My question is whether or not ladies with pre-e should seek out "high-risk" OB-GYNs and tertiary hositals.
My first choice is a local "secondary" hospital and my current (non-high-risk) OB-GYN practice. However, a somewhat overcrowded tertiary hospital with high-risk OB-GYNs is available about 25 miles farther away. My current OB-GYNs also practice at that tertiary hospital, and have regular contact with the high-risk OBs there.
Particulars of my case are:
- I am currently 35 weeks 5 days along. I was diagnosed at 33 weeks, and was immediately put on bedrest.
- I have been hospitalized twice (once at the tertiary hospital, once at the secondary hospital) for four days each time, until my BP stabilized.
- My BPs currently are in the 140-150 / 90-100 range. I have an occasional spike up to 150-110. Last 24-hour urine collection had 345 mg protein.
- The baby is reactive in NSTs and was estimated to be 5 pounds (50th percentile) at a 34-week BPP.
The tertiary hospital seemed like a zoo to me (women laboring in the hallways because no rooms were available; "private" rooms being shared by two people, etc.), which is why I prefer my nearby secondary hospital. However, the secondary hospital has no NICU.
I'm very happy with my current OBs so far. Should I be concerned about planning a pre-e birth at a secondary hospital with no high-risk OBs present?
Thnk you very much in advance,