First Dr's/Midwife Appt?

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Che_Bella_Vita's picture
Joined: 09/07/12
Posts: 262
First Dr's/Midwife Appt?

I just called my OBGYN office (I just love him and the girls at the office) The nurse starts yelling yay into the phone and congrats. THen my dr heard them say my name and he popped onto the phone to say congrats and hello. lol

They gave me an appointment for next tuesday. To check blood and an exam, even though I just had my yearly in July. From there he will schedule the first u/s. So unreal going through this again even though I have two kids it always feels new to me.

So when does everyone else start going, I read that Heather already saw her midwife. Anyone else?

MJDttc's picture
Joined: 08/12/12
Posts: 1118

I wasn't really expecting to get pregnant so fast, and we won't have insurance till the first of the year, but that is still a lot sooner than I got started with the OB when I was pregnant with DS. So barring any complications probably when I am four months or so.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

"MJDttc" wrote:

I wasn't really expecting to get pregnant so fast, and we won't have insurance till the first of the year, but that is still a lot sooner than I got started with the OB when I was pregnant with DS. So barring any complications probably when I am four months or so.

Wow, so you just won't go to the doctor until the new year? That seems so foreign for us in Canada. Are there no cheap clinics for low income people?

akpufa's picture
Joined: 01/31/08
Posts: 3078

I'm going in on the 24th for my first appointment. My OB doesn't see you until you're about 8 weeks (I'll be a little short but 8 weeks by LMP which is how they figure it). He always does a dating u/s at that appointment.

tink9702's picture
Joined: 09/28/08
Posts: 2977

I'm headed for an u/s on Nov 5th and a midwife appt on Nov 8th. Mine is also between 8 and 10 weeks and I'll be right in the middle around 9 weeks when I go. Wish it was sooner!

MJDttc's picture
Joined: 08/12/12
Posts: 1118

There are cheap clinics and there is a midwife in her own birth center that I would like to see (but DH has out voted me, he wants a hospital birth). I can go to a doctor, and in reality my doctor isn't all that expensive for just a visit, but eh, they won't tell me a whole lot in the first trimester any how. If I start bleeding or something I will go in.
I am slightly against massive amounts of visits to the doctor. I had too many paps last time I was pregnant and an unnecessary colposcopy/biopsy. I thinks the number of well child visits is ridiculous, if it isn't an immunization visit or if the kid isn't sick, it's like they are making sure you aren't abusing your child. (a lot of the questions they ask are prodding the child into answering that you are either beating them even if you are not or that they are in need of pills to "fix" their personality.) Now I know I sound like I am crazy, but it's how I feel. I can tell that my child is growing and developing on track, why do I need more people in the mix? DS goes to the doctor when he is sick (I happily pay out of pocket, in fact he went to the dentist today.)

I am ranting, sorry.

But the fact is, I won't be getting genetic testing unless the big US shows that I need to, all they do at the first visits is track your weight, answer questions, and check your pee. Doesn't seem worth it to me.

(and we aren't all that poor, we actually make too much for most of the reduced income clinics, It is just cheaper to pay out of pocket for the one or two visits to the doctor per year than it is to pay for insurance... I am also confused and baffled as to how insurance companies ACTUALLY make money if people are going to the doctors all the time and surgery and cancer treatments [ha like they actually chip in a lot for those things] I am in favor of affordable healthcare without a ridiculous middle man who tells you which procedures you can have or not have.)

Sorry I get going on healthcare. Especially after working in it for four years, my opinion just gets worse.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

I hear what you're saying Mary. I do think the medical community is a bit into over testing sometimes. I can't believe they do so many well child visits to see if your child is being abused! That seems crazy for my part of the world, but obviously we live in different communities.

Can midwives in your community do hospital births? Our midwives have hospital privileged and even though I ended up with a OB doing my c-section last time, I still had a midwife there. They told me I will need to be at the hospital this time for a vbac and that they will need to transfer care to an OB for the actual delivery but they will be there for it all. Sometimes they even still catch the baby when the OB is there. I guess the OBs and the Midwives play nicely together here. I've heard it's not the same everywhere.

I hear ya on the genetic testing. We wouldn't be having it if my step daughter didn't have a missing section of a chromosome. She's 15 but is mentally 1.5 years old. Sad Her life isn't a great one.

Clarkton's picture
Joined: 01/07/08
Posts: 1972

I go in Monday for bloodwork. The only reason I'm doing that is because I had low program when they tested me with my last preg. That ended in m/c and I was actually already m/c when they drew blood. I figure its most likely my prog was low due to an unhealthy preg but better to be safe than sorry. After that Ill probably have my first real appointment around 8 to 10 weeks. They'll do a dating u/s then too

MJDttc's picture
Joined: 08/12/12
Posts: 1118

I know that the hospital I will likely (if they don't close, as the entire city is switching onto massive hospitals instead of smaller ones) have this lo at does allow midwives. While I do still like my OB as a doctor (with out the excessive testing, I will surely be putting my foot down this time, stupid 20 year old me was a push over and knew nothing about healthcare), I want to go a natural route, which is why I would prefer a midwife. Working at this last hospital has put me off of many of the things I did in my last delivery. Inducement, epidural,being checked sooooo often, the nurse "accidentally" breaking my water when I told her to wait until the contraction was over, how many people were in the room. It wasn't a bad experience at the time, and if it was medically necessary I would do it again, but most of it wasn't. If I had held out in the pregnancy I wouldn't have gotten induced, I wouldn't have gotten an epi, and I wouldn't have been blacking out from the pitocen contractions. Nothing went wrong it was all very routine but like I said working at the hospital has put me off of a lot of things.

I have always hated needles (even seeing them on TV could give me a panic attack or make me sick), I drew peoples blood for four years (and if I don't go back to school I will likely do it again at some point), I saw sooooo many gals getting elective inductions it was silly. I helped the anesthesiologist and pain management team do a blood patch a couple months ago (I just drew the blood from the pt) but I was honestly about five seconds from passing out or vomiting, I went to help with this procedure voluntarily someone else could have gone, I had no idea that's what we were doing or I wouldn't have gone down for it. THIS alone has thrown it out of me to have another epi.

Again, I am sorry for the rant... Healthcare is a hot topic for me, I could go on for hours.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

"MJDttc" wrote:

Again, I am sorry for the rant... Healthcare is a hot topic for me, I could go on for hours.

No worries. I've noticed the rate of inductions and elective c-sections seems to be getting higher in the US. SO many women have inductions 'just because'. I've also noticed that one medical intervention (such as an induction) leads to more medical interventions (such as an epidural). It's sad.

MJDttc's picture
Joined: 08/12/12
Posts: 1118

"Heatherbella" wrote:

No worries. I've noticed the rate of inductions and elective c-sections seems to be getting higher in the US. SO many women have inductions 'just because'. I've also noticed that one medical intervention (such as an induction) leads to more medical interventions (such as an epidural). It's sad.

I asked a nurse and she said the induction rate at the hospital I was working at most recently (which is a fairly large and busy hospital for the area) she said 80% of all the births there were inductions. Which to me seems like WWWWAAAAYYYY to many.

Momma Leah's picture
Joined: 05/13/12
Posts: 1047

I am lucky enough to have an OB that is open to natural births ( which I had two of in a hospital). He shares a practice with a midwife. With. DD he did break my water, but I was glad to have that done! People have joked that if we have a third, that I should just plan to have the baby at home, because I labor so quick. I personally feel better being at a hospital, in case there is an emergency. I know many hospitals aren't like mine and I thankful mine is!

tink9702's picture
Joined: 09/28/08
Posts: 2977

"Momma Leah" wrote:

I am lucky enough to have an OB that is open to natural births ( which I had two of in a hospital). He shares a practice with a midwife. With. DD he did break my water, but I was glad to have that done! People have joked that if we have a third, that I should just plan to have the baby at home, because I labor so quick. I personally feel better being at a hospital, in case there is an emergency. I know many hospitals aren't like mine and I thankful mine is!

Ditto to almost all of your post! I see a MW practice that is linked to OB's so you can easily switch if needed. With DD I was glad my midwife broke my water - I was 10cm dialated at the time and ready to go and it helped push her out. I also feel better in a hospital just in case and have quick labors - 8hrs total and 7 1/2 hours total with my kiddos - no drugs at all. I'm also very thankful I have the choices I have at my hospital. There are parts of the US that what I've experienced never happens.

heather - there is proven research that inductions lead to more interference, from epidural to c-section.

Not saying that c-sections or inductions are bad per se - but they are both way over used and over pushed at least in many parts of the US.

ILoveMyMiniMe's picture
Joined: 12/11/03
Posts: 2333

"Heatherbella" wrote:

I hear ya on the genetic testing. We wouldn't be having it if my step daughter didn't have a missing section of a chromosome. She's 15 but is mentally 1.5 years old. Sad Her life isn't a great one.

Well, hang on now.. According to whom? Wink

It's like a fish.. a fish doesn't know anything but swimming in circles.. so knowing just that, as long as the fish has water and food, it's happy! To US, adults, who KNOW what we would be missing if we didn't have it, it would not be a "great" life.. but this young lady knows happiness and smiles and certainly the love of her family. As long as she has what she knows makes her feel good, she's got a "great" life. Smile

Just my opinion, of course.. Biggrin

PatienceW's picture
Joined: 08/06/08
Posts: 857

what exactly is a blood patch? I had a friend who had to have this done but didn't want to ask her details, as she was not doing well, and it didnt help. i was induced and ended up with an epi bc of it. I have had back problems since.. unless it is absolutely necessary I won't be having it done again. (the induction or the epi). The epi did not work for me so I might as well not have had it to begin with, but I was at a standstill with progression and they said that when induced the epi is sometimes needed so I got it. HATED being induced and have no idea why ppl do it wilingly!

As for first dr appt. we ahve moved since we had DS so i won't be going to my old dr. I called a new office today and they added me right in. I am scheduled for Oct 26 9am. which works out great bc I already had to take a full day off of work to go to an eye appt that is 2 hrs away, so I can kill two birds with one stone ( or 2 appts with one absence! and only need a sub once!)

MJDttc's picture
Joined: 08/12/12
Posts: 1118

Blood patch: Dr puts in the spinal, someone draws your blood right after they get it in the right spot, then they shove the blood that was drawn into the epidural space. (Thinking about this makes me queasy.) And like I have said I would not have participated had I KNOWN what it was before hand.

I didn't have any trouble with the epidural, my mom works at the hospital I had DS at, and knows a good portion of the doctors, and routinely worked with the anesthesiologist a lot. She trusted him so I trusted him. He got it in the right spot right away (or so I believe I was blacking out A LOT at that point) I didn't have any of the after effects. I was pretty lucky I think. BUT NEEDLES FREAK ME THE F* OUT, always have always will. Even at this point if given the opportunity, I will draw my own blood and start my own IVs, don't know why I am slightly more ok with that, but I know how I stick, I know I will do it right, I have seen a lot of nurses/lab people miss on the easiest patients.

ILoveMyMiniMe's picture
Joined: 12/11/03
Posts: 2333

"MJDttc" wrote:

Blood patch: Dr puts in the spinal, someone draws your blood right after they get it in the right spot, then they shove the blood that was drawn into the epidural space. (Thinking about this makes me queasy.) And like I have said I would not have participated had I KNOWN what it was before hand.

I didn't have any trouble with the epidural, my mom works at the hospital I had DS at, and knows a good portion of the doctors, and routinely worked with the anesthesiologist a lot. She trusted him so I trusted him. He got it in the right spot right away (or so I believe I was blacking out A LOT at that point) I didn't have any of the after effects. I was pretty lucky I think. BUT NEEDLES FREAK ME THE F* OUT, always have always will. Even at this point if given the opportunity, I will draw my own blood and start my own IVs, don't know why I am slightly more ok with that, but I know how I stick, I know I will do it right, I have seen a lot of nurses/lab people miss on the easiest patients.

DD was born at NCK and while my mom works at TMC, she was in partial mom mode.. partial nurse mode. lol..

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

"MJDttc" wrote:

I asked a nurse and she said the induction rate at the hospital I was working at most recently (which is a fairly large and busy hospital for the area) she said 80% of all the births there were inductions. Which to me seems like WWWWAAAAYYYY to many.

Wow, that is really high! I don't like that trend. Sad

"Momma Leah" wrote:

I am lucky enough to have an OB that is open to natural births ( which I had two of in a hospital). He shares a practice with a midwife. With. DD he did break my water, but I was glad to have that done! People have joked that if we have a third, that I should just plan to have the baby at home, because I labor so quick. I personally feel better being at a hospital, in case there is an emergency. I know many hospitals aren't like mine and I thankful mine is!

That sounds like an ideal set-up. OBs who work closely with Midwives are often much more open minded.

"tink9702" wrote:

heather - there is proven research that inductions lead to more interference, from epidural to c-section.

Not saying that c-sections or inductions are bad per se - but they are both way over used and over pushed at least in many parts of the US.

Yes, it's like they are making pregnancy and birth a medical condition like a heart defect...not the 'natural' thing that it is. I mean, obviously there are some instances where it is required.

"ILoveMyMiniMe" wrote:

Well, hang on now.. According to whom? Wink

It's like a fish.. a fish doesn't know anything but swimming in circles.. so knowing just that, as long as the fish has water and food, it's happy! To US, adults, who KNOW what we would be missing if we didn't have it, it would not be a "great" life.. but this young lady knows happiness and smiles and certainly the love of her family. As long as she has what she knows makes her feel good, she's got a "great" life. Smile

Just my opinion, of course.. Biggrin

My DSD sort of spends her life in a fog. She has been diagnosed with Autism although it's likely because of the genetic condition but it manifests similar to Autism. She can't talk and now that she's 15 she likely never will. She will never call DH 'daddy' or tell him she loves him. She can't feed herself, let alone get food for herself. She drinks from a sippy cup. She is not toilet trained and wears adult diapers. She will never grow up and she will never leave home. She had many different medical issues as a child and was in and out of Children's hospital for things like muscle biopsies and multiple bouts of pneumonia. While DH obviously loves his daughter, they has been through a lot emotionally. Even when our DD makes a milestone, it is bittersweet as it reminds him of what DSD will never do.

The one solace I have with DSD is she doesn't know she's different. There are so many kids in the world with physical disabilities who are fine mentally. Those kids know they are different and it can often be emotionally hard on them. DSD doesn't have the mental capacity to know she is different, so she seems at peace with her life.

Anyways, I think it's one of those "until you've walked in someone else's shoes" sort of situation.

.hilary.'s picture
Joined: 01/31/10
Posts: 1505

My first appointment with my midwife is the 23rd Smile

Joined: 05/04/09
Posts: 1316

I'm not going until November 13th. I know it's kind of pointless to go in super early but this just seems like such a long wait for me lol. I had a really good experience with my epi too. I was scared to get it but happy I did. I will be getting one this time as well.

tink9702's picture
Joined: 09/28/08
Posts: 2977

"Heatherbella" wrote:

Yes, it's like they are making pregnancy and birth a medical condition like a heart defect...not the 'natural' thing that it is. I mean, obviously there are some instances where it is required.

My DSD sort of spends her life in a fog. She has been diagnosed with Autism although it's likely because of the genetic condition but it manifests similar to Autism. She can't talk and now that she's 15 she likely never will. She will never call DH 'daddy' or tell him she loves him. She can't feed herself, let alone get food for herself. She drinks from a sippy cup. She is not toilet trained and wears adult diapers. She will never grow up and she will never leave home. She had many different medical issues as a child and was in and out of Children's hospital for things like muscle biopsies and multiple bouts of pneumonia. While DH obviously loves his daughter, they has been through a lot emotionally. Even when our DD makes a milestone, it is bittersweet as it reminds him of what DSD will never do.

The one solace I have with DSD is she doesn't know she's different. There are so many kids in the world with physical disabilities who are fine mentally. Those kids know they are different and it can often be emotionally hard on them. DSD doesn't have the mental capacity to know she is different, so she seems at peace with her life.

Anyways, I think it's one of those "until you've walked in someone else's shoes" sort of situation.

Exactly on the first point.

I'm sorry about your DSD. That can't be easy for you or your DH. I'd imagine the medical visits and the not feeding herself are particuarily difficult to cope with. How does Kennedy relate to her step sister?

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

"tink9702" wrote:

How does Kennedy relate to her step sister?

Kennedy has already taken on a bit of a 'big sister' role. Because DSD has always been that way, K is used to it I guess. DSD was with her mom for a couple weeks recently and when she came back K went up to her and kept saying 'Hi' to her. DH said it was cute...almost like K forgot DSD couldn't talk or something. DSD throws her sippy cup when she's done drinking, and K will hear it crash to the floor now and go retrieve it and either give it back (if there is milk in it) or give it to us. It's funny. DSD pretty much watches TV her whole waking day if she isn't out for a walk or a car ride (she likes the car), so K will also help put a show on for DSD when her show ends. 2.5 years old and she's already caring for her 15 year old sister. It's sweet to see, but still a burden on her wee self.

tink9702's picture
Joined: 09/28/08
Posts: 2977

awww, Not a burden if you don't push her towards it, just a sweet little girl wanting to help out! Smile She's going to be a great big sister to the baby too!

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

"tink9702" wrote:

awww, Not a burden if you don't push her towards it, just a sweet little girl wanting to help out! Smile She's going to be a great big sister to the baby too!

Yes, I guess that's true. When we found out I was pg with DD my DH said "Now there will be someone to look after DSD when I'm gone". It's a real fear for parents of special needs kids. Who will care for them when you're gone? I asked him not to put that on DD and he agreed that it would never be a spoken thing.

DSD also has two sisters on her mom's side. One is older than her (18) and the other is younger (12-ish maybe?). The truth is that they don't really know DSD's life expectancy. There aren't many people around with her condition. Ok, they exist but not many older ones who are diagnosed. The condition couldn't really be diagnosed prior to the advent of genetic testing.

This is what she has: What is Phelan-McDermid Syndrome?