Multiples

How often do you have scans??

Sorry for all the questions today!  But I feel like maybe i am being under-monitored.  I am 20 weeks preg with di/di twins but I also have Type 1 diabetes, RA and Hashimotos, so even if it was only a singleton I would still be high risk.  I see my ob on the normal schedule and MFM once a trimester. (I also speak to my endo every week and see her once every 4 weeks for the diabetes)  My OB only suggested growth scans every 4 weeks.  Also I had my anatomy scan at 18 weeks and he wont let me get the growth until 24 weeks.  I'm just not sure if i am over reacting or not.  I do have my second tri appt with the MFM on 9/4 so I plan on voicing my concerns.  My OB's office makes me feel like I am crazy when I asked for extra monitoring.  What is your opinion?  How often do most of you get scans?  Thank in advance!
Type 1 Diabetic, Hashimotos, RA. Its twins!!!!  EDD 1/6/2014 Di/di b/g twins.

Re: How often do you have scans??

  • I insisted on switching completely from my OB to a MFM because I am high risk on a number of levels. I have been seen every two weeks since about 14 weeks for cervical checks and every month for growth checks. Perhaps I was a nervous nelly for demanding the highest level of monitoring but I would rather be safe than sorry.
    BFP #1 on 12/15/11 but missed m/c with d&c on 2/1/12.
    BFP #2 on 5/1/13 = boy/girl TWINS with EDD of 1/3/14 but expected no later than 12/20/13.
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  • I'm pregnant with di/di and went every 4 weeks until about 30 weeks, then every 2 weeks, now I'm twice-weekly due to other issues (I'm almost 36 weeks). But I've learned that my care isn't the norm the for di/di in a lot of cases, especially since I've been relatively complication free.
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    Abigail Taylor 09.18.2008


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  • edited August 2013

    I have had growth scans and cervical length checks every 2 weeks (plus an anatomy scan at 18.5 weeks) since 13 weeks.  At each scan, they do an internal and external US.  I also see my doctor immediately after to go over all results.

    I would not feel comfortable with anything less.  Just looking at how my body has changed in the last 4 weeks, I couldn't imagine not having 3 scans (plus CL checks) already in that time!

    ETA: I am having di/di twins and have had zero complications.  This is just the standard of care at my MFM's practice.


    D & L are here at 34 weeks 4 days by vaginal and breech delivery on 11/19/2013
    Two healthy boys weighing 4 lbs 15 ozs and 4 lbs 5 ozs.  Only 6 days in the NICU and getting bigger, stronger and cuter every day! 
  • I am only seeing my MFM. I was going monthly. I had an ultrasound at 9,13,20,25 (possible short cervix),26 (short cervix confirmed),28, and my next scheduled ultrasound is at 32 weeks. After 28 weeks, they switched me to bi-weekly and I think after 32 or 34 weeks I go weekly.
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  • First tri I had and U/S once a week (baby B had low fluid levels) up until week 12. But only saw my OB once every 4 weeks unless fluid levels dropped but I also had my appendix out at week 7 so that complicated things. Once I hit second tri I got bi weekly scans until week 16 when baby B caught up in size then it went to once every 4 weeks until now, 22 weeks because I have been having signs of PTL and shortening of my cervix so I get them bi weekly again due to my history of pre-term labor with my son and multiple losses. I see both a perinatologist and OB. I go for scans but I only see the OB every 2 weeks now. and the Peri once a month unless my cervix shortens any more than it already has. 


    Together 6 wonderful years.
    TTC #1 18 months 1 loss DX unexplained IF-- BFP July 2009-- ITS A BOY
    TTC #2 3 years and 3 losses DX PCOS -- BFP April 2013-- TWIN BOYS!
    ~DS1-Feb 2010~ 
    ~DS2&3- Nov 2013  {7 weeks early}~ TTC #4~
  • Since being released from my RE at 9 weeks I have seen my OB every 3 weeks. Once we also started seeing the MFM I have been going pretty much every 2 weeks. The MFM does all the detailed u/s, cervical length checks, and measurements. My OB also checks them on her older u/s machine as well as all of my states. 

    Outside of an SCH from 10-20 weeks I've had a very easy, no complications pregnancy with di/di twins. 
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  • I am high risk for PTL/PROM and I have an U/S every 4 weeks and at 32 weeks will go every 2 weeks and have NST as well at the MFM.  My OB I see on a regular schedule.  Thus far I have not had any complications so I don't think they will increase my apt frequency until things change.  I would say if your diabetes is being monitored by another doctor regularly(which is super important) and the babies are looking good at their scans then you are good for now.  I would say when you get to about 30 weeks you will want to start being monitored more. 

    P.S.- I also have di/di twins.  I wish I knew more about the effects of RA and Hashimotos on pregnancy, that may be cause for more monitoring!

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  • I never saw my MFM until I was 18w5d. I moved out of state and that was when my new OB made my appt (for my anatomy scan). I then saw him 3 weeks later (a week earlier then I was scheduled because I fell) and now he is having me come every 3 weeks. Not sure if it will go back to every 4 weeks but as of right now its every 3 weeks. 


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