Pregnant after 35

I have a dumb question about high risk ob

So, currently my only gynecologist is a gynecological oncologist due to my previous breast cancer and genetic high risk for ovarian cancer. She doesn't deal with the baby aspect at all and mentioned in the past that she would refer me to a high risk ob when the time comes. So, here I am newly pregnant and with no one to deal with the baby part. I need to call to get the oncologist to refer me to the high risk ob I would like to see, but will that ob be in charge of my care from start to finish or at some point does one graduate from high risk and a regular ob takes over? I need to figure out if I need to find someone else in addition to the high risk ob. 
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Re: I have a dumb question about high risk ob

  • I don't think you graduate from a high risk ob.  I got myself assigned to one after being diagnosed with an autoimmune disorder that can (though rarely) cross the placental barrier, and I'll be under her care through my whole pregnancy.  So I think you only need to make the one phone call for the referral -- but of course you can always ask once you're with the high risk ob, too.  Many congrats on your pregnancy after the rough time you've gone through!
    me - 41 (dx: DOR); DH - 53 (no problems); 7/18/09 - married!; 8/4/09 - BFP on first (real)try; 9/14/09 - missed m/c; 9/15/09 - d&c; 11/09 - 3/10 - 4 natural cycles = BFN; 4/10 - dx hyperthyroidism caused by Graves' disease; 6/10 - thyroidectomy; 7/10 - 12/10 - 1 natural and 5 medicated IUI cycles = BFN; 1/11 - new RE; dx low ovarian reserve (AMH .42; 1/26/11 -- BFP (ectopic) from IUI #6; methotrexate 2/10/11; 6/2/11 - IVF #1 = BFN; 9/12/11 - prescreening for DE; 9/15/11 - IUI #7 (unmedicated)= BFN; 11/8 - begin DE cycle (shared risk program); 12/5 - ER (5 eggs/4 mature/3 fertilized/2 left by day 5) 12/10 - ET of one 1BB blast (expanded, "fair" quality), none to freeze; 12/22 - totally shocked by +hpt; beta #1 = 413; #2 = 3952 2/14 - CVS reveals a healthy baby girl! EDD: 8/27/12 DD born 8/31/12, 10 lbs 10 oz and perfect in every way. 
  • You will be high risk your entire pregnancy.  I wish you the best with everything!!!
    IAmPregnant Ticker
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  • **warning....kinda scary pregnancy story below**

    I graduated from my high risk doctor at my OB's request at 32 weeks.  It was for streamlining records, etc...we all agreed it was ok to do.

    Fast forward to 34 weeks and I started to have weird itchy-type symptoms.  I mentioned it at  my regular check-up.  I was patted on the head and the appointment was over. 

    At 36 weeks I was in the middle of a very serious and dangerous condition that could have caused a stillbirth. Ugh.  I literally get sick to my stomach when I write that sentence.  Anyway, I called my OBs office and could NOT get any attention from the front office people, the nurses or the doctors themselves.  I finally gave up and, in desperation, called my high risk dr. 

    The office staff put me through immediately to the doctor and she had me drive to her office right that moment. Long story short.....my high risk doctor knew exactly what was wrong and I was admitted to the hospital that day and had a baby delivered via c-section 48 hours later (FYI...after being admitted baby failed two biophysical u/s....it was getting serious).

    I don't tell PG horror stories normally but I thought this might help you....my regularOB and her office staff were totally unprepared to handle anything outside of a textbook pregnancy.  If at all possible, try to stay with your high risk doctor throughout your pregnancy.

    ~Married 11/08~
    ~TTC since 01/09~
    ~SA & B/W - 06/09 - Normal~
    ~Encouraged by OB to "just keep trying" 06/09 - 06/10 (oh, the wasted time)~
    ~HSG - 08/10 - Clear/Normal~
    ~Lapo - 01/11 - Normal~
    ~Clomid 50mg, Trigger shot, Prometrium - 01/11, 02/11, 03/11~
    ~BFN - 02/11~
    ~IUI #1 03/15/11~
    BFP 3/28/2011
    Diagnosed with GD at 28 weeks. Controlled through diet and exercise. No insulin.
    Diagnosed with Cholestasis of pregnancy @ 36 weeks.
    Delivered via C-section @ 36 weeks on 11/9/11.

    TTC#2 for a few months naturally (ha!)
    ~IUI#1, Clomid, Trigger,  10/13 - BFN
    ~IUI#2, Femera, Ovidrel, 11/13




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  • never a dumb questom whem a life is at risk.  depends on the practice they might have you do a reg ob and high risk if something arises you want to make sure your high risk ob doesnt choose this opton you want a high risk ob who will see you the entire pregnancy and make sure that is what the practice does who they are referring you too good luck :D
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  • I see two. I see my regular OB for the routing appts and my MFM for the big stuff, like my amnio and level 2 US. Since I'm at risk for GD, pre-e and plain old pre-term labor, he wants to take over all screening and testing. It's not a big deal. They're right next to each other, and my OB likes him a LOT.
  • I am happy to be under both a regular OB-GYN and the high-risk OB-GYN. Mainly it is due to my age (35) that my doctor referred me to a high-risk practice. (But the doctor there informed me that I was young. Yay!) I will have my BUN screen in two weeks through the high-risk OB-GYN, and they will continue to treat me throughout my pregnancy due to high blood pressure. I say, depending on your insurance, to stay with the high-risk as long as possible. Or, ask your current OB-GYN to refer you to another who is more adept at dealing with births. Either way, just make sure you and baby are in good hands!
    photo AlbumsWideColorBump_zps1797df63.jpg

    We lost our first (EDD 07/23/12) after finding out at 12 weeks there was no longer a heartbeat. Our rainbow was born 05/22/13 and was worth all we went through.

    “So can you understand? Why I want a daughter while I’m still young? I wanna hold her hand and show her some beauty before all this damage is done. But if it’s too much to ask, it’s too much to ask … Then send me a son.” – Arcade Fire
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