Pregnant after a Loss

Intro and Question on Doctors

Hi Everyone,

I am 38 years old and am pregnant again via IVF after 2 back to back early miscarriages.  I had a miscarriage in January at 5 weeks and another chemical pregnancy (still consider it a miscarriage) in March.  I am currently 6 weeks along due Jan 14th and yesterday I got to see the little nugget's heartbeat.  It was the first time I have made it far enough to see a heartbeat which was so indescribably exciting for me!

Since this whole process is so new to me I was wondering about finding an OBGYN.  I am currently getting treatment by my Fertility Dr. and was wondering when you make the switch to a regular OBGYN and if I need to look for one specializing in high risk pregnancies.  Also, if there are any PGALS in AZ that have any recommendations on Drs. anywhere in the Phoenix area, that would be great.

Re: Intro and Question on Doctors

  • kesseltkesselt member

    meagpt22, Yes I agree about the miscarriages but I thought that my age (38) automatically put me in the high risk category?

  • No advice as I haven't been in your situation, but congrats on seeing a heartbeat and welcome!


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    TTC Since 04/01/13 

    BFP #1 04/28/13 Its twins! EDD 01/08/2014 MMC confirmed 06/27/13 D&C 07/17/13

    BFP#2 05/19/14 EDD 01/30/2015 Please be our rainbow!

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  • Usually the RE/fertility Dr will release you to see an OB/GYN...maybe ask your fertility Dr if he has any recommendations for an OB/GYN. I am no DR but at your age (being over 35) Drs usually want you to go through more testing. Good Luck to you :)
  • First off, congrats! I think you should ask your RE when they will be "graduating" you to a OB/GYN. Mine has already told me that they will transition my care at 10 weeks. I have no advice regarding seeing a specialist or not.
    Multiple TTCAL 1image
     TTC #1 since March 2011 
    BFP #1: EDD 4/16/13~~blighted ovum w/ 2 gestational sacs~~Loss on 9/18/12
    BFP #2: EDD 9/3/13~~Slow HB at 1st U/S~~MMC -Loss on 2/13/13
    9/13, 10/13, 1/14: letrozole + trigger + TI = All BFNs
    3/14: IUI#1 letrozole/Bravelle/Menopur + trigger = BFN
    BFP #3: EDD 1/27/15 Please be our rainbow! ...Team Green

  • Congrats!! I was released from my RE at 9 weeks. My OB happens to be in the same office so I didn't have to look very far. However, I'm sure your RE would have good recommendations. I would make that appointment as soon as possible as I know they can fill up quickly. I'm not sure if being AMA puts you in the high risk category or not but definitely something to ask your doctor. I know that my OB recommends the NT scan and genetic blood tests (they are usual covered by insurance for those over 35) for her AMA patients.
  • Congrats! I see my fertility specialist until around 10 weeks, and then he clears me to see my regular OB. I am 35 (technically AMA) but am still not considered high risk. If my IB felt that there was a reason that my pregnancy was high risk, he would refer me to a MFM.

    Lilypie Angel and Memorial tickersLilypie - (B9PH)


    Lilypie - (0YVF)
     TTC since 11/2009; Lap/HSG/Hysteroscopy: 5/2011 (endometriosis - removed; endocervical polyp - removed; high pressure in bilateral tubes - cleared)

    BFP #1: 8/4/11; DS1 born sleeping on 11/16/11 at 19w1d

    BFP # 2: 5/7/12, EDD 1/10/13, DS2 born 1/4/13

    BFP # 3: 11/8/13, EDD 7/17/14, mmc 10wks

    BFP # 4: 5/16/14, EDD 1/15/15, praying for our 2nd rainbow baby 

  • slensicslensic member
    I am high risk due to my thyroid condition, I see both my OB and an Perinatologist. My OB is still my main monitor during pg. 

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    BFP#1 9/25/10 DD born 6/9/11
    BFP#2 8/1/13 MC 8/31/13
    BFP#3 11/2/13 EDD 7/15/14 Stick baby Stick
    1st u/s 11/26/13 at 7w, measuring right on track and a heartbeat of 139bpm
    NT Scan 1/6/14 at 12w 6d, normal healthy squirmy baby measuring right on track heartbeat of 147bpm
    1st 2nd tri Scan 2/3/14 at 16w 6d, very healthy baby BOY!
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  • Congrats and welcome!

    My prenatal book from my hospital system recommends seeing a high risk doc if you are over 35 and and/or have had multiple losses.

    I don't think you have to, but you could if you prefer.

    You may also want to call your insurance provider on what they consider high risk so you can make sure any extra care is covered.

    "It's, not, where you are, it's where you're going,
    And it's, not, about the things you've done, it's what you're doing, now"

    TTC Journey Began 8/12
    BFP #1 11/9/12, MMC/D&C 12/21/12 @ 9w2d, EDD 7/24/13
    SAs: 2%-3% Morph - RE Official Diagnosis
     BFN = IUI #1 (Clomid) | IUI #2 (Letrozole) 
    BFP #2 4/19/14 = IUI #3 (Letrozole)
    Expecting Our Elf 12/27/14
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  • I don't have any advice for your situation, but congrats and welcome!

    My fur-babies Chuck Norris, Stella, and Lucy

    BFP #1 1/4/14; EDD 9/16/14;  mc 1/17/14 
    BFP #2 3/12/14; baby girl born 11/21/14          
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  • The other ladies have some grey advice so I just want to say congrats!!!
    BFP #2 3/19/14      EDD: 11/28/14
     Femara + Gonal F + Ovidrel  3/6/14  IUI #3 (plus 2x acupuncture)

    Team Pink!!

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    BFP #1 7/22/13   EDD 3/29/14   MMC 8/13/13
      Lilypie Angel and Memorial tickers

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  • -lurking-


    Consider what kind of office visit and birth experience you want and how big a deal you want made of you being AMA. Different docs handle it really differently - some it's no big deal just some extra testing offered; others will view it as a big risk factor (which you might find reassuring or might fnd stressful) and are also likely to push for induction at or even before your due date. If you don't have other risk factors or only small ones midwives are also an option.

    I just had my rainbow (and first baby) at the ripe old age of 39 in the care of midwives (in a hospital but one where midwives outnumber OBs) and loved that experience. They were understanding/sensitive to me being PGAL, encouraging throughout, did not stress me out about AMA(though did sneak that code onto the billing sheet each visit...), and did offer extra testing which made me confident they were being vigilant for my LO's wellnes, but would have allowed us to decline tests if we wanted. Office visits were never rushed. And birth was great even with an induction. Perineal support -- no tearing no epesiotomy -- and very helpful with getting started breastfeeding.

    Good luck and best wishes for a healthy pregnancy!
    Me: 39  DH: 44  together since 2000 married 9/2004 TTC #1 since 2/2012
    BFP #1 6/5/2012  m/c 6/15/2012 about 5w3d   BFP #2 6/?/2013 m/c 7/1/2013 5w 3d
    BFP #3 8/25/2013  EDD 5/7/2014    DD A. born 5/8/2014!!  Love!!!!
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