Pregnant after 35

Over 35 and twins - should I be with a high risk OB?

I am currently 11 weeks pregnant. I had my first OB appt yesterday since finding out it was twins. I asked my dr about switching to a high risk OB and she didn't think it was necessary. The hospital where she delivers has a NICU but I don't believe it's a level 3 NICU. I also don't think there are high risk OB practices that deliver out of tht hospital. All of their diagnostic testing is done out of a fetal maternal medicine dept but they don't actually deliver the babies. At my appt my doc told me I will have ultrasounds every 4 weeks at MFM so I know she is taking a more cautious approach.

There is a hospital in the same hospital system that has a level 3 NICU and has a high risk OB dept. I think I might call the high risk practice at the other hosptial to see what their guidelines are for taking new patients and if I need to be referred there by my current doc.

Just wondering if anyone has had a similar experience or opinions.

Thanks

6 year old daughter

Fraternal boys born on May 11, 2013 at 36 weeks 4 days

Re: Over 35 and twins - should I be with a high risk OB?

  • I will be 40 next month and expecting twins in April/May.  I see my regular OB but also have an MFM who will be doing cervix checks on me and monitoring both babies' growth.  My OB will do the delivery, she has a lot of experience delivering twins.  The hospital I'm delivering at also has a Level 3 NICU.  Me being the paranoid person that I am would insist on delivering at a hospital with a Level 3 NICU.  If you are delivering at a hospital without one, and god forbid your babies need special care after delivery, you don't want them to be flown to a different hospital than the one you are at.

    I know some people have uneventful twin pregnancies but I would not be comfortable with a laid back monitoring approach, so it's good that they are taking a cautious approach with you.  Good luck!

    Me:40 AMA, DH:36 0% morph, TTC#1;
    BFP#1 4/2011, MMC 6/2011 11wks Trisomy 13;
    BFP#2 11/2011, CP
    FSH: 17.9, AMH: 2.2
    IVF#1 w/ICSI: ER 4/3: 5R,4M,4F
    ET 4/6 All 4 (1-8A+, 2-8A-, 1-3A) BFP#3
    Two weeks of beta hell = Blighted Ovum
    IVF#2 Aug/Sept: ER 8/27: 4R,3M,3F
    ET 8/30 (1-8A+, 1-6A+)
    Beta#1 9/10: 350; Beta#2 9/12: 796; Beta#3 9/20: 9155
    Expecting Boy/Girl Twins! My babies were born 4/23/13 at 36w1d!

     
     

  • So I did a litte more research on the definitions of NICU's. I guess the hospital I'm going to does have a level 3 NICU because they also have a speciality care nursery in addition to a separate NICU. From what I've read online, a specialty care nursery is a level 2 NICU. The difference may be that my doctor's hospital has a IIIA NICU as opposed to a IIIB or IIIC. This does make me feel better, I'm still wondering if I should go to the hospital with the highest level NICU in the area?

    6 year old daughter

    Fraternal boys born on May 11, 2013 at 36 weeks 4 days

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  • I'm seeing my regular OB and MFM but my OB will deliver. I always thought MFM's were "high risk" OBs. My hospital has a level 3 NICU too.
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  • imageocho2002:
    I'm seeing my regular OB and MFM but my OB will deliver. I always thought MFM's were "high risk" OBs. My hospital has a level 3 NICU too.

     Ditto this, but I am only having 1. All of my friends with twins regardless of their age, saw a MFM along with the regular OB. 

  • I'm 35 ande carrying twins.  My doctor just recommended that I go to my regular OB for full care.  I asked if I was considered high risk and was told that I would be monitored closely, but not to worry.

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