Multiples

Di/Di twins.

Do you think I need a MFM?  Should I consider both an MFM and an OB? 

I appreciate any and all advice. 

Thank you TTCAL and IF board. "Friendship is born at that moment when one person says to another: What! You too? I thought I was the only one." C.S. Lewis

Miscarried December of 2008, Ectopic Pregnancy November of 2009

IVF #1 = BFN | IVF #2 = BFP: 9dp5dt (399), 14dp5dt (2489)

Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus" Philippians 4:6,7
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Re: Di/Di twins.

  • IMO, yes see an MFM, too.

    I had di/di twins and only saw an MFM. I was living in the UK at the time and so I felt I was getting great care by going to the MFM. When I returned to the US, I opted to still stay in the care of an MFM. 

    I had an uncomplicated pg but was thankful to have had an MFM when at 34 weeks they thought my one DD was IUGR (at birth, we found out she wasn't) but I felt reassured and in the best hands possible with the MFM. Got to see LOs a lot on u/s!!

    Best of luck to you!

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  • Thanks for responding and for sharing. 
    Thank you TTCAL and IF board. "Friendship is born at that moment when one person says to another: What! You too? I thought I was the only one." C.S. Lewis

    Miscarried December of 2008, Ectopic Pregnancy November of 2009

    IVF #1 = BFN | IVF #2 = BFP: 9dp5dt (399), 14dp5dt (2489)

    Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus" Philippians 4:6,7
    Image and video hosting by TinyPicIn loving memory of MrsTyson's precious Julia
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  • I'm comfortable being with my OB only. They give me growth checks, bi weekly cervix checks, and are very comfortable dealing with twins. They also have a "hi tech" u/s machine in their office.

    It all depends on how comfortable you are with your OB I think. 

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    After 2 years, Injects, PCOS diagnosis and 2 IUI's, we were blessed with our beautiful twin girls!
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  • Make sure to check around, I know the MFM's in our area dont usually deliver, the Ob's do.

    My OB practice specializes in high risk so I just see them.

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  • Thanks. 

    Thank you TTCAL and IF board. "Friendship is born at that moment when one person says to another: What! You too? I thought I was the only one." C.S. Lewis

    Miscarried December of 2008, Ectopic Pregnancy November of 2009

    IVF #1 = BFN | IVF #2 = BFP: 9dp5dt (399), 14dp5dt (2489)

    Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus" Philippians 4:6,7
    Image and video hosting by TinyPicIn loving memory of MrsTyson's precious Julia
  • Congrats & welcome to the board. I think all women with multiples should see a MFM. I loved my OB's office and their staff, but MFM had a much better grasp of things specific to twins and other high risk issues. Their facilities for NSTs were also MUCH better. Having them done in my OB's office literally made me ill.

    Also, read Dr. Barbara Luke's book. It's incredibly helpful and discusses this topic.

  • Sunnybrook, thanks for the info.  I have gotten Dr. Luke's book and I'm still trying to digest the massive amount of food she recommends we twin mom's should consume.  
    Thank you TTCAL and IF board. "Friendship is born at that moment when one person says to another: What! You too? I thought I was the only one." C.S. Lewis

    Miscarried December of 2008, Ectopic Pregnancy November of 2009

    IVF #1 = BFN | IVF #2 = BFP: 9dp5dt (399), 14dp5dt (2489)

    Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus" Philippians 4:6,7
    Image and video hosting by TinyPicIn loving memory of MrsTyson's precious Julia
  • imageBlessed1010:
    Sunnybrook, thanks for the info.  I have gotten Dr. Luke's book and I'm still trying to digest the massive amount of food she recommends we twin mom's should consume.  

    We get this comment all the time - you don't need to stuff yourself!  It's a good guideline and some of the foods she suggests per trimester are really helpful, but don't make yourself sick.  I just upped my protein and did the best I could.

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  • imagebsmead:

    Make sure to check around, I know the MFM's in our area dont usually deliver, the Ob's do.

    My OB practice specializes in high risk so I just see them.

    Not saying anything bad about your doctors personally.  However, the only OBs who truly practice high risk are MFMs.  I don't care if any regular OB says they practice high risk; it's false advertising unless they are board certified in Maternal Fetal Medicine.       

    ETA: I love my OB.  When we saw twins at 5w6d, I walked right over to my MFM colleague and dropped my regular OB.  It was nothing personal.  I had many complications develop during my pregnancy, and I credit my MFM care for helping me make it to 36 weeks. 

    Three losses in 2009; Boy/Girl twins born in 2010 image
  • I'm seeing an OB for my Di/Di twins BUT... she is in a practice with 2 MFMs who consult in my care on a regular basis. If I am hospitalized at all for preterm labor etc. they will be involved in my plan of care. She is my main doctor, but they are a constant presence as well. I am at a high-risk university facility as well. I think an MFM should be a part of your plans.
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  • Sorry, I shouldnt have said "specializes" my dr lists "High-Risk Obstetrics" under his "clinical interests" The practice lists "Prenatal, general and high-risk obstetrical care" under their services.  The MFM's in our area dont actually deliver babies, and I completely trust his care.  Lol, our local ob office however-- SCARY!  We definately dont dr there!

    I'm still new to this whole "high risk/multiple" pregnancy thing, my other two were completely uncomplicated.  I am still learning all the terms.

    Thanks!

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  • Where I went to, MFMs do deliver.  I had an MFM because I had hyperamisis as well as twins.  I had regular growth u/s and cervical checks with my MFM as well as consults with them for meds and PTL.  At one point the OB wanted to switch me to the MFM full time.  A twin pregnancy is high risk period and should be consulted with at the very least.
  • It's just important for newly pregnant twin moms to understand the difference!   No flames.  Understandably many regular OBs like twins, hypertensive d/o, diabetes, etc.
    Three losses in 2009; Boy/Girl twins born in 2010 image
  • I appreciate the responses.  I saw the MFM today and have an appt. with an OB in two weeks, but have decided to stick with my MFM.  T

    Thanks for responding and for sharing your experiences. 

    Thank you TTCAL and IF board. "Friendship is born at that moment when one person says to another: What! You too? I thought I was the only one." C.S. Lewis

    Miscarried December of 2008, Ectopic Pregnancy November of 2009

    IVF #1 = BFN | IVF #2 = BFP: 9dp5dt (399), 14dp5dt (2489)

    Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus" Philippians 4:6,7
    Image and video hosting by TinyPicIn loving memory of MrsTyson's precious Julia
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