Late Term and Child Loss

Postpartum OB appointment?

So HOW important is that 6-week PP appointment?

Our MFM/OB is based out of the hospital we delivered our babies at. When we were discharged after the birth I was told to make a followup appointment for 6 weeks PP (last week).... I did not, and so far the thought of having to go back to the hospital, and to the high-risk clinic where he sees patients feels like a special kind of torture. Really, it far outweighs any anxiety I feel over not doing that appointment at all....

So how important is it anyway? What do they do in it? Did you go to yours? Would you recommend it?

I was being followed by our midwife for the first month or so PP, so I am not totally in the dark, all seemed normal and am not really concerned about anything specific that I couldn't ask my family doc about....
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queer couple - 32 (me) & 33 (my love) years old - donor sperm,

Our IF/TTC journey since Nov 2012.

Me: dx of DOR in Nov. 2012. Low AMH, AFC - 6, Normal FSH, SS-A (RO) Antibodies (Autoimmune issues), tubes clear, Sono (November 2013) NORMAL! <p>

7 IUI's - December 2012-September 2013.  Medicated, Injected, Triggered.... all BFN.

My Love:  (the amazing @Healz413)
Normal AMH & FSH, AFC ~27, blocked tube dx'd via HSG in 2012.   Hydrosalpinx & ovarian cyst dx'd in May 2013.
dx of Stage IV Endo & bilateral salpinectomy in June 2013.  

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Partner IVF#1a- December 2013 - H's eggs, my Ute - CANCELLED due to low response
Partner IVF #1b - February 2014 - H's eggs, my Ute - ER February 4 (10 retrieved, 3 fertilized), Transfer Feb 7 of one Grade 1 and one Grade 2 day 3 embryos.  1 - Day 3, Grade 1 frosty saved.   BFP - 6dp3dt via FRER, Beta #1 - 110, Beta #2 175, Beta #3 - 348, Beta #4 - 2222!, Beta #5 - 4255.  Ultrasound (6w1d) - 2 heartbearts!  

We lost our beautiful Twin baby girls on June 18, 2014.  Tavin Sara and Casey Elizabeth were born at 21 weeks gestation and were absolutely beautiful, precious, amazing babies.  We miss our daughters every day and love them with all our hearts.

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Best Answers

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Re: Postpartum OB appointment?

  • It's a tough appointment for sure, but it is really important to go. I second the suggestion to call the office ahead of time and ask about being brought back immediately or ask to be scheduled during their least busy time. Does your OB have multiple offices? Mine does and so they scheduled me at the location where they see mostly gyn patients, not OB. Could be worth asking about. Despite how hard it is, it's important to know that your body is healing properly.
  • edited August 2014
    Sig warning****** I am so sorry you are dealing with anxiety over this appointment.  It is definitely not a fun one, but I think it is important to make sure you are healing properly. 

    I couldn't deal with people in the beginning, so my mom actually made me appointment for me (and cancelled some other appointments I would no longer be needing).  If she hadn't I probably would not have gone at all either.  Maybe someone can set an appointment up for you and get you in first thing, or maybe right after the office reopens after lunch so you will have less wait time?

    The office I went to at the time had separate sides for OB vs Gyn, so I was really grateful for that.  If that is something your office has, it will at least make the waiting room a little easier. 

    Once I was brought back, I was weighed and my bp was taken.  I had to undress, and my Dr. did a quick pelvic exam (speculum and digital) to check the size of my uterus and make sure any physical trauma from the birth was healing.  I think they also did a pap?  She asked about my bleeding, we talked about the testing/results we had done on my placenta and Jesse's tissue sample, and also about how soon we would be physically able to safely cycle again (We are IVF'ers as well). 

    Our loss was due to a combination of factors and I asked a ton of questions about possible causes, possible ways to avoid a repeat situation, odds of a repeat situation etc.  Even though I knew there were no good answers, it helped me to be able to ask anyway. 

    I will be thinking of you and Healz <3

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    Anniversary

    TTC since 2008
    Dh:34, no issues.  Me:31, Endo, slightly hypothyroid, deformed ovary, paracentric inversion.
    4 Gonal-F, Cetrotide, HcG, Crinone +TI cycles= all BFN
    Lap in 2012 to remove large unresolving cyst discovered endo and double lobed ovary.
     6 Gonal-F, Cetrotide, HcG, Crinone IUI cycles= All BFN,
    1st IVF w/ICSI- June '13 Antagonist: Gonal-F, Menopur, Ganirelix, HcG, Estradiol, Crinone= 7 retrieved, 4 mature, 1 unfertilized, 2 abnormally fertilized, 1 normally fertilized.  2DT of only embryo and our miracle BFP.
    Our beloved baby boy was born sleeping Oct. 13, 2013 due to pROM/IC/Uterine infection.
    2nd IVF w/ICSI- Feb. '14 EPP/lupron/antagonist: Estrace, lupron, HGH, Gonal-F, Menopur, HcG, PIO, lovenox, doxy/dex.=21 retrieved, 16 mature, 15 fertilized!!  5dt of 1 blast/ 6 frozen. BFP!  Beta 1 9dp5dt:83.9  Beta 2: 11dp5dt: 145.2  Beta 3  14dp5dt: 497  Please be our sticky rainbow baby!

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    Lilypie Angel and Memorial tickers


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  • I agree with the PP's. It was an extremely emotional appointment, but it is a very important one. I wouldn't skip it. If possible, could you try and ask for the first appointment of the day? That may also help cut down the wait time and there will be less of a chance of running into other patients. That's what I did. I also had my husband come along for emotional support and he had questions of his own he wanted to ask the doctor.

    Asher born February 5, 2011.

    Baby #2 born sleeping at 20 weeks. May 6, 2014.

  • I also agree with pp, it's important to go to make sure you're healing properly. It is also helpful to write all your questions down before your appointment so you don't miss anything, I was very emotional and couldn't remember all the questions I wanted to ask. It was not easy for me to go and I cried on DH shoulder, but I'm glad I went.
    Ticker id: ra2f

    BFP #2, EDD 12/26/14, please be our rainbow.

  • Walking back into the hospital to my MFM's waiting room was the worst and most difficult part of the day. I had 6w of incompetent cervix research behind me and I was glad to talk/make the appointment with the MFM who delivered me. (The other docs are azzholes and if we are able to hit the IVF lottery again, I will be finding a new practice.) Appointment was just like what @kz's_girlygirl‌ described. Good luck to you.

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    TTC since 10/2010
    IUIs # 1-5 = BFFN
    IVF # 1(July 2012) = BFN
    IVF # 2 (November 2012) = BFP (MIssed MC D&C @ 8w3d on 1/10/13)
    IVF # 3 (June 2013) = BFN 
    IVF # 4 (September 2013) = BFP Fraternal twin boys! (Loss at 21w6d due to IC on 1/26/14...devastated.)
    3/21/14--TAC (transabdominal cerclage) w/Dr. Davis in NJ
    IVF # 5 (May 2014) = BFN
    FET (August 2014) = BFN

    Lilypie Angel and Memorial tickers
  • I agree with previous posters - it's an important appointment. But bringing someone with you for support can help as it is not easy going back. You want to make sure you are healing properly and have your questions answered. Good luck!
  • **********sig warning***********

    I realize I'm replying a little late, but wanted to suggest calling your doctor's office to see if they can fit you in either really early or during lunch.  That's what my doctor did for me, and she had me come straight back to an exam room, to make sure that I wouldn't have to worry about sitting next to happily expecting moms if there were any in the waiting room.

    Me 32 (Stage IV Endometriosis, short luteal phase) DH 38

    Married 5/2010

    January 2014- DS born healthy at 35.4 weeks

    February 2014- DS passed away due to complications from adenovirus

    February 2015- Rainbow baby DD born at 36.3 weeks

    My chart: http://www.fertilityfriend.com/home/42fd32 

     


  • It will be super tough, but definitely important. I didn't have appropriate "normal" follow-up and ended up on a roller coaster of regular visits to the emergency room and a couple of blood transfusions. I really do believe that this could have been avoided if someone had checked things out sooner. I'm sure you may have already made your decision, but just thought that my experience might help make the decision easier (if it can be made any easier). Thinking of you.
    Lilypie Angel and Memorial tickers
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