet the doctor the first thing you tell them is what you want in your birth and if their first words are "we'll see" then ditch em then and there.
    unfortunately, not with our insurance/doctors they won't approve it. The only way I could get seen weekly is to "fake" problems, then I'm seen by the walk in doctor.

    Hopefully this next doctor I'll be seeing will be the ticket. I guess the more I thought about it also, when you deliver you get the on-call doctor. With my DS, I was admitted by one doctor, visited by 2 other doctors and delivered by a 4th doctor. I had never met a single one of them. So the bottom line about it is that if my doctor i see my entire pregnancy is pro-natural, and the doctor who delivers me isn't, then I'm going to have that doctor pushing me anyway.. kwim?

    In our system, you don't have a set doctor-- when you call to make an appointment, you get the next doctor on the line. You have to ask for a specific doctor if you want it.
    Last edited by MrsHooah2U; 12-16-2010 at 07:35 PM.
    Pamela ♥ Tanner
    Jacob James:10/17/09 @ 5:58 am/ 5.13 lbs 19"(37w2d)
    Aubree Olivia: 6/24/11@ 10:31 pm/ 8.3 lbs 19" (38w4d)

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    Mega Poster krazykat's Avatar
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    Ok, so based on everything you said, here's my idea for you: Take (in person) Bradley classes if you haven't before. They will give you the in depth information that you need to know to stand up for yourself. If you possibly can, take them with DH or somebody close that will be with you in labor and can be your advocate in case you can't advocate for yourself. You may have a very real situation that requires you to be with a high-risk OB. The only way you can counter the OB's medical approach is by educating yourself. Get your medical records and read them, and start researching right away. I learned SO MUCH from reading my medical records, that I was never told by my providers.

    And start the Brewer diet ASAP. Don't resign yourself to the fact that you had BP issues last time and that since you are already elevating that you will this time. Dr. Brewer was actually successful in totally turning things around for his patients that were showing the early signs of Pre-E. The key is to catch it early and be diligent. I wish I could give you the run-down that my Bradley instructor gave us on Pre-E and how the Brewer diet effects your body to prevent it. But ultimately he believed that Pre-E is a result of malnourishment.

    And finally, ALWAYS use the "can I think about this before I give you an answer" approach. If they are wanting to do anything at all, ask if it is immediately necessary to save yours or the baby's life (chances are, if it is, then you wouldn't be sitting around discussing things), and if it isn't, then ask for some time to decide.
    Ariel & John: Military Family since May 17, 2006

    Sylvia: 12/18/08, Justus: 9/17/10, Bunni: 5/11/12, Surprise Baby: Guess Date 11/5/13



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    Posting Addict marymoonu's Avatar
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    Just wanted to add, don't worry too much about picking a provider now vs. later. I ended up moving in the middle of my first pregnancy and had to find someone new. The first half of pregnancy is relatively uneventful anyway.

    Sean Thomas - 6/30/09 @ 7:17pm 8lb 8oz, 19", 40w5d
    Calvin Michael - 2/28/11 @ 7:39pm 6lb 8oz, 18", 37w5d
    Nolan Matthew - 5/1/13 @ 11:54pm 6lb 4oz, 19", 38w4d

    May 26, 2010 - 7w1d

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    Posting Addict BuckeyeK's Avatar
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    Quote Originally Posted by krazykat View Post
    And start the Brewer diet ASAP. Don't resign yourself to the fact that you had BP issues last time and that since you are already elevating that you will this time. Dr. Brewer was actually successful in totally turning things around for his patients that were showing the early signs of Pre-E. The key is to catch it early and be diligent. I wish I could give you the run-down that my Bradley instructor gave us on Pre-E and how the Brewer diet effects your body to prevent it. But ultimately he believed that Pre-E is a result of malnourishment. .


    Also, for the BP try chiropractic adjustments. I had pre-e with DD1, so I was hyperaware of it with my 2nd pregnancy (I did not see a chiropractor during my 1st pregnancy). I saw the numbers starting to rise early in my 2nd pregnancy, and started seeing my chiro on a weekly basis. If it is truly caused by the pregnancy, chiro can't stop it, but higher BP can also be caused by an out-of-align spine, and is worth a shot. Plus, adjustments while pregnant are awesome and make you feel so much better!
    DD1: June 2007
    DD2: September 25, 2010 - My VBAC baby (in the car!)


  10. #10
    Posting Addict MrsHooah2U's Avatar
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    Hm.. well I typed something up but apparently it didn't post!!

    I will have to look into a chiro-- with DS blood pressure meds didn't even help, that's why they induced, it was easier than fighting a losing battle with body.

    I am looking at the Brewers diet so I'll have to do some research on that! Thanks! I will also look into the Bradley classes when DH gets home-- I want to have a doula with me during delivery to help be my 'natural' advocate - I need to give her a ring now with all this stuff about being high risk and see what she says. She would be there more as a support than anything (she's a friend) so it's not like she would be doing anything with the delivery.

    I also need to keep reminding myself that EVERY PREGNANCY is different. I just left that appointment feeling like I was 34 weeks pregnant with DS again and all I kept hearing was "induction.. induction" ugh.. I just wanted a GOOD birth and I feel like so far, that doctor was NOT on my side. Hopefully this other doctor will be better..
    Pamela ♥ Tanner
    Jacob James:10/17/09 @ 5:58 am/ 5.13 lbs 19"(37w2d)
    Aubree Olivia: 6/24/11@ 10:31 pm/ 8.3 lbs 19" (38w4d)

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