High-Risk Pregnancy

Who's delivering the baby, MFM or OB?

I had the option of doing all my ob care through my peri OR go though my ob (with seeing peri for u/s etc) and I chose to do all my ob care through my peri. 

However they will also be the ones delivering the baby this way. Do they deliver a lot of babies though? I'm not sure if it would almost be better if an ob did that since they may have more experiance in that department?

Thoughts? Who will deliver your baby?

ETA: I am high risk due to FVL and previous DVT. 

Re: Who's delivering the baby, MFM or OB?

  • My OB will be delivering me. I am a type I diabetic and have been seeing MFM, but I have a much closer relationship with my OB, and I feel much more comfortable with her!
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  • My OB will deliver.  I'm not sure if its protocol, but I prefer it this way.
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  • I haven't gotten a straight answer from my doctors.  I think they're waiting until I'm further along to make a determination.  I was borderline high risk with my son and my Ob delivered him.  With this pregnancy I was originally referred to a peri.  At my first appointment I asked if I should also be seeing my OB.  They hemmed and hawed and sent my an OB  a letter, so now I'm seeing both.  I have multiple complications, none of which are life threatening.  

    I know my peri has tons of experience delivering babies. I'm comfortable with either.

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  • I just assumed that since I was high risk, my MFM would be the one delivering but when I asked him, around 26 weeks, if he would be delivering or my OB, he informed me that the OB delivers; he just does all the additional monitoring leading up to the delivery.  I was concerned, because of my PTL, that LO would be very early and he said in those cases, the neo-natal docs will be there to assist the OB.  So, it wasn't even an option for me to decide.  OB gets the prize. Big Smile  I've also been seeing my OB the entire pg, and this MFM since 25w (switched from my original MFM after my PTL set in). 
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  • I don't post here much but my OB actually broke up with me because of my history (cancer survivor w/ lung collapse at 14 weeks that was fixed with bronchial dilation). I am fine now but my care was completely transferred to high-risk only. My doctor is amazing, she has experience with thoracic issues also which helps. I see her every two weeks and she will be delivering my twins .  
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  • I became high risk after my daughter was born when my pre-eclampsia turned to eclampsia and I ended up having 2 seizures and being unonscious for several days.  The peri who took care of me once this happened told me to come back and see him when we were ready for number 2.  Because number 2 was a surprise, I made an apt immediately to see him and he has been doing my care the whole time.  He will deliver our daughter :)
  • pre-viability - my OB. But that's only for another 2 weeks. (knock wood)

    after that, my peri - b/c we are carrying twins, and one will not likely live much past birth, if he makes it to that point.  AND my daughter has placental issues. (hot mess, this pregnancy) While we hope to go full term'ish, nothing is a guarantee in this pregnancy, other than it's complicated.

    I would caution anyone that has somewhat of a choice to actually "price" them out a bit - both my OB and peri have "global plans" that my insurance pays VERY differently on. And in the case of twins, a vaginal delivery is billed TWICE for my peri (but just about 15% more with my OB) but both places are "BOGO" of sorts if it's a c/s.  I hate that money is involved in this at all, but we're talking THOUSANDS of dollars difference b/t my OB vs. peri.  Just a head's up. If you need help with the details of doing this, please let me know.

     

     

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  • My MFM doesn't deliver, so I just go to her for monitoring during my pregnancy.  I still do my regular check-ups through my OB, and he'll actually be the one to deliver.
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  • My OB and Peri will be on call incase of ER. But my Midwife will deliver the baby.
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  • I wish my MFM doc would deliver, but they monitor you up until delivery. They don't deliver. I love my MFM doc and he knows me and my case quite well. I have been seeing them since 8 weeks or so for Type 1 diabetes, pre-existing high blood pressure and clotting issues (on Lovenox). Ever since 21 weeks when I was diagnosed with oligohydramnios, I've been seeing MFM twice a week. I have seen my OB but not as regularly. I feel like the OB doesn't know me like MFM does.
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  • My OB will be delivering me (scheduled c/s). Although my Addison's disease makes pregnancy pretty high risk, it's a fairly straightforward protocol when it comes to delivery and surgery. It's just the 40 weeks of pregnancy that requires additional monitoring, and my MFM actually knows what to do with pregnancy and Addison's.
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