does anyone NOT see a peri?

marbear81

right now I just see an OB.. she never mentioned anything about seeing a peri.. do they normally recommend this? just curious... TIA!

susanc07

i only see an OB.  i go to a peri's office for u/s's, but only b/c my OB doesn't do level II u/s's in his office.  and i guess the peri reads the results from each of my growth and cervical length scans.

other than that - nope, just an OB.

HisLobster

I didn't.

atc282

I was the opposite. I ONLY saw a peri.

I had an "uncomplicated twin pg" but was glad to have a peri in the event of things ever changing throughout my pg. For ex., at 34 weeks, i was told I was most likely having to deliver by 36 weeks latest due to Twin A having sudden growth restriction issues. It turned out to be a false alarm (I delivered her and her sister at healthy weights at 38 wks, 5 days pg) but again, I was glad to have the specialized/ high risk care if I were to have had to deliver earlier than expected. 

HTH

Young100904

I dont and Im really regretting that decision. I think as long as things go well, its not a big deal. Now that Im having out of the norm problems, my OB is totally uninterested.

If I could change things, I would have at least coordinated care with a peri. That way I would be an established patient if problems come up. If they are never needed, no harm no foul. Now, I need to see a peri but Im at the mercy of my OB. Not a good situation.

 

macchiatto

I saw an MFM once, at 28w, but just as I was rotating through the drs in the practice. They are a high-risk practice though so I was fine with seeing the other OBs.

MNdesigner

I see my regular OB for all office visits, but I get my u/s done at a peri clinic. I don't have a specific doctor, but I rotate through the doctors at that practice.

 I assume that if something changed in my pregnancy and I developed complications, my OB would recommend that I transfer to the peri's office for all of my appointments.

groovygrl

only saw one once, for my 18 week u/s. I'm glad I had that more detailed u/s and had a peri lined up if I needed one but i was very comfortable w/ the care my OB provided & didn't feel the need to follow up w/ peri unless things got more complicated. GL!

Temp6313048411121614

I don't see a peri.  Sure I'm on Procardia and BR for PTL, but with a toddler, I don't think a peri would've been able to stop that, I'll be the first to admit that I just did/do too much. 

kimarino13

I was lined up with just an OB until we discovered they are identical.  That is the only reason I am exclusively seeing a peri now.

fallbride110406

I only lurk over here, but I wanted to bring up what I do since it seems out of the ordinary.

Once I got released from my RE, I had to schedule appointments with both my OB and an MFM that I had met with for pre-conception counseling (for my MTHFR).  I literally saw them 2 days apart.  My OB left it up to the MFM what they wanted to do, and the MFM said that they felt comfortable enough with my medical history and my chart to allow my OB to be my primary caregiver and they would be there to consult with her if she felt she wanted a second opinion on my care.

So I see my OB every other week, she orders all my level II u/s's at the hospital (that has a fetal imaging center staffed with all MFM's), does my normal checks, etc.  When I had bleeding, she consulted with my MFM on if they had any recommendations, they agreed with her treatment (bedrest, followup ultrasounds) and I never had to go to their office.  I have level II u/s's at least once a month, she did an early GD test on me and will repeat it at 26 weeks, and I feel completely comfortable with her.  Their practice handles a LOT of twin pregnancies with co-management like this, and I really like that I do have two doctors, but they work together on their own so that I only have to see one. 

shellshavintwins

I only see an OB but she has LOTS of experiance with twins, and I have my non stress tests done at the Perinatal center that way their Perinatologist can review any questions the nurse may have, and I can be sent up to L& D if there is a problem.

ChicagoKari

I only see an OB

GiGi1221

I only see an OB too.

Mrs. Destructo

You REALLY should be seeing a high risk doctor, be it a peri or an MFM. More than half of all twins are born premature. This is not a statistic you want to ignore and say "oh, it's not common, it won't happen to me." The odds are not in your favor on this one.

Take it from a preemie momma - you need the extra experience and trainig that a specialist has under his/her belt. Twin pregnancies can get very complicated very quickly, and you need the most experienced set of eyes on you and your children that you can find.

Shaina

Ditto Mrs. Destructo.  I saw a Peri.  I contracted like crazy from 27w-38w when I delivered.  He immediately put me on home bedrest, with a contrax monitor and also a terbutaline pump.  Kept me out of the hospital and my babies in to full-term.  My reg OB completely disagreed with this and I had to leave her b/c I was not comfortable with her appraoch--the wait and see approach--reactive instead of pro-active, like my peri was.  And my OB was a close family friend with LOTS of experience with twins.  don't matter.  I wanted to feel like everything pro-active would be done for me to keep my babies in as long as possible.  And no matter how much experience your OB has with twins, they are still NOT Perinatologists.  They do not have the same  training and experience.  No matter what, a twin preg is a high risk preg and a peri is much better equipped to handle the vast amount of complications that can aoocur than a regular OB can. 

ImRonBurgundy?

I didn't, and never needed to - delivered at 38 weeks 2 days, no complications!  Because I never had any problems, and my OB is very experienced with twin pregnancies, I never needed to see one.  I was classified as high-risk, though, and treated as such - starting at 32 weeks, I had weekly Non-stress tests and weekly ultrasounds (every other week was a biophysical profile u/s).  

 I really don't think there is a rule that you need to see a peri if you are pregnant with twins - I think it all depends on how experienced your OB is with multiples pregnancies, what her threshold is for when complications arise and when she thinks you may have to be referred to a peri/MFM, and how complicated your pregnancy is in the first place. 

piccolina09

I only see an OB.

MandieSueM

I never had a peri or an MFM.  Just my OB and midwife.