Hi ladies-
I'm doing some RPL testing with my OB (karyotyping done and clear) and the intention is that I will be referred to a MFM as based on my history (living child with no pregnancy issues, no problems getting pregant and successfully making it past 1st tri in both of my losses). I know that many on TTCAL are being managed by REs, so I was hoping to ask a few questions/get some insight from anyone who's gone through testing and/or made a plan for TTCAL with a MFM specifically. I'm hoping to get the referral from my OB tomorrow so that I can go ahead and schedule the initial visit with the MFM for once my thrombolytic testing results are in, so I want to start doing some research on what to expect, questions to ask, etc so that I can be my best advocate during this process. Thanks in advance ladies!
BFP #1- 4/2011; DD Brynn born 12/2011
BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident
BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown
To my angels- I held you every second of your lives and I'll love you every second of mine.
Re: Can anyone that has seen/is seeing a MFM instead of a RE come in? (living child mentioned)
With my 1st pregnancy, I had severe high blood pressure and other issues (I have no thyroid, had first trimester bleeding, an SCH, had vision loss) and they got me to 39 weeks. When I went for my first appointment with my MFM with my last pregnancy that I lost, they made all my recs for my lab work etc and they will be the one directing my care as we begin to try again.
I can't say enough good things about my MFM and the care they gave me.
As for questions that I had, I asked about clotting disorders, appropriate timing for when they'd want to see me if I get pregnant again, normal stuff, until I have results from the lab work (going end of this week as my loss was just June 13...) if my labs come back wonky then I'm sure I will have questions galore!
Good luck.
Thanks @wickedsugar. That was my understanding too but I'm going to be seeing one while TTC (probably partially to help determine if there is a diagnosis that has led to my losses as well as make a plan for what is likely to help me while I'm TTC and once pregnant). I'm guessing that I will see them once pregnant as well, I just don't see as many women seeing them during this diagnosis/TTC phase so I'm looking for some guidance in case there are others here who have done the same.
BFP #1- 4/2011; DD Brynn born 12/2011
BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident
BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown
To my angels- I held you every second of your lives and I'll love you every second of mine.
Thanks @Lalalady54. I'd definitely be interested to know how your appointment goes regarding their management of your care as you begin to TTC again. I had a very uneventful pregnancy with my daughter and since our first loss was ruled a cord accident fluke (they even ran some basic clotting testing on me with no issues in the results), I think my OB probably feels like there isn't much she can do for me to help me get answers beyond the testing that we are currently doing. Since I wasn't seeing a MFM with my last pregnancy, I'm interested to see how things go starting with one at this point.
BFP #1- 4/2011; DD Brynn born 12/2011
BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident
BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown
To my angels- I held you every second of your lives and I'll love you every second of mine.
THE DARK SIDE IT IS
and GBCB
BFP 8/2/12 EDD 4/9/13 Addie was delivered 1/4/13 at 26 weeks due to Eclampsia
BFP 9/15/14 EDD 5/28/15 Please be our R A I N B O W take home baby BOY
~All AL always welcome~
BFP #1- 4/2011; DD Brynn born 12/2011
BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident
BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown
To my angels- I held you every second of your lives and I'll love you every second of mine.
I was referred to mfm by my ob for a consultation prior to my next pregnancy for "recurrent pregnancy loss"
So far, I met with the dr and he went over all of the testing done from my loss. (ie placenta, cord, genetic testing, autopsy, etc) I've also had blood work done. He also scheduled me for a saline sonohystergram to check for any uterine abnormality. I will have one more consultation with mfm to give me the final recommendations for the next pregnancy.
I don't know if this info was helpful. I'm new to this too.
3rd pregnancy -- 1st baby -- praying for a rainbow
#1 EDD 5/2014 -- MMC 10weeks ~~ #2 EDD 10/2014 -- Our baby girl, born sleeping 17weeks ~~ #3 EDD 8/2015
Keep us updated! I'd be interested in what you learn
My Blog
BFP# 1 7/7/12 Beautiful DD born still at 36 weeks 5 days on 3/2/13
Diagnosed with PCOS in 2005. Started Metformin July 2013
Please be our rainbow!!
**All AL Welcome**
@daffodil428 - thanks- this is definitely helpful. If I had to guess, this may be very similar to the process I'll go through as well. Our last autopsy took almost 3 months to come back which seems ridiculous compared to what it sounds like others have seen. I'm just banking on it taking that long this time as well, so hopefully I can schedule an appointment with the MFM for early September and have all of the various testing results in to discuss.
I'm interested to see if there's a recommendation for some sort of anatomical test for me as well. I had a HSG before more first pregnancy bc I had a uterine septum and my OB wanted to be sure that it didn't divide my uterus. Everything was fine and the septum was removed after my daughter was delivered and it obviously hasn't caused any issues with conceiving since, but between that and the fact that my uterus had a partial prolapse around the 12th week of my last pregnancy- they might think it's worth checking out. Thank you so much for sharing!
BFP #1- 4/2011; DD Brynn born 12/2011
BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident
BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown
To my angels- I held you every second of your lives and I'll love you every second of mine.
Hi @shandorfml2 - I know that since my first loss was ruled a cord accident/fluke, I wasn't automatically considered high risk enough to require a MFM with my following pregnancy and just saw my regular OB. She would have referred me if I wanted but she was doing additional testing and seeing me more often, so I think I was getting the "high risk" patient treatment there. Since it sounds like there are limited MFMs in your area,
it might be worth going ahead and getting the referral from your OB (if she says that's where you'll be referred once pg anyways) so that you can get established with them. I know getting appointments with MFM/REs here can be tough or delayed and we have a very large medical presence here in Houston, so might be worthwhile if you can get in for a pre-pregnancy consultation so that you're not starting as a new patient from scratch when you get pregnant.
I'll let you know what happens as we move forward- let me know how your visit goes on the 21st as well!
BFP #1- 4/2011; DD Brynn born 12/2011
BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident
BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown
To my angels- I held you every second of your lives and I'll love you every second of mine.
THE DARK SIDE IT IS
and GBCB
BFP 8/2/12 EDD 4/9/13 Addie was delivered 1/4/13 at 26 weeks due to Eclampsia
BFP 9/15/14 EDD 5/28/15 Please be our R A I N B O W take home baby BOY
~All AL always welcome~
I saw an MFM for a pre-conception consultation due to an already diagnosed clotting disorder. At the consultation, we discussed family history and potential treatments once I'm pregnant (Lovenox injections). MFMs are for people who have been classified as high-risk, so I met with mine only a few months into TTC to make sure we had a plan in place. I'm not sure if I'll actually need to see her again once I'm pregnant, or if my OB (and now I guess my RE) will just follow the plan she sent after our consultation.
TTC since July 2012
BFP 5/22/13. Lap. to remove ectopic and dx with endo. 6/16/13
RE consult: June 2014
DX: FVL, endo, hypothyroidism, blocked left tube
Oct. 2014: First treatment cycle: Clomid+trigger+IUI=BFN
November 2014: Clomid+trigger+IUI again=BFP!
BFP 11/28/14 MC discovered 1/14/15
Blogging to stay sane
My Blog
BFP# 1 7/7/12 Beautiful DD born still at 36 weeks 5 days on 3/2/13
Diagnosed with PCOS in 2005. Started Metformin July 2013
Please be our rainbow!!
**All AL Welcome**
BFP #1- 4/2011; DD Brynn born 12/2011
BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident
BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown
To my angels- I held you every second of your lives and I'll love you every second of mine.
BFP #1 9/6/2009 EDD 5/29/10. Missy Moo born 5/12/10 after 3 months of bedrest due to PTL, IC and a bicornuate ute causing IUGR
BFP # 2 1/28/12 EDD 10/6/12 No heartbeat seen @ 10 weeks, Autumn
BFP #3 8/18/12 EDD 5/2/13 No heartbeat seen at 7w3d, Mae
BFP #4 01/31/2013 EDD 10/15/2013 No HB seen in our little girl at 10w2d due to trisomy 12, Abigail
BFP #5 6/27/2013 EDD 3/10/2014 diagnosed with protein S deficiency heparin twice a day. Luke's HB stopped at 8wks
BFP#6 12/22/2013 EDD 9/4/2014 No HB seen at 7w2d, Leia
BFP #7- 5/12/14 EDD 01/2015, ruptured ectopic 5/31/14
BFP #1- 4/2011; DD Brynn born 12/2011
BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident
BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown
To my angels- I held you every second of your lives and I'll love you every second of mine.
I was really upset about the idea of daily injections. It's nice to know I wouldn't be the only one out there going through it.
Have you been on lovenox before?
3rd pregnancy -- 1st baby -- praying for a rainbow
#1 EDD 5/2014 -- MMC 10weeks ~~ #2 EDD 10/2014 -- Our baby girl, born sleeping 17weeks ~~ #3 EDD 8/2015
@daffodil428, No, I haven't been on Lovenox previously. I talked to my doctor about it when I was pregnant, but because my numbers were so low from the get-go, we knew something was wrong, and he hesitated to get me started on the injections. I'm not on anything right now because I have no personal history of clots.
TTC since July 2012
BFP 5/22/13. Lap. to remove ectopic and dx with endo. 6/16/13
RE consult: June 2014
DX: FVL, endo, hypothyroidism, blocked left tube
Oct. 2014: First treatment cycle: Clomid+trigger+IUI=BFN
November 2014: Clomid+trigger+IUI again=BFP!
BFP 11/28/14 MC discovered 1/14/15
Blogging to stay sane
BFP #1 9/6/2009 EDD 5/29/10. Missy Moo born 5/12/10 after 3 months of bedrest due to PTL, IC and a bicornuate ute causing IUGR
BFP # 2 1/28/12 EDD 10/6/12 No heartbeat seen @ 10 weeks, Autumn
BFP #3 8/18/12 EDD 5/2/13 No heartbeat seen at 7w3d, Mae
BFP #4 01/31/2013 EDD 10/15/2013 No HB seen in our little girl at 10w2d due to trisomy 12, Abigail
BFP #5 6/27/2013 EDD 3/10/2014 diagnosed with protein S deficiency heparin twice a day. Luke's HB stopped at 8wks
BFP#6 12/22/2013 EDD 9/4/2014 No HB seen at 7w2d, Leia
BFP #7- 5/12/14 EDD 01/2015, ruptured ectopic 5/31/14
@BethKate2 I see. I'm glad you don't have to be on them all the time.
3rd pregnancy -- 1st baby -- praying for a rainbow
#1 EDD 5/2014 -- MMC 10weeks ~~ #2 EDD 10/2014 -- Our baby girl, born sleeping 17weeks ~~ #3 EDD 8/2015