What would you do? Need opinions.

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Sillyava's picture
Joined: 12/30/08
Posts: 39
What would you do? Need opinions.

I am thinking about switching OB's. I like her, but she does not like to listen to me. When I ask her things, it is like dragging an answer out of her. We have been bickering back and forth over my medications, and she is not supportive of trying to help me even when I have done the research on different meds. She just insists that I get off the two I am on, which I am having a terrible time of. This is my 3rd try this pregnancy, and I feel like I am addicted to heroin or something with the horrible withdrawal effects. I don't think she understands enough about my condition to prescribe the right thing for me, she is just thinking of what is best for the baby. I understand that, but at the same time, I have to get through to her that I need help getting off of the meds. I also was not happy with her with my last 2 deliveries. She just got in the room when my daughter was crowning, and with my last baby, he would have been completely out by the time she came in if his shoulders had not gotten stuck. Aren't they supposed to be around for a little while before you actually give birth? She didn't even check me after she broke my water, the nurse did. Maybe I am just squawky tonight, but I just don't know about her anymore. Then I worry that if I do switch it will be weird, because only 2 doctors deliver at the hospital closest to me. There is another hospital about 30 min away, but being that this is my 4th baby, and due in the middle of February, I am afraid I wouldn't make it there in time if the weather is bad. Uggh. I know this is a lot of rambling, but I would love to see what you girls think.

TyrantOfTheWeek's picture
Joined: 12/26/05
Posts: 1147

Switch to a midwife.
Also, what medications are you on?

verdouxkai's picture
Joined: 03/05/07
Posts: 827

It can't hurt to at least have a consultation with another OB or two, and see if someone clicks better with you. I know it could be awkward later, but for better or worse YOU are the customer, and sometimes docs these days are as bad as teenagers at Best Buy! They think they know it all and don't know what to do when they are faced with someone who actually knows what they are talking about, lol! Wink

:bigarmhug: I know it's stressful, but do what you feel is right for YOU.

ourfirstblessing's picture
Joined: 01/07/07
Posts: 1094

i would at least talk with a few others. i am switching from my mw's to a family doc at my old clinic today actually...hopefully waiting for her to call me back. It has nothing to do with the mw's but the hosp they work out of. if you are not comf. at least explore your options.

Sillyava's picture
Joined: 12/30/08
Posts: 39

"TyrantOfTheWeek" wrote:

Switch to a midwife.
Also, what medications are you on?

Can midwives prescribe medicine? I have panic disorder, and they have me on Effexor (antidepressant), and Xanax (benzo). The OB is having the fit about the Xanax, which I understand, but it is a small dosage, and I have to take it because the Effexor causes panic attacks when it kicks in. I know, that is why I want to discontinue the Effexor. That is the one that is giving me horrible withdrawal, which if taken in the 3rd trimester, will also give the baby withdrawal when born. She gave me two new scripts today, Buspar, which will replace the Xanax, and Wellbutrin, which will replace the Effexor. What bothers me though, is that she wants me completely weaned off of the old meds before I start the new ones. I wish I could just make it all go away so I needed no medicine at all. I had no problem weaning off the Effexor until I got to the smallest dose possible, and it was time to go without that. Then I had a horrible panic attack and am afraid to continue the withdrawal, even though it is what I really want. I can't imagine putting a poor newborn through the withdrawal I am going through. At least baby is doing well, and had a strong hb and lots of movement today.

Sillyava's picture
Joined: 12/30/08
Posts: 39

"verdouxkai" wrote:

It can't hurt to at least have a consultation with another OB or two, and see if someone clicks better with you. I know it could be awkward later, but for better or worse YOU are the customer, and sometimes docs these days are as bad as teenagers at Best Buy! They think they know it all and don't know what to do when they are faced with someone who actually knows what they are talking about, lol! Wink

:bigarmhug: I know it's stressful, but do what you feel is right for YOU.

That is exactly how I feel going to her. She is the type where she knows it all because SHE is the doctor.

TyrantOfTheWeek's picture
Joined: 12/26/05
Posts: 1147

Yes, midwives can prescribe some medication. I know they can prescribe antidepressants. Not sure about the Xanax though. I would get a midwife AND a psychiatrist. The psychiatrist is a specialist that knows the meds better than an OB and how they interact better. IMO, OB/GYNS do NOT have any business writing scripts for psych meds anyway (except for maybe antidepressants for postpartum depression or something.) I mean, you wouldn't go to a cardiologist for epilepsy meds, right? This is the same thing.