We aren't TTC yet but I am trying to get my ducks in a row before we start in April.
When I saw my OB for my pp appointment last year, she basically asked me if I was ready to have my tubes tied. I was shocked. She said that she recurrence rate for me is too high and she wants me to know that. I definitely was not ready for that.
So, I decided to see a MFM a while later. This MFM was VERY inexperienced. I'm pretty sure she was a resident that they stuck with me with or fresh out of med school or something. Anyway, she basically spouted out everything I already knew. It wasn't a great experience there but I know there are other doctors there that are more experienced. They did say they would be my primary OB only. The one downfall of this is this place is 45 minutes away. With frequent visits and NSTs and such, that would be A LOT of driving. She quoted me 50% chance of developing Pre-e again.
I saw a second MFM a few months ago. He actually came to our local hospital to meet me (he consults there) and his practice is an hour away. (we don't have MFMs near by) I LOVED this guy. He made me feel so at ease and answered my questions. The problem is, he would not be my primary OB. I think they deal with consults only. I would probably see him periodically and see my regular OB mainly. He quoted me 25% chance of developing severe pre-e again. He was very optimistic.
My OB is actually at the same doctors office I work at. So, there is a convenience factor there. BUT I feel like because I work with the OB's, last time I was kind of "brushed aside". My BP was really elevated and I had HORRIBLE swelling and they told me it was fine. If I hadn't been so persistent, who knows where we would be today.(side note: My regular OB was out of town when all this went down) I also feel like she wouldn't be very supportive because she thinks I'm doomed to have another preemie. I don't even know if she would feel 100% comfortable mananging my pregnancy. She had me on the wrong BP med last time.So, obviously she isn't that experienced with high risk patients. I do know that I would request to see only her in our practice, not sure if that will cause strife but oh well. I obviously will talk to my OB and see if she feels comfortable, etc. and seeing the MFM in conjunction will also be better because he can make the "important" decisions like increasing BP med, etc. I also know that she would take me very seriously next time and I knoew her and feel comfortable with her.
But what do you guys think? What would you do in this situation?
Leslie (26) DH (28)
Chronic hypertensive since age 17
DD- born April 24, 2011 due to severe pre-e at 29w1d weighing 2lbs, 11oz
Diagnosed with homozygous MTHFR C677T
Pregnant with #2! Due 9/2/13 but will deliver at 36-37 weeks due to classical csection.
(Labetolol, HCTZ, Aspirin 81mg, Calcium, Mag, Zinc, D, Fish Oil, Fiber gummies, Folic Acid)