Thursday, January 13, 2011

Need your help...again!

EDIT: I wrote this post on 12/29/10 and thought that I had hit "post" but evidently I did NOT.  Honestly, I was a little disappointed that NO ONE had commented on it (What a baby!  But I really do value your opinion! and now I feel better that I never posted it!)

We are officially "trying" to get pregnant again.  It feels weird to "announce" that, but it is important regarding your help! 

I am trying to find the RIGHT ob to manage my pregnancy and to deliver our take hope baby!  (See how positive I am being?!?!).  So, here's the dilemma:

Dr. N is really great and I really like her; however, her staff has seemed pretty inefficient previously.  They are the staff that messed up my labs and they never called me back regarding the hematologist.  But, I did call her office about 3 weeks ago to get a refill on my prenatal rx and it appeared that she had a new nurse who called me back the same day and took care oft he refill VERY quickly.  She called me back in August and let me know that she had consulted her "hi risk" associate about my case and that when we did get pregnant she really wanted me to be taking the Neevo prenatal and she wanted me to start on Lovenox.  Her associate felt that with my double mutation AND the history of loss he felt that it would be best to be proactive. 

I saw Dr. F last week and really liked him also.  He is an alum of my husband's college (which is a big deal to him :D).  He was very nice and thorough and I really liked him.  He is considered a "high risk" ob and really the only one in our town.  However, he felt a little more "dismissive."  He told me that having 2 miscarriages, while devastating, is not cause for concern and that since Ella Grace probably had Turner's Syndrome the chances of that happening again were as slim as they were before we had her.  He didn't see the need for any "additional" treatment (although he did agree to keep me on Neevo) and really didn't consider me "high risk."

I am not "pushing" to have to take shots every day (in fact, I hate the idea of it), but I also am willing to do ANYTHING to have a healthy baby.  I guess my biggest concern is that, God forbid, we did get pregnant again and something happened, and I didn't go with the extra measures, I would feel guilty.  I fear I would always wonder what would have happened if I had just gone with the extra protocol. 

I need your opinions!  What do you think!?  Anyone who has any experience, or heck, just has an opinion, I would appreciate it SO much. 

Forever Her Mommy,

10 rose petals:

Patty said...

Hi Brit! I I think a genetic issue is so unpredictable and I wish that they can guarantee that it won't happen again OR at least DO SOMETHING about it, right? I wish that I can give you suggestions but I am sure there are other moms who can relate to Turner's syn. For me, I almost went with one new OB b/c she appeared to have experience with my PROM case but then I reluctantly consulted with another OB that my MIL highly suggested through church friends' recommendation. I liked the OB even more! If you need to keep interviewing then go with your hunch....

Melani said...

I would go with the office that will do their best to give you peace of mind. I am pregnant now, and while I don't have to do the shots for my blood disorder because they believe the one I have is worse for me and isn't bad for the baby, seeing that I was totally freaked out at my 1st appt, they offered me a full ultra sound upon my leasure, and also told me that anytime I felt like I needed peace of mind they would do an ultrasound, I just gotta let them know. They are being super thurough also. They too prescribed me a prenatal with higher amounts of folate, and I take an aspirin a day and I am taking a B-Complex vitamin. They just made me feel like my worries were important and never once played down my worries. I think that is important because if you are anything like me, once you get pregnant, you're going to be a wreck until you are holding your baby after a healthy delivery. You want a doctor that won't make you feel bad for being "paranoid" we have good reason for our worries! That being said, I have a friend who had 4 miscarriages until they found out she had a blood disorder. Since then she does the shots until 20 weeks, and she has had 3 full term babies since. She isn't sure which disorder she has, but I say it's better to be safe than sorry. Good luck! Sorry if any of this made you worry even more. And sorry or the novel length!
p.s. you should ask about taking an aspirin a day even before you're pregnant. My doctor says the aspirin also helps with the development of the placenta. Just a thought.

Lillie said...

That's a tough one! Would personally go with Dr N, just because it sounds like she's a little more invested in your case and willing to treat you as a high risk pregnancy patient. If you continue to have problems with the nursing staff, you can always switch later - although I know that's no fun, at least you would already be on a treatment track, that I assume the other doctor would keep up.

Shandrea said...

if it were me i think i'd go with Dr. N. She seems to want to take more precautions. After already having losses being pg again comes with enough worries. I'd want to be with a doctor that is proactive and seems to also be just as concerned as i am and as you said the other doctor seems to be kind of dissmissive about your case which is something you definately don't need. but ultimately the decision is yours and of course we all will be here to help you along however we can. ;O) HUGS

Andrea said...

Sweetest Britt,

I was the patient of my "prior" OB for 14 years and held her in such high regard. She was kind during my miscarriage, but her follow up was terrible. I ended up with retained prod of conception and her office staff blew me off. It took a 2nd OB. to see me through the issues.

After that, I saught out a new OB(3rd one mind you), who I adore. I stated my case to her during the first visit and was blunt in what I expected. She has been amazing! Sometimes we just have to speak bluntly to be heard. And compassion is very much needed.

As for who to choose, what was Dr. S opinion at Sher? Perhaps its worth calling him for a phone consult to discuss his opinion on the protocol of your future OB care. I understand he is an RE, but those guys are on their game. For me, I was willing to do anything (just as you are) to ensure a healthy pregnancy. Worst case, you take shots that you don't need, but look at it as insurance.

Such a difficult decision honey and my heart feels for you. See if you can speak to Dr. S at Sher again for more info.

Much Love and a HUGE HUG
xxx

Liz said...

Are you asking for recommendations for local OBs? If so, I use Dr. Lieb & love her. Also, I am personal friends w/ Sunni Boren & she has been great w/ friends of mine have used her. No idea if either of them handle high risk moms or not, though.

Ashley said...

I am a new follower now!! ;)

J and A said...

Hey! I follow you too! ;)

B. Wilson said...

I'm with you. I lost my son 1.5 months ago and just went in for my 6 week pp checkup. I discussed how my second pregnancy would be with my OB and she mentioned the possibility to be on Lovenox. Similar situation... no known causes though here (at least year... autopsy results waiting) but if I don't choose the shot and something happens to baby #2, guilt would overcome me.

I wish you so much luck in your attempts to get pregnant and pray for wisdom from doctors and intuition for yourself.

Holly said...

I would go with the care that is going to be there for you and lift you up emotionally while tending to your needs and concerns. You need someone who is gonna listen and work along side of your to bring your baby home.

 
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