Pregnant after IF

A couple newbie questions

1)  I don't have any OB.  I have seen an NP for my paps since high school.   I know I don't need to find one right now, but with my u/s next week, I will soon.  How do I go about finding one?   There are a couple good hospitals near me.  How do I tell which would be the best to deliver in?

2) Do I need to call my health insurance and tell them I'm pg?  What about my PCP?

3) Is there any paperwork such things I should be doing?

I've been planning this pregnancy for over two years, but I never once thought of any of these questions.

TTC since Jan. 2010 DX Unexplained infertility
3 IUI's w/Clomid & Ovidrel=all BFNs
3 IVF (2 Fresh, 1 frozen) =BFN
Jan 2012 New RE & Fresh Cycle =BFP!
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TTC #2 October 2014
Meet with RE March 2015
2 Frozen & 1 Fresh IVF= BFNs
September 2015 Frozen ET=BFP!


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Re: A couple newbie questions

  • 1. you could ask your NP if she knew of an ob, or ask your re's office. 

    2. You don't have to tell them, the dr's office will do it- by the billing they send in to the insurance company.

    3.  I didn't They dr's office will usually help you right along.  

    ttc since 10-09 first visit with RE 09-10 ME-everything ok DH- AZOOSPERMIA...biopsy confirmed Sertoli Only Cell syndrome Donor IUI#4 was the charm (8-27-11) with 125iuFollistim/Ovidrel/Endometrin/PIO/vit D beta #1 9/8/11....BFP!!! : ) @ 47.7 beta...#2 9/15/11... 1,998 beta#3 9/22/2011- 27,900 Baby's hb seen @6w2d ! 1-3-2012 20 wk u/s everything lookin' good! Baby Birthday Ticker Ticker
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  • 1. I just moved where I am last year, so asked friends and some closer coworkers with kids about their hospital preference for childbirth and that's how I decided on a hospital. From there I looked for an OB in my network with good reviews. 2. Your insurance probably already knows your pregnant. Mine sent me a letter in the mail with pregnancy to-do's and not-to-dos a week after my bfp. 3 the only paper work so far will be your forms to fill out when you get your new OB.


    Daisypath Anniversary tickers
    Me-29 PCOS, pituitary adenoma, high prolactin.
    DH-33 low count.
    Not currently TTC.
    DD born August 2012 via IVF. HoH, aided, ASL/spoken English.

  • You could try posting on your local boards on the Nest and the Bump and ask for recommendations for doctors and/or midwives and which hospitals are best to deliver at.  Then check to see which are covered under your insurance policy.  You usually don't need to notify your insurance, but definitely look into how much is covered so you can start planning for how much $ you're going to need out of pocket for labor and delivery.

    For me, just for my peace of mind, it was important to make sure the hospital I deliver at had at least a Level II NICU on site (Level III would be even better, but that is like 45 minutes away by car unless there's a backup on the bridge, which happens often, and I didn't want to deal with trying to get there during labor if there was some traffic delay). 

    No need to call your PCP to let them know, just make sure if you have to go in for anything, you tell them then, so they don't prescribe you something that you shouldn't take during pregnancy.  Also, let your dentist know ahead of your next cleaning appointment because some require a release from your OB saying that it's safe for you to get a cleaning.  I learned that the hard way when I showed up for my cleaning and then had to scramble to call the OB to get them to fax over a letter saying it was ok.  My OB recommended delaying any xrays until after the baby is born, unless they are absolutely necessary b/c of a cavity or something.  Then they said to double-shield with the lead shield.

     ETA:   Also, call as soon as you can to schedule because some OBs don't have a lot of available appointments for new patients -- I've heard of people being scheduled a month or more out, even for pregnancy, so don't wait until your OB releases you.


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  • 1)  I would ask your RE or your NP for any recommendations.  Or talk to friends and family - this is how I picked my current OB. 

    2)  No - I didn't call anyone to let them know.  Your insurance will figure it out when they start paying claims.

    3)  I had to do a bunch of paperwork for my OB but they mailed me that to fill out when I made my first appointment.  I'm sure you'll have to speak to your HR department eventually, if you're working.  Mine just said to come back about a month before my maternity leave to fill out the paperwork though.

    ___________________________________________________________________________

    Trying for #1 since May 2010   l   DX ~ Unexplained Infertility June 2011

    IUI #1&2 = BFN; IUI #3 = BFP, m/c @ 6 weeks

    November '11 ~ IVF#1 ~ ER 11/18 (29R, 17F) ~ 5dt of one beautiful blast on 11/23 = BFP!!

    Beta #1 9dp5dt = 116, P4 = 28 ~ Beta #2 13dp5dt = 700 ~ Beta #3 20dp5dt = 9500, P4 = 26

    1st u/s 12/27 - hb of 156!! EDD 8.10.12 :)   **TEAM GREEN!**

    Sweet baby boy born 8.18.12

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    Trying for #2

    FET #1 - October '13 - c/p   l   FET #2 - December '13 - cancelled :(   l   FET #2.2 - 1.30.14 - BFN

    ~ More testing - hysteroscopy, endometrial biopsy & more b/w - all normal / negative~

    Surprise BFP while waiting on FET #3 ~ beta #1 500; beta #2 1600; first u/s 4/3 - measuring 5w5d, no hb yet!; 2nd u/s 4/10 - hb 132, measuring 6w6d - EDD 11.29.14 :)    **TEAM GREEN!**

    Beautiful baby girl born 11.24.14

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  • 1) I had my RE refer me to an OB that has worked with many IF patients.  She just happens to be located and deliver in a hospital very close to both work and home for me.

    2) I didn't

    3) Nope, not that I know of.

    Funny huh?  We've been "planning" for this for years, and yet have no idea what to do now that we finally got here!

    TTC with PCOS since November 2009
    IUI#1 Femara/Ovidrel (cd 3-7) = BFP, m/c
    IUI#2 Femara/Ovidrel (cd 5-9) = BFN
    IUI#3 Femara/Ovidrel (cd 3-7) = BFP!
    beta #1 11/23 = 270, P4 = 75
    beta #2 11/28 = 2055
    Our daughter E was born 7/29/2012!
    Surprise, our 2nd daughter P was born 5/22/14!
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  • 1. We asked our NICU nurse friend which hospital he thought was best to deliver at. Then we found all the ob's that are on our insurance at that hospital. Then, our RE told us which one. This became a problem because 2 of the 3 didn't take August due mommas.
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  • 1)  I don't have any OB.  I have seen an NP for my paps since high school.   I know I don't need to find one right now, but with my u/s next week, I will soon.  How do I go about finding one?   There are a couple good hospitals near me.  How do I tell which would be the best to deliver in?Your from Ma? Where in Ma are you wanting to deliver? or hospitals you are looking at?  Also, I had my first OB appointment at 10w FYI2) Do I need to call my health insurance and tell them I'm pg?  What about my PCP?Your health insurance should know considering the testing you've had. Don't have to call either 3) Is there any paperwork such things I should be doing?Don't think so. I've been planning this pregnancy for over two years, but I never once thought of any of these questions. Congrats!! btw nice to see you over here!! 
    Oct1201212 Twins born at 34w2d, Allison, 3lb,4oz-Ethan, 4lb7oz, both 16 1/2 inches. Out of Difficulties Grow Miracles BestBuddiesBoy AprilPosseMultiLilypie Premature Baby tickers
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