Posted by My OB said WHAT?!?.
Oct
24
Posted by My OB said WHAT?!?.
“Let’s See If This Pregnancy Is Even Still Viable Before We Let Her Keep Her Appointment With The Perinatologist.”
“Let’s see if the pregnancy is even still viable before we let her keep her appointment with the perinatologist.” – OB to mother who would need perinatology care for this new pregnancy.
There are 13 comments to this post.
road2vba2c had this to say,
Oct 24, 2011 @ 5:29 am (Quote)
One thing I love about a PPO. No one has to “refer” me. If I want to see a specialist, I go. No doc with a God complex trying to control who handles my medical care!
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How about *I* decide what’s going to happen, mkay? AFAIC, it’s not up to you to determine whether a pregnancy is viable or not. As often as miscarriages are misdiagnosed, how much more likely might a pregnancy be to be misdiagnosed as “nonviable”. In fact, with a comment like that, I’d be afraid a doc would “accidentally” cause a miscarriage while making the determination.
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I hope someone will pink this link… I mean, this could be a rational approach. Let’s say the mom is very early in pregnancy, has a history of miscarriage, and seeing the perinatologist at this point in pregnancy is unnecessary because whatever issue she has can be dealt with later on. If that’s the case, why potentially waste the mom’s time, the perinatologist’s time, and the health care dollars? I know that may seem harsh, but with health care costs what they are, I think that a case can be made for some degree of gateway care.
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Kristy Reply:
October 24th, 2011 at 6:03 am (Quote)
It is not, however, rational to ignore the mother in the room to speak about her in the third person or to cancel *her* appointment without consulting her.
Perhaps mom would like to keep the appointment either way to get a second opinion from someone that will speak to her instead of about her. It is not the docs call to not ‘let’ her keep this appointment.
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What if the appointment could get a specialist treatment that could potentially save the baby???
I went through this trying to get progesterone treatment for recurrecnt miscarriages. All the regular OBs wanted to wait until I got a positive pregnancy test and then test the progesterone level before they would give me the prescription. The problem was, I was already miscarrying by then and I needed to start the progesterone immediately following ovulation!!! Sometimes seeing a specialist can = a viable pregnancy. I’d like to see the pink on this one.
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C.Pratt Reply:
October 24th, 2011 at 10:07 am (Quote)
This is exactly what I was thinking. If she needs to see a perinatologist, it’s because there have been issues that presumably a perinatologist can help with. Granted, many population wide miscarriages are due to genetic annomolies, and nothing can be done in those cases. BUT on an individual basis those kinds of genetic miscodings have a very low case of reoccurence. In other words, a past miscarriage for that reason wouldn’t be cause to be referred to a specialist, but an issue like low pregesterone definitely would, and should be done at the earliest possible time because it can be treated BEFORE a miscarriage occures.
So why don’t we let the perinatologist make the “viable” determinaltion, shall we? I see this doc angling for a D&C post haste.
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Holly Reply:
October 24th, 2011 at 8:53 pm (Quote)
I recently found out about natural progesterone cream. You can purchase it for $14 at whole food type stores. Smear some on *soft* skin every day and boom 
1/4 to 1/2 tsp is the dose. I encourage you to look into it since you don’t need a RX and it is all natural instead of synthetic!
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Lisa Reply:
October 25th, 2011 at 6:28 am (Quote)
Can that be used the same way?
How do you find out if you need progesterone anyway?
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steph Reply:
October 25th, 2011 at 11:38 am (Quote)
I found out I needed progesterone when every single lab test came back from my miscarriages with very low numbers. Some docs think that the low progesterone is the body’s way of sorting out a non-viable pregnancy and refuse to prescribe it. In my case, the very first pregnancy I had supported with progesterone was fine. She is 15 months old now. I had to fight for it. My grandmother also lost 8 or 9 pregnancies before finally having my father (only child) so I susupect she had the same problem. As for the natural progesterone, sadly, it often just isn’t enough. The progesterone prescribed by the docs is a vaginal suppository that you use 2-3 times a day until 13 weeks when the placenta takes over. The cream just wouldn’t be enough.
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Or maybe leaver HER appointment alone, since it’s HER appointment!
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