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Anyone else declining all prenatal testing?

post #1 of 33
Thread Starter 

I mean more the genetic screenings and ultrasounds.

 

I do the initial bloodwork, urine strips, and the glucose test and nothing else unless the midwives find something they want to investigate further.

 

I had a hard time declining a sonogram last time because I had a lot of family pressure to find out the sex, but I had no medical reason and stayed team green. But it was hard.

 

This time, I am 38 so I approached everything with a new perspective, but I just read a great article by Mardsen Wagner that killed any desire to do an ultrasound. When a qualified midwife is watching fundus growth, there is no change or better rates than ultrasound in catching poor uterine growth, which then can indicate other problems.

 

Any others going the route? 

 

Anyone else agree there is concern with ultrasound technology?

 

What are your reasons for declining it?

post #2 of 33

In my previous pregnancies, I declined several tests that I didn't think were necessary for me.  One was the test that shows Down syndrome and other birth defects.  Both times I asked my doctors what the test was for and they had said I could terminate my pregnancy, if I wanted to.  Since I knew that I would not be terminating my pregnancy, even if there was a birth defect, I declined the test.  I will be doing at least one ultrasound to make sure everything is growing fine.  As some ladies mentioned in another thread, some problems like heart defects and such, can be operated on in utero or at least give the doctors a look so they can prepare any necessary procedures after the baby is born.

post #3 of 33

If I have a hospital birth I will do the initial blood work, the ultrasound, and the group B strep probably. I haven't had GD with any pregnancies, so I don't think I'll have it with this one either. Diabetes doesn't run in my family at all either. I'll do the ultrasound because like she said, things like heart defects can be determined with u/s and prepared for. I also want to find out the sex. I probably won't do the screening for downs syndrome ect. because it won't make a difference to me. I'll do the group B strep because if you don't they assume you are + and give you antibiotics.

 

If I have a home birth I will probably decline most tests since I will have to pay for them out of pocket!

post #4 of 33

I have always done the initial blood work and the urine strips. I did the glucose test with my first, but not my second and probably wont this time unless my midwife has a concern. I have not done the more detailed blood work they do at 16 weeks with either daughter, I feel that can just lead to more invasive testing and wont really effect any decision my DH and I would make or the outcome of the pregnancy. DD1 I did have several ultrasounds after several episodes of bleeding and I also did the 20 week ultrasound (we did not find out gender) and then an ultrasound at 35 weeks because she was very small. If I had it to do over again i would have declined the 35 week ultrasound for sure and possible the 20 week. With my second PG I had intended to decline all ultrasounds, but after having a missed m/c I threw that out the window and had an early ultrasound with DD2 to confirm heartbeat, but did not do any further ultrasounds. With this one, now after two losses, I will again do the early ultrasound and more then likely decline the 20 week again. I really do not think ultrasound is a good thing at all, my baby does not need all that energy coursing through their poor defenseless body, but I also do not think the stress I put myself under and the baby worrying about if there is a live baby in there or not is very healthy either. It feels the lesser of two evils.

 

Do you have a link to that article? I always get crazy questions from family who think I am nuts.

post #5 of 33

No testing here other than blood pressure & fetal heart tones.

 

We aren't having ultrasounds (although I do allow the doppler briefly at each visit, so maybe I'm a hypocrite) I just don't see a need for a u/s unless my midwife felt that something was wrong that needed further looking at.

 

I personally believe not having an ultrasound saved my homebirth with my last - she had two sets of toes fused together, had they seen that on a u/s I may have been pressured (by family or friends, not my midwife) into further testing that could have led me choosing a more invasive birth due to unfounded fears. Turns out she is just fine otherwise ;)

post #6 of 33

I'll pipe up as the extremist in the club. lol We're having an UP/UC, barring serious complications of course. I'm not prone to difficult pregnancies, and nothing special runs in either family as far as prenatal or birthing concerns. I am keeping a chart on myself and I claim it's for the "just in case" I have to transfer or CPS or similar come around to harass us....*whispers* but to be honest, I think it's mainly just for the fun of it. =D Certainly, it doesn't hurt when dealing with skeptical friends/family. lol Basically, I plan to live my life as normal, and not do much in the way of worrying unless something strikes me as worrisome.

 

I definitely plan to chart my weight (I'm overweight to start with and have retained SO much water it looked like massive weight gain with the other pregs. It warrants watching for red flags), and blood pressure. No sonograms unless something needs checking. No glucose unless GD seems likely. I do have a finger prick glucose meter in my EMT kit to do some preliminary testing if I suspect blood sugar issues. I will probably do urine strips...but, ok, again more for the cool science project aspect than really thinking I need them. I mean, more info is great and all. I tend to just trust my gut on most medical matters. I have several friends that are midwives, nutritionists, herbalist, just really knowledgable, etc. that I can generally fill in my own knowledge gaps by turning to. All in all, I don't generally bother with doctors, hospitals, or testing...unless something seems off and I don't know the cause...or I can't legally get a hold of what I need to treat a problem myself. I certainly don't advocate that attitude for everyone...as those things are either of need or comfort to others. As such, they're highly valuable and useful. They tend to be more of a hindrance for me, though, and I'm long past willing to let them hinder me. ;)

post #7 of 33

we are not doing much. i will decline the GD test this time. i am very healthy and not concerned about it. I wont do any of the screenings. i did them ALL in my last pregnancy (i had a molar pregnancy prior to the last child, and i wanted to make sure nothing was genetically wrong since the molar was a genetic fluke) and i ended up stressing my entire pregnancy because my chances for downs came back so high. turns out my son is perfectly healthy and all that stress just made him a very fussy needy baby. wont be doing THAT again. I am wanting to get an early ultrasound just to rule out molar and i may skip the 20 week ultrasound...  not sure. i want to stay team green, but i am HORRIBLE about waiting!! i am debating on skipping the Group b strep test too.. i tested positive with my last son early on with a UTI and also tested postivie at 36 weeks, but i never made it to the hospital in time, he ended up being born at home with no one else there, so it didnt matter except for the fact that once we got to the hospital they kept him for 2 days to watch him.

post #8 of 33

Incorrigible, i need some of that energy because tomorrow I have a prenatal intake at the hospital (where I do NOT plan on birthing, but that's where my insurance is based) and I need to find the courage to politely decline almost everything. I had an ultrasound at 8w3d which was immensely comforting for me, but now I don't want anymore until maybe 20w. I don't want the GD test, any genetic testing, etc. We're planning on a homebirth and I have a midwife I'm working with who will be doing my actual prenatal care.

 

I haven't had my blood drawn and I'm terrified they'll make me do it tomorrow - it's my biggest fear! Is it REALLY necessary? They did a chlamydia/gonorrhea test along with a urine culture and everything came back fine. Just getting the blood drawn... ugh. Not excited. And the doctor that I saw for my UTI totally bullied me and tried me make me feel guilty for "not starting prenatal care by week 8". Grr.

post #9 of 33
Thread Starter 

Here is the editorial about ultrasounds.

 

I was looking for similar articles about dopplers but I could not find one. I do parallel care with a CNM practice and a HB practice, and I typically allowed the CNMs to use the doppler quickly every few visits. My HB midwife is a fetalscope champ, but I found I just couldn't wait that long.

 

I am deeply involved in midwifery activism and am always reading the newest articles on childbirth studies. I tend to be just more evidenced based in my choices, and it surprises me how little the obstetric model follows that.

 

I appreciate the rare circumstance where an ultrasound identifies a problem that is dealt with in utero, but I am willing to bet that the statistic on that is extremely, extremely low and outweighed greatly by false positive readings of a variety of things. Technology has its place, don't get me wrong, but so do statistics. That's how I see it.

post #10 of 33

Another UPer here. I do nothing. No bloodwork, glucose strips, U/S, beta strep testing, I don't even check my weight, an increase in BP has never been an issue, last pg I didn't take it once. I did listen to heart tones with a doppler once last time. I hired a MW friend for the birth only for DS for DH, she didn't end up making it but her one request is that I do one prenatal in which she can document that she at least heard the baby. I am an RN I actually have a BP cuff, stethoscope, and a doppler, I just choose not to choose them. If something felt off then I would, but it never has. In case of a transfer, I do have a MW, she just isn't here currently. winky.gif I do not worry about CPS because I have an excellent pedi who knows me very well, check out my newborns for me, doesn't bat an eye at what I do, and will fight for anything with me. We have been through the wringer with some of my other children and she always backs me up in anything I decide. 

post #11 of 33

I'm doing the initial bloodwork, urine strips, miiight do the rapid GTT but probably not. I'm debating having an ultrasound early to check for a heartbeat since I've been angsting over a possible m/c, but I'm undecided. I'm getting an anatomy scan at six months because I want to find out the sex, but other than that, nada. I wouldn't terminate for any reason and unless something develops in my bloodwork or pee, I don't really have anything to test for.


~Rose

post #12 of 33

I'm a total noob to this whole thing. I've only been PG once before and it ended in emergency surgery (tubal) just this past October, so while I'm not interested in genetic testing for the sake of terminating a pregnancy (!!), I don't know what to do or not do and why or why not. I will probably do one u/s just for reassurance and I'm in the process of getting hcg levels drawn over this whole week to ensure doubling rates are normal, but other than that, I have no desire for extra non-medically necessary testing, and very little trust in doctors to tell me what's necessary and what's not with any degree of sincerity/truth. I'm also 37 (I almost put 38 - I keep saying I'm 38 but I won't be until March - LOL) and this baby will be my first. Can any of you mamas point me in the direction of reading material for what might be thrown at me as far as testing from docs and then info about necessity of them? Still considering a midwife and/or doula to the point of having made an appointment with a MW already for Jan. 17.

post #13 of 33

I don't like ultrasound, just don't trust it, didn't have any with first 2 pregnancies.  However, after our loss, our views changed, and so with DD2 we had one superquick at 12 weeks to see a heartbeat because anxiety was going through the roof, and another superquick at 20 weeks to see gender, purely for emotional reasons so we could prepare ourselves.  We will do the same this pregnancy.  Otherwise, I turn down everything else apart from blood pressure, just roll my eyes and let them get on with it eyesroll.gif.  If they want to do doppler, I ask for pinnards, and they have to dust it off and battle along with that instead ROTFLMAO.gif

post #14 of 33
Thread Starter 
Quote:
Originally Posted by Mommel View Post

I'm a total noob to this whole thing. I've only been PG once before and it ended in emergency surgery (tubal) just this past October, so while I'm not interested in genetic testing for the sake of terminating a pregnancy (!!), I don't know what to do or not do and why or why not. I will probably do one u/s just for reassurance and I'm in the process of getting hcg levels drawn over this whole week to ensure doubling rates are normal, but other than that, I have no desire for extra non-medically necessary testing, and very little trust in doctors to tell me what's necessary and what's not with any degree of sincerity/truth. I'm also 37 (I almost put 38 - I keep saying I'm 38 but I won't be until March - LOL) and this baby will be my first. Can any of you mamas point me in the direction of reading material for what might be thrown at me as far as testing from docs and then info about necessity of them? Still considering a midwife and/or doula to the point of having made an appointment with a MW already for Jan. 17.

 

I think the Henci Goer book is probably the best in terms of presenting real data compared to what you will be pressured into at the OB's office. The midwifery model of care, if you are not risked out is so much better of an experience. I hope your appt on the 17th goes well!
 

post #15 of 33

I don't want an u/s, or any of the genetic testing either. I plan on declining the glucose test as well.

post #16 of 33
Quote:
Originally Posted by openpollination View Post

Incorrigible, i need some of that energy because tomorrow I have a prenatal intake at the hospital


Sending my stubborn, know-it-all vibes your way! =D

 

The trick I use when docs want to run tests I don't want run is not to tell them "no". I tell them something like, "I don't take any medications or undergo any procedures I haven't thoroughly researched and drawn my own conclusions about. Could you please write down everything you're suggesting, for me? I'll look into it, and call the office to schedule everything I'm comfortable with next week." I just repeat that first sentence over and over until they're willing to write down the info and let me be. Also be open to any resources they want to send you to for info. Take note. Worst case scenario, you have a good laugh at some biased info. Best case, you actually learn something that will help you make better informed decissions in the future. If I have researched it already, I'll be honest but open. "I don't really like what I've read about that test, so far. I'd love to read some opposing info on it though, if you can direct me to some." Sometimes they agree it's a bad idea but they are expected to present it. If they suggest opposing reading, "Thanks. I'll read that and call the office to set up an apt next week if I've changed my mind." Always with the friendly and smiles.

 

When they get ignorant, I am totally blunt and to the point though. "Listen, you don't seem to understand your place here. I'm your customer, not your employee. You don't have any right to tell me what to do. I'm already reporting your behavior to the hospital. If you keep it up, I'll report it to the Medical Professionals Board" or whoever handles licensing in that state.

 

In your case, I'd be really honest though. Totally deadpan, "Listen, I'm just here because insurance wants you to have my info. I'm not having any exams or tests done. I have a midwife handling that. This is just to get my info on file for the thin chance I have an emergency transfer in August."

post #17 of 33

i am planning unassisted pregnancy and unassisted birth this time for #4 so i am not interested in any tests by medical professionals. i went through the standard medical routines for my first 2 births and then saw a CPM for half of my pregnancy with my 3rd, but I remember one day in my third pregnancy just feeling like a huge weight of stress would be lifted if i just stopped going to all these fear mongering appointments. the last 20 weeks of my 3rd pregnancy were unassisted followed by an easy unassisted home water birth. i am hoping for a similar birth experience this time and i feel so relieved already thinking about not bothering with appts, when i read a lot of the other moms posts about appts, i feel relieved not to be worrying about all of that. i do sort of remember how nice it was to hear the heartbeat and get an ultrasound in my previous pregnancies, also knowing the gender was nice---but this time i just feel the need to not worry about any of that. i like the idea of the gender surprise this time.

post #18 of 33

I'm going to decline anything that I feel is unnecessary. We are having an ultrasound and having the tech write down the gender so we can mail it to my Mom. We like having the surprise, but I want her to send me all the boy clothes that are too small for my nephew if we are having a boy. 

post #19 of 33

I always say no to the gbs and glucose tests.  I don't go to many appointments, but I have to go to some.  So I let them check vitals and draw blood and stuff if they want to then.  No paps though and no hands up in my privates!  I never let them take my weight.  I don't get ultrasounds for fun or to check gender, but I always end up some kind of high risk and usually end up "needing" some anyways.

 

Birth is even more fun.  I refuse to sign any of the standard consent forms when I get there (which can take up to an hour for them to freak out and try to figure out how to deal with) and then I just keep saying "no" to stuff after that.  I do what I want during labor and they have to put up with it cause they're the county hospital lol.  

post #20 of 33

I do all the regular labs, urine, blood pressure & initial blood work. I also do the GBS testing and the 20 week ultrasound. I decline AFP and Amnio. 

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