May 2011 Moms

High Risk Designation

DH and I have been talking about another LO because the first one is so gosh darn cute*. When I talked to my OB about it, he made it very clear that because of all the complications from the first go-around, I would be HR from the start of any future pregnancies. This is certainly something that we need to take to heart.

Who else has been "designated" as HR for future pregnancies? Have you received clarification on what this would entail?

 

*We've crunched the numbers and conclude it's a responsible decision

Re: High Risk Designation

  • I was "high risk" just due to my age with the first, and so for a second will be in the same category. Pretty much have the people I know were high risk in at least one pregnancy (gestational DM with the first = "high risk" with the second, previous miscarriages, issues during delivery - anything like that puts you in the "high risk" category and much of the time everything does go fine)

    You'll just be monitored more closely and will likely be referred to an Advanced Maternal-Fetal Care specialist along with your regular doc. It's just more appointments, ultrasounds, etc.

     
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  • Yep, I'll be high risk also next time.
    More blood work, more sonograms, maybe a high risk OB, and I'll start going weekly around 28weeks instead of only the last month.
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  • My doctor didn't specifically say anything but because of being on bedrest and issues with pre-term labor and stuff I have a feeling if I have the same doctor she will monitor me more closely. She was pretty proactive and cautious about my monitoring last time and so it wouldn't surprise me.

    That being said, I will still have another. I may have sucky pregnancies but they are worth it to me. I just want to make sure I have a doctor that monitors stuff and who knows my next pregnancy may be completely different and I will be pregnant for 42 weeks. I'll take that over having to stop pre-term labor anyday.



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  • I will be because I got HELLP and after my c/s a thrombosis. I'll go to an MFM specialist, and I think for me the big question will be whether to give me heparin to ward off the thrombosis or to not give me heparin because of the HELLP. We're definitely having at least one more (assuming all goes as planned).

    BFP1: DD1 born April 2011 at 34w1d via unplanned c/s due to HELLP, DVT 1 week PP
    BFP2: 3/18/12, blighted ovum, natural m/c @ 7w4d
    BFP3: DD2 born Feb 2013 at 38w4d via unplanned RCS due to uterine dehiscence

  • At least half of my friends have been designated "high risk" during their pregnancies.  Basically it just seems that they have to have more doctors appointments, get mroe ultrasounds, thus their insurance gets billed more and the doctors make more money. ;)
  • imageandigurl:
    At least half of my friends have been designated "high risk" during their pregnancies.  Basically it just seems that they have to have more doctors appointments, get mroe ultrasounds, thus their insurance gets billed more and the doctors make more money. ;)

    Yeah, I already thought about this. each extra sonogram cost me and DH $40.

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  • i was high risk this time with dd since i had ds at 29 weeks with no warning.  for my case, it meant that i just saw the doctor more and had more ultrasounds and monitoring.  it all payed off though, because with everything we did dd stayed put until her scheduled delivery date at 37 weeks :)
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  • Agree with pps--more appts, ultrasounds, etc.  I had DS1 at 32 weeks so I had cervical checks at every appt and I did p17 shots starting at 16 weeks (weekly shots).  I was also on modified bed rest from about 32 weeks on.

    After having DS1 at 32 weeks and the challenges we faced with him, I was REALLY hesitant about having another even though we had always said we wanted 2 kids.  So we decided to meet with a specialist (maternal fetal medicine) to discuss what we would need to consider for a future pregnancy.  I felt better knowing we had a plan.

     I'll also say that being high risk also meant that any complaints I had were taken very seriously.  For example, when I called with DS1 at 32 weeks and said I was pretty sure my water had broken, I was treated like I didn't know what I was talking about (lo and behold my water had broken!).  With DS2, if I said I just felt "off" or more uncomfortable than usual, they had me in and checked me (most of the time I was having timeable contractions).

    GL!! 

    Kim

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