Fiona is absolutely right. It is the indidual that taking care of you, not neccessarily the country you are in. I personally feel that my dr was awful with Kirsten and I think it was wrong of her to not talk to me and pass me off to on call docs when she admitted me. She didn't even check on me till I signed out AMA. That being said, there was a dr that was there that everyone loved. Unfortunately by the time I got pregnant, she had moved to Paris. I got stuck with the dr that I had. In the states, there are a lot of bad drs too. My daughter's first ped was one of them. It really depends on the relationship that you have with them. If I call my dr's office they know I am calling for a reason. Someone in my ob's office told me recently that they know who the complainers are and who are not the complainers. Meaning they know who calls about every little thing and those that call because they need to be calling and I wasn't one of their complainers. Made me feel good about that. My drs also understand what happened with my first child now that they have the records. It's one thing to tell them and a totally different thing for them to see it in black and white you being passed from doc to doc.
You just need to keep an eye on yourself and if you feel something is wrong, go get checked out. You can go a thousand times to L&D and nothing be wrong, but what if it were the one time that something was wrong???
Nope not pregnant now. :) I'm planning to try at the end of next year, but for now just enjoying my 8 month old. I need to make contigency plans and get them in action first. My ob has told me exactly what to expect and I want to make sure that it is least stress that I can have at the time - meaning no travel for work period, no classes, need to get short term disability, need to save some mulah for bedrest, and want my baby to be a little older first. Would love to, but not the right time or place for me. :)
Oh and chronic hypertension is htn in someone that shows up before 20 weeks and may or may not go away after delivery. My htn showed up very early with Sara. It just kept going up and up and up. After delivery, it came down but is still higher than it is supposed to be off meds. Therefore I am on a low dose of Ziac (BP Med). The plan for next time is I will probably be comanaged by my ob and peri. Not sure when I will start seeing the peri, depends on my pressures. My ob has now stated after getting my records from Kirsten that he will be treating me very aggressively. I can only imagine what that means as I thought he was aggressive the last time. With Sara my treatment was appts every two weeks till 26 weeks. Then started seeing the peri every two weeks and the ob every week. I was supposed to start seeing the peri every week starting at 34 weeks but delivered at the next visit. [:D] I had an US, bpp, nst, doppler blood flow studies every two weeks till 34 weeks, then weekly. I had instructions of a bp cutoff to call my ob with. I was also to call him any day or night with headaches that would not go away, contractions, bleeding, leaking, etc. He would adjust the meds. Went on modified bedrest most of the pregnancy, which meant, I could go to work, but when not working, I was to be in bed. Went to a part time schedule at 26 weeks, 3 days in the office, 2 days work at home in bed on my laptop. Then at 30 weeks went on strict bedrest was not supposed to be out of bed period. I figure he means by being more aggressive, he means strict bedrest earlier, more appts, more of the us, bpp, and nst (which I am going to request more NST because of the situation with decels, scared me to death!). I am going to ask him if I can fax in my bps weekly then when I go to weekly appts probably will call in with my readings each day. As far as meds, my pcp is handling that for now, but in case of an oopsie (not likely to happen because I am on TWO bcp because of irregularity and pain issues), it should be ok for 1st trimester. My ob has requested that I please see him before I try so he can regulate my meds, run baseline bw, and urine.