Cincinnati Babies

Would this bother you RE: OB Appts?

So- I am 37 weeks (yay!) and thus far I have had exactly ONE fundal height measurement. My OB appointments are never the same.  They don't always use the dopplar, they don't tell me my BP, they sometimes check for just protein in my urine, and sometimes check for all issues, and they do an internal and only tell me 1/2 the time what is going on.

I don't know why but this bothers me.  I'm not a first time mom, but the fundal height thing is weird to me, especially since I haven't gained a single pound my entire 3rd trimester.  Am I worried enough that I think something is wrong? Nope- not at all- but I'm not paid to worry about that or check it either.

Thoughts?  Would any of this bother you?

ETA Also- with C I got biweekly BPP from 32 weeks on because I take a host of meds to deal with allergies/asthma and they wanted to make sure she didn't get IUGR which can happen with asthma or asthma meds.  I haven't had a single one this time. 

image Momma to Ms. C age 16 months and Mr. C age 3 months!

Re: Would this bother you RE: OB Appts?

  • It would bother me.  I know that fundal height is not an exact science, but it is used to throw up some possible red flags.  If it seems off they can do ultrasounds etc to rule things out.  As for the doppler, I would expect them to check the HR each visit even if they don't tell you the beats per minute.  Urine...I know I always peed in a cup but honestly I have no idea what they checked each time.  At each of my appointments they did these things and some doctors would give me the details and others did not.  I trusted my doctors to tell me if anything seemed "off" and if I did ask they were happy to tell me.

    The bottom line is, I would be asking them to tell me what was going on if I felt like I needed to know.  If you're not sure why they aren't checking fundal height and HR I would ask.  If they give you a good reason, great.  If not, I would request that it be done for your own comfort.  They work for you, and it's not like your asking for a special ultrasound at each visit.

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  • I agree with PP - it would bother me too.  I think you have a right to know how you are progressing and it is super weird to me that they aren't measuring you or listening to the HB at every appointment.  I would imagine that would be #1 and #2 on the doctor's checklist.  When I was pg, the nurse normally didn't tell me my BP, but I always asked.  I don't know if it's worth it to say anything at this point considering you are about done, but when/if you pregnant again, I would find a new OB.  Although maybe it is worth it so they know that you are disappointed with the medical care you received and maybe it won't happen in the future....I don't know.
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  • imageMrs.Cooley2bee:

    It would bother me.  I know that fundal height is not an exact science, but it is used to throw up some possible red flags.  If it seems off they can do ultrasounds etc to rule things out.  As for the doppler, I would expect them to check the HR each visit even if they don't tell you the beats per minute.  Urine...I know I always peed in a cup but honestly I have no idea what they checked each time.  At each of my appointments they did these things and some doctors would give me the details and others did not.  I trusted my doctors to tell me if anything seemed "off" and if I did ask they were happy to tell me.

    The bottom line is, I would be asking them to tell me what was going on if I felt like I needed to know.  If you're not sure why they aren't checking fundal height and HR I would ask.  If they give you a good reason, great.  If not, I would request that it be done for your own comfort.  They work for you, and it's not like your asking for a special ultrasound at each visit.

    I completely agree with Mrs.Cooley.  I had my bp, urine, and fetal HB checked at every visit.  Good thing too since I had BP issues near the end and landed in L&D once because of my BP at a checkup.

  • I agree with PPs also. It would definitely bother me. At my OB appts, they did the exact same thing every time, it was like a routine! I always knew what I was in for when I had my appts. Have they told you why they're not doing the same thing every time? I'm just curious.
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  • I would mention your concerns and ask them to do the measurement checks as well. I'd be surprised and concerned if they did not honor your requests. You're getting so close!
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