Personally, I see an OB and MFM. Mainly because my MFM has a partner in her practice that I don't particularly care for (bad previous experience), and if I had her doing my delivery, if she wasn't on call or was out of town or whatever, I could end up with any of her partners. (My OB delivers most of her own patients and only has 1 partner who I like well enough.) Also, personally, for me, having more eyes watching me (my OB and MFM don't mind working together and will talk to each other as needed), made me feel better, though for some people I guess that could be confusing or too much. I see both doctors starting about 6 weeks, every 4ish weeks, with monthly growth ultrasounds as well. My appointments are staggered so I see my OB one week, then two weeks later see my MFM, then see my OB again, so I see *someone* every 2ish weeks generally. My OB generally kept me on the 4 week schedule until I was 30ish weeks, while my MFM started seeing me every other week once I got to 23 weeks (when I developed hellp in my first pregnancy), and then once I got around 29 weeks, I started seeing her every week.(So it wasn't really that necessary for me to see both in the same week, especially when my blood pressure was normal and I had no suspicious symptoms.) I started NST's and BPP's and fluid checks at 29 weeks, 2x weekly, it was not really the best idea to start them so early because DS routinely failed them (and stressed me out!) until 32 weeks when magically he started passing them and was perfect the rest of the time. So I think 29 weeks, for us, was just a little early and overkill for the monitoring, it didn't reassure me he was okay since he wasn't passing them, and I wasn't having any symptoms or signs of anything wrong, so really, all it mostly did was stress me out. Next time I will ask to wait until at least 32 weeks, as long as I don't have any symptoms or signs of trouble.
I was on blood thinners- low dose aspirin and lovenox. Certainly ask your doctors about it. (I don't have a known clotting disorder, but they strongly suspect I have one that they may not have a test for.) I didn't diet or do anything differently except was closely monitored.
Me (29) DH (30)
#1-Olivia Caetlyn-9-28-09-9-28-09, 23+2 wks, emergency classic c-section, class I HELLP, IUGR
#2- Lucas Oliver (rainbow baby)- April 2011, 36+2 wks, HELLP and pre-e free! (lovenox and LDA pregnancy)
#3-Matthew, late October 2012...mostly normal, 37 wks, (lovenox and LDA again)
My blog: http://www.butterflies-and-rainbows.blogspot.com/