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Update: Dr. Appt Today - no HB - Page 2

post #21 of 39
Just want to offer *hugs* and reassurance... with my last pg it took my mw a really, really LONG time to find the bub's hb around 12-13 weeks. I was starting to get nervous, actually. She said it's common to have a hard time finding it at that point
post #22 of 39
she was using the doppler up near your belly button?? i'm 11 weeks today and when we listened to the heartbeat yesterday, the mw only listened up against the pubic bone and that is, in fact, where she found it.

so sorry you had to go through all that. hoping you hear from your mw soon!
post #23 of 39
What? You are 12 weeks and she was listening at your belly button? Did she feel for the fundus first? At 12 weeks, she should have been reaaaallly close to your pubic bone, even trying to angle under it a little...especially since this is your first babe (which I think it is, right?). The uterus is at your belly button around the 20 week mark (on average)!

How bizarre. Was this a GP or a OB/GYN? I hope the former, one that doesn't do that much prenatal care? Either that, or she was purposely trying to freak you out, like someone else suggested.
post #24 of 39
Glad it helped.. That's what a whole buncha money, time and a half finished midwifery degree gets ya ..

Yeah, if she was checking up near your umbilicus it totally voids every other thing she said Of course she heard your heartbeat... A first time mama at 12 weeks isnt gonna have anything at her umbilicus but her own iliac artery.

I never know if these doctors just dont know how to find a fundus that didnt jump up and bite them at 20 weeks or if they are doing stuff like this on purpose to get you to do a US.

I really think they dont teach them how to find anything in early pregnancy without a hand in your vagina or an ultrasound machine on your stomach.

Enjoy your chinese food and movie and try to forget about that. Yay for it being your last appt.

Eat an eggroll for me with extra hot mustard and "duck"/plum sauce mixed together.

My hubby is gone, Ive got a sick toddler and am counting the minutes till Monday
post #25 of 39
Mmmmm....Chinese food and a movie....

You go girl! Don't let them shake you up!
post #26 of 39
Quote:
Originally Posted by MamaChef View Post
I dont understand how she identified a fibroid by bimanual exploration, yet you dont have any symptoms?

How big did she say it was and where?

I think it all sounds like bunch of BS. I dont understand why she even did a pelvic on you.. Do you have any gynecological history that might warrant that? I have a slew of crap and didnt have a pelvic until I was 40 weeks last time at my request.. and even with OB care this time she had no intention of doing any pelvic exams until my "due date".

Your cervix should be high. That is good. A tilted uterus is completely normal.

I think you freaked her out that you didnt want any US or tests and so she started down the path of showing you just all the scary things that could be wrong so you'd be a nice compliant little patient in the future.

But then again, Im a bit jaded.

Im sorry you are scared, Mama. Try to remember that those docs love using technology and they'd rather send you for a US then use common sense. Im glad your insurance is satisfied. Im curious as to what your midwife thinks of it all.
I agree with the bolded. I think she threw "fibroid" out there in an attempt to get you to agree to an ultrasound.

I'm so sorry you had a bad experience with her.

With my first pregnancy my doctor had trouble finding the heartbeat at 14 weeks (and I was much thinner then!)... he did finally find it (and everything was fine--I have a 7.5 year old healthy DD), but it took him a while. It sounds like she was, again, trying to pressure you into an ultrasound, hence her "frustration." My guess is if she didn't so badly want you to have an ultrasound, she would have exercised a little patience and been able to find the heartbeat.
post #27 of 39
Quote:
Originally Posted by MamaChef View Post
Glad it helped.. That's what a whole buncha money, time and a half finished midwifery degree gets ya ..

Yeah, if she was checking up near your umbilicus it totally voids every other thing she said Of course she heard your heartbeat... A first time mama at 12 weeks isnt gonna have anything at her umbilicus but her own iliac artery.

I never know if these doctors just dont know how to find a fundus that didnt jump up and bite them at 20 weeks or if they are doing stuff like this on purpose to get you to do a US.


I really think they dont teach them how to find anything in early pregnancy without a hand in your vagina or an ultrasound machine on your stomach.

Enjoy your chinese food and movie and try to forget about that. Yay for it being your last appt.

Eat an eggroll for me with extra hot mustard and "duck"/plum sauce mixed together.

My hubby is gone, Ive got a sick toddler and am counting the minutes till Monday
Thank you ladies for the laugh. I totally laughed out loud Partaria when you said she was up by your belly button looking for a HB...you are right...she wouldn't find one there at 12 weeks. My MW today was down low near my pubic bone when she found my little beans HB and she had to be very patient to get it.

Big Hugs and I hope you enjoyed your Chinese.
post #28 of 39
Thread Starter 
Quote:
My hubby is gone, Ive got a sick toddler and am counting the minutes till Monday
Oh that doesn't sound fun. Hope the weekend goes quickly for you, MamaChef!

Thanks for all the good info, everyone.

So after reading your comments I looked up information on how to use a doppler. She was no where near the right place, you are right. She never got anywhere near the pubic hair line, even. So okay, yes. That has to be why she couldn't hear anything. I feel like the pieces of what happened this afternoon are falling into place.

Someone asked if she felt for the height of the fundus first. The answer is no. I am sure, because when she wanted a pelvic I asked her why. She said she wanted to feel the uterus's shape (and feel for jutting bones). I said, can't you feel from the outside? And she replied, "oh well the height I guess, but that's not going to tell me anything, I don't need to know the height."

But you do if you are using a doppler.

Hahahaha if this were an episode of Murder She Wrote, this is where the cops would bust in, just after Jessica reveals the whodunnit!

I feel cool as a cucumber now. Wow. Thank you so so much you great people. I would have remained so scared and confused if it wasn't for your knowledge and insights. A community of women is an awesome thing.

xoxo
post #29 of 39
Just want to throw in some more reassurance for you!

At 12 weeks when we found the hb the goo was all in my pubic hair... there is no way she would have found it up that high. It does sound like she was trying to freak you out so you would get the ultrasound.

The other thing that is funny, is that A. measuring the pelvis is just not used anymore. and B. even if you had a slightly "off" pelvis... you are 12 weeks!! The wonderful hormone relaxin is designed to help your pelvis relax. I never take into consideration the shape of someone's pelvis at 12 weeks. If I am even doing a pelvic exam at 12 weeks. Heck, I don't even really take it into consideration (as far as capability of a vaginal birth) when I do a pelvic exam at 40 weeks. One of my textbooks said: "the baby is the only true pelvemeter", and that was a medical textbook.... not a midwifery textbook!

Also, I have been able to feel fibroids in the non-pregnant uterus, but I have never been able to feel one in a pregnant uterus. The biggest indication of a fibroid is an enlarged uterus (aside from other symptoms the woman may have)... So, I have no idea what she is talking about. I mean was the uterus enlarged because there is a baby in there or because there is a fibroid? My guess... because there is a baby in there.... Again, I think was another fear tactic. Even if you happen to have a fibroid it really should not pose any problems for your birth unless it is low down by your cervix. If no one has ever mentioned it at a routine pelvic exam then I would not even worry about it anymore.

She sounds like an idiot. Just be glad that you don't have to go back!
post #30 of 39
Hi mama-
Even more reassurance...at my 11 week appt the dopper was probably 3-4 inches below my belly button. (I can't believe she even tried there- sounds like there were lots of intimidation tactics being used.) So glad you feel better and hope Chinese/movie night with your DH was fab!
post #31 of 39


My God, I hope those were intimidation tactics.

Suppose this is an MD who does not understand the location of the uterus in the first tri?
post #32 of 39
Thread Starter 
I think this is an MD who has not had to remember the location of a uterus in the first tri, because none of her patients refuse ultrasounds.

She had to do all this extra intellectual work because she didn't have the ultrasound she typically relies on.

I don't think she knows how to *do* medicine without one.

Thank god my midwife does. Really made me steamed about comments I've heard about how midwives aren't as skilled as docs, blah blah.

Yeah, right. Tell that to my imaginary fibroid.
post #33 of 39
Quote:
Originally Posted by Partaria View Post

Yeah, right. Tell that to my imaginary fibroid.
nothing about this situation is funny really, but that one comment made me laugh out loud!

Sending you hugs! I'm so glad you won't have to go back to that miserable place.
post #34 of 39
Quote:
Originally Posted by Partaria View Post
I think this is an MD who has not had to remember the location of a uterus in the first tri, because none of her patients refuse ultrasounds.

She had to do all this extra intellectual work because she didn't have the ultrasound she typically relies on.

I don't think she knows how to *do* medicine without one.

Thank god my midwife does. Really made me steamed about comments I've heard about how midwives aren't as skilled as docs, blah blah.

Yeah, right. Tell that to my imaginary fibroid.
When is your appt with your midwife?
post #35 of 39
Quote:
Originally Posted by ladyelmo1 View Post
nothing about this situation is funny really, but that one comment made me laugh out loud!

Sending you hugs! I'm so glad you won't have to go back to that miserable place.
Likewise
post #36 of 39
Thread Starter 

Hi mamas. Thanks again for all the love you gave me on this thread. What an outpouring of support. And I really needed it.

 

Several of you asked for an update once I talked to my midwife, so I thought I would oblige.

 

Finally got ahold of her Monday. She was in births all weekend, it seems! smile.gif

 

She confirmed every comment you all made. This MD was looking in the wrong place for heartbeats, and that it isn't even a huge red flag to be looking in the right place and still not hear them at 12 weeks.

 

She also said there is no reason I need an ultrasound unless I choose one to look for fetal birth defects, or if I want to know the gender.

 

When I told her this doc didn't feel for fundal height and had the wand up over my bellybutton, my midwife, usually a pretty prim and proper lady, released a loud, "pshaw!" It was hilarious, especially if you know this woman.

 

Oh, and the fibroid- she says she says many women in her practice who have them, and that she doesn't worry about them until/unless they cause pain for the mama. No u/s needed to detect them, since we'd only address them if they grew so large as to become painful.

 

Also the pelvic- not necessary at all, in the midwife's opinion (just like some of you smart ladies suggested).

 

It's weird, talking to her for 10 minutes, I just thought, why was I ever worried? Sheesh. She is just so calm and calming as opposed to the alarmist doctor. 

 

I see my midwife next week on Thursday, and I'm calm as a cucumber. Never going back to the HMO. EVER.

 

Long live Midwifery, that's all I have to say!

 

 

post #37 of 39

I am SO glad to hear your midwife's reaction to everything...  Yay!  I can't believe how panic-inducing or dismissive doctors can be sometimes (I still remember an appointment I had a few years back where the doctor literally patted me on the head at the end and said "next time be more careful, little lady" about my sprained ankle).  Aaanyhow - it sounds like you're in excellent hands with the midwife - isn't it great when 10 minutes talking to the right person can just... make you breathe deep?

 

post #38 of 39

I am so glad you are felling better about this and have gotten some reassurance.  It makes me mad when providers MD or MW are making women panic through normal varriations or their own incompetence.  Good for you for getting the support you needed and staying cool.  I just went though something a little bit like this (though in the end it was a MW at my HMO who reassured me LOL).  Hang in there.

post #39 of 39
Quote:
Originally Posted by Partaria View Post

She said the pelvic was the feel the uterus. And I said, can't you do that from the outside? She said no, she couldn't tell how big it was, just how high. She also said she needed to see if any bones were jutting out on the inside that would make it hard to vaginally birth. I was thinking to myself...what?? You are looking for bones in my vagina?!?! What are you saying?
 


 

 

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