Does anyone see a perinatologist only

Philsbride2be · May 2013

I am 17 weeks and am seeing my peri because I was so unhappy with my OB that delivered my DD. They missed a lot of my symptoms and were very dismisive with me. He failed to diagnose or treat my postpartum HELLP Syndrome, and it would scare me to go back there. On the one hand, I feel like I am in good hands at the perinatologist group/MFM group. They have run some extra tests and are very watchful in case I develop signs of preeclampsia again (which of course, led to HELLP Syndrome). I also had a postpartum rash called a pupps rash, I also had preterm contractions starting at 23 weeks. I have already noticed contractions in the past few weeks which are a little scary, they did check me to make sure my cervix is still long and closed, which it is. I think I might have more contractions as I progress, I am just now starting to show. I had shots of terbutaline with my last pregnancy to stop contractions, multiple multiple times, but never went into preterm labor. And I have Celiac, so i am gluten free, and I had abdominal surgery last year. So those are the reasons they have qualified me as "High Risk". other than that though, there is a chance, it could be a normal pregnancy this time, which is what I am hoping. I am just second guessing if I should be at an OB group where I can kno very well the doctor that will eventually deliver me. I don't want to be so overly expecting a complication, if there is none and everything goes well. I have our big anatomy scan in three weeks at our 20 week appointment. Maybe I will know more then....???

CNYBride05 · May 2013

I didn't read your whole post - too long with no breaks, but in answer to your subject line question, yes, we only see an MFM, but not by our choice. When I was admitted to the hospital at 23w,5d for PTL, our MW and high risk OB said we should just see the MFM for now on. They don't have privileges at the hospital with the level 3 NICU, but the MFM is based here, so it made sense.

dandywarhol · May 2013

I only see a peri. Technically my provider is a FNP but she works under/with the peri and I've seen my peri at every visit. I've had 3 previous losses and am high risk. I've been with my peri since 10-11 weeks. I am happy to have him and wouldn't have it any other way.

luvboston · May 2013

I see both but it sounds like with your history you should stay with the MFM.

2have2hold · May 2013

The practice I go to only has perinatologists. They do the usual OB stuff as well as the extra specialized testing/monitoring. I'd stay if I were you. You're getting the best of both worlds.

takmjs · May 2013

I see an MFM only, now that I'm considered high-risk (bicornuate uterus, incompetent cervix, PTL, delivered at 30 weeks). Best of luck to you!

chicagobride_07 · May 2013

Vasa previa here. My OB was my primary doc until hospitalization, but sent me for two Mfm consults and followed their lead on management. Now that I am in the hospital for monitoring, peri has taken over. My OB will deliver the baby if I make it to my planned c section at 34 weeks.