High-Risk Pregnancy

**cindy453**

I read your update in the bed rest check in. I am sad for you. I hate you feel like you are not getting the best care. Is your OB a high risk specialist?  If you feel like he is dismissing you I would ask to be transferred. Are there other docs in the practice? Maybe you could see if you could make your future appointments with a different doc? I think you have too much at risk and I would put my foot down if I were you.  Best of luck!

Re: **cindy453**

  • I have a perinatologist, but they only deal with my GD stuff. The BIG problem is- I haven't actually seen my OB since I was 28 weeks. My 28 week appointment was with the NP who does diabetes education at the clinic, and I had a follow up with her at 29 weeks. Then my OB was out of town for a week and a half (and office was closed for the 4th of July), so I saw the NP at my 30 and 31 week appointment too. Then at 32 weeks I was supposed to see her, but she got called into an emergency section... so I saw the NP again. Last week I was scheduled with the NP again for a diabetes follow up (that was scheduled before I even started having BP problems).

    This week, FINALLY, I get to see my OB on Friday. I'm seriously not leaving their office until I see a doctor. I don't care what doctor it is, I just want to hear something from an actual doctor instead of an NP. The NP does consult with an OB generally about my BP and NST's, but I've never talked to them. 

    I've been thinking I should ask about a 24 hour urine for almost a month now, I just haven't seen my OB to do it! It's very frustrating. I feel like I'm getting the bulk of my information about high BP/pre-e from the internet, it hasn't really been addressed in my appointments. 

    I wasn't terribly upset about it b/c everything was going fairly well... until my last appointment when my BP was up higher than ever, and I've now had 2 NST's with over 20 minutes of no HR change at all. The tech who does the NST's isn't very good at answering my questions... so I'm just waiting for my OB appointment on Friday. It's just so weird that I see all these women on 3rd tri or on this board that get sent straight to the hospital when I've had "worse" numbers/test results, and haven't really been told anything. 

    Wow, sorry I wrote a novel! 

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  • I totally do not blame you. I think you should tell him you will do a 24 hour urine on Sun and bring it back to them on Monday.  If he does not agree to that - I would be concerned!  Hope all goes well for you tomorrow - let us know!
  • Hey, sorry to butt in, but I feel like I am not getting enough answers either.  My doctor absolutely love the phrase "let's wait it out" or "we'll see".  It's completely frustrating.  I have had high BP since week 8 of my pregnancy and have never once been asked to do a 24 hours urine, etc.  I have so many questions... grr...
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  • Such a long story but my OB (who was also a personal friend-ish) was super laid back. He was notorious for saying let's wait and things are going to work out... Given the experience of my last pregnancy, I know worst case scenario - I lived it. I was not willing to roll the dice again. He (even though 2 of his partners sent me to the MFM) said I was not yet high risk and there was no reason for me to be at the high risk docs. The high risk dr.'s said I certainly needed to be there... I finally had to draw the line. I had to have avery uncomfortable talk with my OB and tell him that I needed to do what I thought was best for me and the baby and I split ways with him... I put some of the blame on my hubby to make it easier - but nonetheless, it was not easy but I feel better. I think if I had not been an advocate for myself, I would end up with a sudden and severe situation just like last time - being rushed in an ambulance to another hospital and having an emergency c/s. It sucks when the dr's take such a laid back attitude and it is hard to second guess them - but if you feel strongly, take a stand and demand answers or tests.  Good luck!! I feel your pain!
  • imageJennlovesAustin:
    Hey, sorry to butt in, but I feel like I am not getting enough answers either.  My doctor absolutely love the phrase "let's wait it out" or "we'll see".  It's completely frustrating.  I have had high BP since week 8 of my pregnancy and have never once been asked to do a 24 hours urine, etc.  I have so many questions... grr...

    that's exactly how I feel, so many questions and not many answers. I feel like I'm in pregnancy limbo! 

    On one hand, I think it's good my OB is laid back... for most pregnancies, that's fine and even preferable. But in a situation where I'm having multiple issues (poorly controlled GD, high BP, bad NST's), it is not exactly comforting. I don't want to hear, "Oh, your NST was non-reactive.. but we had one good HR change right before the deadline so we'll just wait and see." 

    No thank you, I don't want to wait and see when it comes to the baby possibly being in distress! 

  • imagecindy453:

    imageJennlovesAustin:
    Hey, sorry to butt in, but I feel like I am not getting enough answers either.  My doctor absolutely love the phrase "let's wait it out" or "we'll see".  It's completely frustrating.  I have had high BP since week 8 of my pregnancy and have never once been asked to do a 24 hours urine, etc.  I have so many questions... grr...

    that's exactly how I feel, so many questions and not many answers. I feel like I'm in pregnancy limbo! 

    On one hand, I think it's good my OB is laid back... for most pregnancies, that's fine and even preferable. But in a situation where I'm having multiple issues (poorly controlled GD, high BP, bad NST's), it is not exactly comforting. I don't want to hear, "Oh, your NST was non-reactive.. but we had one good HR change right before the deadline so we'll just wait and see." 

    No thank you, I don't want to wait and see when it comes to the baby possibly being in distress! 

    Yea, I am treading on a fine line.  On one hand, I know I am not a doctor and I cannot diagnose myself, however with everything I read and the knowledge on these boards I feel like I hate the fact that my doctor just wants to "wait and see" for three weeks with my BP being 150/80 and thats WITH the Procardia I am on.  Everything I read says that above 140 is high and that's for the unmedicated.  BUT... who am I to judge?  Ugh, I just hate being in limbo!

    So... I am going to wait it out until the next appointment.  My doctor did finally acknowledge that my pregnancy is officially "high risk" and I am glad to be getting growth ultrasounds at every single appointment now.  At least something is moving along!

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