High Risk Ladies...what to expect from MFM?

Meepit · November 2009

Since I'm now classified this way, at least by my OB, I figure it's time to figure out what the differences are.

I know they ran a bunch of bloodwork at his request, so he'll have all of that when I see him on Wednesday, but what will the appointment entail, do you think?

krissyh21 · November 2009

I missed your post - why are you being considered high risk? I am assuming what goes on would be different depending on the dx.

For me, I am just seen a zillion times a week with a zillion blood draws and a zillion u/s and NST. The first appointment went over the risks of pre-e to me and the baby, what she expected as far as going full term, what I should be on the look out for as far as symptoms and the agreement to what I can and can not do when home on bed rest (which is basically nothing). Additional tests were ordered and I was also referred to a kidney doctor.

CHI-06 · November 2009

Well I wasn't referred to a MFM as early as you so I am not really sure. At my appt I had an u/s to check on the baby and basically he reviewed my chart and we talked about plans for monitoring this pregnancy and also about delivery. That's really it...then scheduled my next appt. But mainly I am just seeing my OB now he just sent his reco for monitoring and stuff to her and I will just see him again in the 3rd tri.

kammy · November 2009

Every visit with MFM was an ultrasound and then a discussion with the doc about how things were progressing. My screening labs were done through their office (quad screen or integrated screen or whatever I had). I think if I had wanted amnio or CVS they would have been the ones to do it. They gave recommendations about my lovenox dosing, when to switch to heparin, etc. They were also part of the discussion about c/s vs. trial of labor, although they had nothing to do with the actual delivery.

My first visit also included a visit with their genetic counselor, but I have several genetic diseases, so I'm not sure if that is standard.

Waiting4baby08 · November 2009

For me it was ultrasounds every 2 weeks and cervical checks. This might be due to my personal diagnosis, but your ultrasounds will most likely be level 2 or higher. I always felt so much better after MFM appointments.

k8enewlywed · November 2009

At my first appointment they mostly talked to me. I also have been seeing an ovarian specialist so I only met with the MFM once. They order extra tests and screenings/ talk to my OB and they all confer.

I had a friend with high blood pressure and they did fetal stress tests pretty often towards the end of her pregnancy.

Also you might get more answers over on the high risk board!

I'm sorry about that hateful OB appointment!

GL!

kimarino13 · November 2009

I started seeing the Peri at 10 weeks, and had an ultrasound every 2 weeks. After the u/s he would ask me how I was feeling, etc. That's it!

Then around 16 weeks, I started going in for weekly fluid level ultrasounds and then bi-weekly growth/cervix check ultrasounds.

Once a month I go in for my "OB check" which is where I PIAC and get my weight, blood pressure, pulse, etc. checked.

malloryo85 · November 2009

For me it was an u/s every two weeks with a cervix check. The appointments were long though, lasting up to two hours. It seemed like they were very detailed. They checked each part of the babies very thoroughly.

efhoping2010 · November 2009

Hi there, I am sorry your first OB appointment was icky. My RE sent me right to a Peri after release due to multiples and also genetic carrier issues on DH's side. My Peri group also delivers so it is who I see for all appointments. They took a long detailed history, did an ultrasound and talked about future tests to consider. I see them every three weeks until I am I think 28 weeks when I start going in every two weeks and I think at 34 weeks every week. I get a short u/s every visit to check on the babies and have a genetic counselor involved in care too. Still pretty much all business they just monitor you closer for issues, I know mine tests for GD much earlier than regular OB's. I think it will give you a piece of mind, best of luck

skoorbnibor · November 2009

omg, talked and talked and talked, U/S, more blood, and then talk and talk and talk...

but you know what? after that first appt, I felt safe, and taken care of... I had a lot to worry about, but I felt like we were all in it together (Me, my husband, my highriskOB, the MFM attending, the endo and the pediatric endo) it felt like we were being proactive!

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