When I had my first preconception visit with my MFM I put together a list of comments/questions, which I printed and brought along. Also brought pen and notebook to make notes. I tend to forget details quickly:-)
So here is what I put together (roughly):
- my case of PE: I summarized what I knew about my case of PE the last time around and asked the MFM if there is anything he would want to add (e.g, how severe was my case, any further insights etc.)
- underlying disorders (if you have not been tested, this is a good time to ask about): blood clotting disorders, Vit D etc.
-sport (I am active and wanted to know how much I could/should be doing)
-nutrition (I asked if he recommended any changes in diet)
-weight (if you have weight concerns, you can ask if you should loose or gain some)
-supplements and medication(I discussed which ones to take and when to start)- prenatals, fish oil, LDA, Calcium, Vit D, and medication I need to take
- I asked if anxiety meds were ok during pregnancy
- I specifically discussed how my care would look like during a subsequent pregnancy (what tests, whom I would be seeing (ob and MFM or only MFM) etc.
- my chances of developing PE again based on my test results from underlying disorders and my personal health and Constitution, and my history of PE
-discussed my previous c-section and what it means for future deliveries
-discussed how long to wait before seeing a RE in case I would not get pregnant in my own. Also if fertility treatments were ok.
-discussed latest research re: PE and the European approach of adding extra salt to the diet and testing that is only available in Europe at the moment (I love him for the fact that I can discuss with him)
-discussed the influence of stress during pregnancy (this was related to my somewhat stressful work environment).
I also brought my husband.
Good luck and let us know how it goes!
MC 3/2009 and 3/2011Henry
(1/1/2010-1/7/2010) - forever loved and missed; severe PE with Hellp; partial placental abruption, classical c-section at 25.6 weeksMatilda
(Nov. 2012, born at 35.4 weeks) - severe PE
Our pain has been put into words, placed into empty cradles, to remember that all our babies lived, that they mattered and always will. - Field of Cradles http://www.fieldofcradles.org/