FTMoM: RE to MFM and OB?

loupgarou · January 2014

Hey everyone! First time posting to the multiples board. I wanted to make sure both babies made it to at least 12 weeks before I did. I'm having a little trouble figuring out what I need to do once I graduate from the RE next Friday. He's going to refer me to an MFM he's worked with before, but I haven't been seeing my regular OB through the first 12 (almost 13 weeks) as the RE has been providing OB services as part of my FET.

To be honest, I don't really want to go back to my regular OB. I'd only seen him twice prior to starting work with my RE. Once for a routine Well-Woman and then for a brief infertility consult. We didn't really vibe. 13 weeks pregnant seems like a bad time to pick a new OB, though but I'm pretty sure I need one in addition to the MFM. Do (did) all of you ladies have a regular OB in addition to the MFM/Perinatal specialist?

zazu13 · January 2014

I see my MFM exclusively. She will deliver, too, so I do not need an OB in addition. I know this is not the case for everyone so you'll want to ask. I will need to find a regular OB/Gyn after the pregnancy. I don't think that 13 weeks is too late to be looking for an OB if you need one though. I saw one at 11 weeks before deciding to go exclusively with the MFM, but when I scheduled that appointment it was a last minute cancellation otherwise my first OB appointment would have been more like 14-15 weeks. Good luck and welcome to the MoM club!

24karat · January 2014

I had a midwife/OB primarily with an MFM consulting. They were part of the same hospital network so it made things fairly simple. I only had MFM appointments once per month or as complications arose and, since MFM was an 1.5hr drive, I delivered with my OB team locally instead at 37wks.

katieg314 · January 2014

I see both an OB and an MFM. Do you know what kind of twins you have? If they are relatively low-risk di/di I would think you would need an OB. However, I would defintley look for one you like more. I moved to a new state and switched OBs and MFMs at 21 weeks and it was no big deal at all. Your OB care will likely be pretty routine for awhile so it's not a big deal to switch.

MrsP419 · January 2014

I see an OB primarily, but they work very closely with an MFM (even in the same building). At this point, I see them both every two weeks. The MFM does all my ultrasounds and the OB does a lot of my general care/answers questions/etc. They communicate really well with each other, which I like. I will be delivered by an OB unless there is a huge emergency or they are SUPER early.

MrsP419 · January 2014

And congratulations!! Welcome!

cukimerrydoll · January 2014

I see both an OB and a MFM, but I didn't really choose my OB until I was about 13w. So, you're fairly well on track. Having multiples may be the perfect excuse to choose a new OB anyway: mine works exclusively with multiples, so something like that may work well for you if your MFM doesn't have delivery services.

Burberry0421 · January 2014

I have the option to see my MFM exclusively, but because they are over an hour away, I see my OB regularly & see the MFM every 6 weeks. I really like my OB, I'd like to deliver close to home and there is no advantage to seeing them (MFM) exclusively, so I'm splitting care between the two. Love the MFM, just wish they were closer.

loupgarou · January 2014

First of all, thank you ladies so much for your input and the warm welcome!

I would love to be able to see my MFM exclusively and it's good to know that's an option, but doubt I'll be allowed to do that since the babies are di/di and my only other risk factor is a family history of high blood pressure that could make me more susceptible to preeclampsia.

Perhaps when I meet my MFM, I can ask if there are any OBs they work closely with since I'll be changing anyway. It really would be nice if they were able to communicate well with one another. My past OB and my RE did not, but I love my RE and his staff. I'm a little sad to leave even though I know graduating is a very good thing.

Luckily, I live in a large metropolitan area and should be able to find an OB I like if I just hunt long enough even if my MFM doesn't have any suggestions.

Mrs.Guz · January 2014

I saw my OB as frequently as I saw the MFM. As the MFM put, he's there to make sure the babies are healthy, the OB is to make sure in healthy. Also, my MFM doesn't deliver so once I went into labor, I was done with him.

JAck5209 · January 2014

I only see an MFM. I honestly had no idea that others had to see both. My MFM will deliver the babies.

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