Multiples

How many u/s

do you get with twins? I should has how many and how often.

I met with the OB nurse last week and she was kind of a _bitch. I am considering switching OB's. She wouldn't give me any info. I like my OB, but if they can hire a nurse like this to first meet with you when your pregnant, I may have to reconsider.

I tried to tell her that I had an u/s and was having twins. She totally didn't listen to me. It was irritating.

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Re: How many u/s

  • ewe- what a wench! you should see a peri + the Ob.

    so far i have had... other than the weekly US's with my RE from 5-8w...

    one at 9w with OB

    one at 12w with Peri for NTS

    one at 16w with peri for cervical check

    one at 20w- big US/anatomy scan

    have one at 24w - growth scan + cervical check.

    Plus a few little ones at the OB inbetween when it was hard to determine their HB's via doppler... they don't hesitate to whip out the US machine to get the HBs with twins.

    i believe i'll start to have them ever 2w as time goes on- then every week towards the end if i remember what my OB said.

     

    You def. want an OB office that is experienced with multiples . Have you read Dr. Luke's book yet? it's the one to read - will go over everything important with twins... diet, etc. My Ob was in total agreement with everything the book said- which made me feel good.

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  • i was high risk and had them weekly from 19-26 weeks. ?before that i had u/s weekly from 6-8 with my RE, and i think 2 or so in between 8-19 weeks. ?HTH
  • Dumb question what is a peri? I know nothing about being pregnant.

    I am going to look for that book. What's the name of it?

    Thanks, for the detailed answer! I am nervous about both of them. I just want them both healthy.

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  • Goldie, I actually did an Amazon check for the author and I ordered that book last week:) I'm glad I ordered that one.
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  • I finished up with the RE at 11w.  Once I started seeing the OB, I didn't have another u/s until 18w.  They said this is pretty typical even with multiples unless there is a reason to look (like bleeding or cramping).  After 18w, I've been having them every 4w and after either this one (at 26w) or the next one (at 30w) I'll start having them every 2w.  I think I'll get my first NST at around 28w.
  • I am 24 weeks pregnant with twins and see only a regular ob. I have had and will continue to have an u/s every time I go. So far, I have been seen every 4 weeks. After my next appt I will be seen every 2-3 weeks and then eventually every week. I have had a very uncomplicated pregnancy thus far. I also must always see the doc and not the nurse practitioners. I would certainly not waste any more time with the ob you went to. Find a new one who will treat you with respect and kindness. You are too important and so are your babies to be treated any less!!!! Good luck!
  • If you need a peri recommendation, I loved mine - Jeffrey Livingston.   I saw him exclusively (no OB at all) and I felt like I was in good hands.  He was knowledgeable, nice (a little dorky, though), and took precautions while not being alarmist.  The only real drawback to him is that, at least at the time I used him, the only hospital he delivered at was University (I saw him at his office at Christ, though - just delivered at University) - which isn't the most desirable of hospitals (although, my experience was very good there). 

    Basically your choices for a Level III NICU are either University or Good Sam - so whatever doctor you end up choosing, make sure they deliver at one of those.

    As for how many u/s - I ended up averaging about once per month.  Two in the beginning from my RE.  One at 14 weeks for my NT scan.  The big u/s, of course.  And from that point on, I had one every 4 weeks for a little while and then one every 3 weeks.  Also, my peri would use the u/s to find heartbeats most of the time instead of a doppler.  But those were never full on u/s where they were measuring things.

     Whether you end up with an OB or peri, just make sure you feel comfortable and conifident with his/her abilities.  I would highly suggest using a peri on at least a consulting basis with an OB, if you choose to go the OB route.  I wouldn't go to an OB who treats a twin pregnancy like any other pregnancy. 

    Best of luck.

     

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  • I had ultrasounds at:

    20, 24, 28, 30, 32, 34, 36, 37, and 38 weeks that were part of the multiples protocol.  This was in addition to the inital ultrasound to date the pregnancy and one around 10 weeks or so cause I fell down the stairs and was paranoid so the dr did a quick one to reassure me.  You'll also have  NST's, which usually start around 30 weeks, and I went to 2 a week once I hit 35 weeks.  It's basically monitoring heartbeat fluctuations and movement of both babies at the same time. 

    A lot of women who are having multiple pg's do see a peri, but not all.  I didn't.  I was already being seen at a practice that handles high risk pregnancies because I have high BP.  I don't feel that anything about my care was lacking and the OB's in the practice were very comfortable with handling twins.  If you're already getting a bad feeling from the practice, definitely look into switching.  YOu're going to be seen a lot and you will definitely want to be confidant in those taking care of you. 

  • That is frustrating that the nurse was not helpful :(.You'd think she would know more or less the OB's standard procedure with multiples, or maybe he doesn't allow her to discuss that stuff w/ patients?

    My OB does u/s every 4 weeks with twins (not sure once you hit 3rd tri though, I'm sure a lot depends on complications, etc), plus I'll go to the peri for the 'big' u/s around 18 weeks or whatever. I saw him at 12 weeks & next appt will be 16 weeks but then after that I'll have an appt every 2 weeks (not u/s every 2 though, just regular appt to check in). 

  • i've had one at every single visit.
  • OMG I've had so many I can't even count.  You should defintely ask if you'll be seeing a peri - that's where I get most of my u/s's.  In fact, my OB tries to get me to see him the same day I see the peri so that I dont go into appt overload. With the Peri i did the PTL prevention program so that was starting at 24 wks I would do a cervial check, FFN and UAM (uterine activity monitoring) every two weeks.  I had monthly growth scans starting at 20 wks with peri and now I do weekly NST's there also.  The only u/s that my ob does is to check hb's when I have an appt with him.  Oh and I went to the peri for my nt scan at 12 wks.
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  • My OB does them at every appointment.  So every 4 weeks from wks 10-22, every 2 weeks 24-30 and now every week.  I see a peri also so there are some additional growth ultrasounds in there.  I go to the OB this week and I'm pretty sure it will be my 23rd u/s this pregnancy, including the 5 or so I had before I was released from my RE.

    That totally stinks about your nurse.  That'd make me think twice also!

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  • you SO should switch! ugh!

    I had them at

    6w1d- to check for multiples,

    8w- to see if baby C was still there,

    12w- to see their heartbeats b/c they were having a hard time finding both

    13w- for the NT scan,

    19w- the BIG u/s,

    23w- growth scan

    27w- growth scan,

    30w- growth scan,

    33w- growth scan,

    34w- to do a biophysical profile,

    34w1d- to check for positioning (the day I delivered b/c my water broke)

  • I had weekly u/s's with the RE from 5-9 weeks.  I've had one every time I've seen my ob and every time I've seen the peri.  We have our big u/s on Wed and I am so excited that mh is going to be with me.  He hasn't seen them since the middle of January and I have had 3 u/s's since then.
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  • I had two u/s with my RE at 7 weeks and 9 weeks before I graduated to my OB/GYN. My OB/GYN doesn't do u/s since he doesn't have the equipment. He referred me to a perinatologist who does an u/s at each appointment.  I saw him at 21, 25, and 29 weeks (so more 3 u/s).  Starting this week at 32 weeks, I'll be seeing my peri every week and so will be getting an u/s every week up until I go into labor.
  • I got one at every single appointment (OB & Peri). Before I was put in the hospital I was having a u/s 3 times a month and now that I am in the hospital I am having one every week! Today will be my 17th one!?
  • Weekly for weeks 6-8 with my RE, then at 12 wks, 20 wks, 23 wks (only because of spotting), every tw weeks between 23 and 28, then weekly from 28 on out.
  • i saw a peri exclusively, due to the fact that i was originally pg with triplets. i had so many i can't even remember lets see..

    7weeks-RE

    8 weeks-1st OB with nurse practioner?

    9 weeks-meeting with OB

    12 weeks-NT scan

    14 weeks-growth scan

    18 weeks-Big U/S

    then i had them every 2 weeks, because i was having appts every 2 weeks, and consistently having contractions..most were on the crappy machine in the exam room, my doc was really cool, and would always take a quick look just to make sure everything was good :)

    soooo different this time around already! ?

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