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What do you think of these doctor-ordered tests? - Page 2

post #21 of 40
Quote:
Originally Posted by flapjack View Post
SweetSadie, have you got links saying that sugars in the urine are not a risk factor for GD, btw? Standard practice over here is to go for a 1hour GTT after three urine samples spilling sugars, so I'm curious.
The hard part of being a student is not haveing access to all the scholarly journals! Here's something though:
http://www.jfponline.com/pdf%2F5411%...alResearch.pdf
http://www.ncbi.nlm.nih.gov/sites/en...indexed=google

The ontario medical association guide to the revised antenatal records states:
"Urine glucose is not recorded as it is not a useful parameter. It does not detect gestational diabetes, and is not a helpful monitor for pre-existing diabetes."

It's still listed in lots of places as a risk factor, but I think it's going out of fashion.
post #22 of 40
Quote:
Originally Posted by Pam_and_Abigail View Post
Well, I have pretty much decided to do the complete blood count and the group and screen. The rest - no. I don't have any symptoms of an uti. If I ever do, then I'll consider that.

Having experienced a TERRIBLE kidney infection that landed me in the hospital for a week of IV antibiotics that progressed from a symptom-less UTI, I am quick to suggest a simple urinalysis to any pg women. I have never had a UTI ever before that either.
post #23 of 40
Thread Starter 
I don't think they're testing for GBS, just blood type. It seems to me that the mw could look that up in my records, but as far as Rh, can't that change with subsequent children? I need tor ead up in that again.

I like the idea of asking her to make a note on my file about refusing the OB visit, so then at least it's my "fault" not hers.

Rubella is the illness that is supposed to be dangerous for pregnant women, but I've been showing "immunity" all along, so it's good enough for me. Taking it means an extra vial of blood, and I'd like to keep as much of it as possible.

Mary you raise an interesting point about UTI's. I may revisit that one.
post #24 of 40
I always thought that Rh factor was something that was a constant, like your blood type? I thought it was a subset of the blood type.
post #25 of 40
Thread Starter 
Yeah, I had to go look into it, because I forgot what it was all about. I'm going to skip the test, because I'm 99% sure I am O+, and I know my DH is the same blood type as me, and all they have to do is look up my blood type on record, and save me that vial of blood.

http://http://pregnancy.about.com/cs.../aa050601a.htm
post #26 of 40
Quote:
Originally Posted by mommy2maya View Post
I always thought that Rh factor was something that was a constant, like your blood type? I thought it was a subset of the blood type.
Rh factor IS constant. You either have it or you don't. I don't.

If you are Rh neg (meaning you DON'T have it) then if Rh mixes in your blood from your Rh pos baby (meaning they DO have it) then you will create antibodies for the Rh factor. It will not harm you. But if you then get pg with another baby that is Rh pos, you blood will treat their blood like a disease and try and kill it, therefore causing may problems with the baby, and even possibly death.

This is why you get a Rhogam shot, to prevent the Rh incompatibility or Rh antibodies from forming. Once they form, there is no cure. Any subsequent babies with Rh neg will be perfectly fine but Rh pos can have severe problems.

So this test is for Rh INCOMPATIBILITY or antibodies, not the Rh factor.


Now, I have no risk of this at all, as the father of my children is also Rh neg. The only time that you have to worry about this particular problem is if YOU are Rh neg and the father of the baby is Rh pos. Any other combination is no problem.
post #27 of 40
I read in a book that RH - can rarely become +... not sure how though. I would love to see the documented cases of those.

Human body and life in general is way too fascinating!
post #28 of 40
Thread Starter 
Well, if my husband and I are both O+, does that mean that the baby is safe? This is hard to wrap a pregnant brain around.
post #29 of 40
Yes, both + is not a problem with Rh.

The problem arises with an Rh- mother and an Rh+ father.

Since the mother does not have the Rh factor - that's what Rh negative means, no Rh present on the red blood cells - if she is exposed to the Rh positive blood of her baby, she may form antibodies against it as her body views it as threatening. The antibodies won't harm that first Rh positive baby, but subsequent Rh positive babies may be attacked by the antibodies created in the first pregnancy with an Rh positive baby.

Clear as mud?

In any event, you don't have to worry about it one whit if you are Rh+, no matter what the Rh status of the father.
post #30 of 40
Thread Starter 
Clearer.. See I remember not having to worry about it with my last two pregnancies, but it seems I have pregnancy brain on top of pregnancy brain on top of pregnancy brain, and the test was recommended, and I wanted to make sure it wasn't important. I also know my mom had to have a shot because of the Rh factor thing when she was pg with me.
That's one vial of blood I can keep!
post #31 of 40
Quote:
Originally Posted by Pam_and_Abigail View Post

Does anyone here skip all tests? Do some of you pick and choose? How do you know what is necessary and what is extraneous?
It sounds like you have decided, but I'll answer this part of your question

With dd1, I saw an OB for 3 visits before switching to a midwife-run FSBC. I'm sure I had all the blood/urine testing they can do during those 3 visits! I remember also going for the mid-pregnancy bloodwork...but did NOT do the GTT or anything other than basic bloodwork at that point (I don't think she pushed anything else - it was available if the client wanted it, not for her sake, which I now find more refreshing...).

With dd2, I had the initial, first-visit bloodwork/urinalysis at a hospy-based midwife's office...with no intent of staying at the practice, but not really thinking through the whole refusal process. I do remember arguing with the phlebotomist who kept telling me she'd see me at 16 (?) weeks for the GTT...I kept telling her, "no you won't, I won't be doing that," and she kept saying, "yes you will, I'll see you then." I think I was the first person to ever even think of refusing it! After that appt, I switched to a home-birth mw (already in the plans, not in response to the appt) and had not a single additional "test" of any kind.

And ds was our UP/UC. I did NOTHING but measure my BP twice at Target because I happened to walk by the freebie machine

A dear friend/midwife asks people "what will you do with the results? How will the results change your course of action?" In other words, if there's something a test will tell you that will affect your actions, go for it. If not, skip it. For me, there is no test known to medicine that would change what I do while pregnant. So it's a no-brainer for me (now!).
post #32 of 40
Quote:
Originally Posted by mommy2maya View Post
Having experienced a TERRIBLE kidney infection that landed me in the hospital for a week of IV antibiotics that progressed from a symptom-less UTI, I am quick to suggest a simple urinalysis to any pg women. I have never had a UTI ever before that either.
me, too. never had a uti before, had no symptoms until my kidney suddenly felt like it was being set on fire and crushed at the same time, and by then, the infection had spread to my blood. between that and my blood being funky because of iron, etc..i and my little guy were almost dead and in the hospital 8 days (was supposed to be longer but i refused blood and was screamed at in barely understandable english and a language im not sure of from a middle eastern born doc id never met over the phone to get out cause i wasnt listening and therefore was going to be allowed to be stupid and kill us) and on outpatient ivs for 2 months...

and rh..i am a+, my kids dad is a-...no issues, it only matters if YOURE negative.

id do cbc and urine uti/protein tests during preg. and thats it...i use a glucometer because imo its a horrible thing to do to a pregnant mama and babe to do the fast/chug syrup testing. not at all a sampling of the true way your body processes sugars!
jmho
post #33 of 40
Thread Starter 
I'm just wondering what else they might sneak into the urine test, what will it be able to tell them?

I'm so glad everyone had shared their stories and experience, it's really been helpful.
post #34 of 40
If GBS is present in the urine, it means that baby is likely to have GBS disease more severely (if it gets it) if my understanding is correct. Other than that, there's a limit to what you can see in wee.
post #35 of 40
Thread Starter 
Well, I don't want to have the official GBS test, but if I'm going to get the urine test for uti's I guess there's no way around it? I don't want to have my records show the presence of a bacteria that most women have, but the medical community feels should be treated with abx.

I'm planning on going tomorrow, so I need to decide for certain.
post #36 of 40
you can get the test strips....
the mw office i went to you diy with the strip[ dipping and interpret it in the bathroom, and tell them only if something shows up. it would be nice if you could get them to let you do it.
post #37 of 40
Thread Starter 
yes, my mw always let we do my own test strips last time. But that doesn't show anything about uti's, as far as I know. Am I missing something?
post #38 of 40
Thread Starter 
Well, I ended up doing the blood count and the urine. I wasn't sure about the urine, but I don't think they're going to actively be testing for GBS at 15 weeks, and if it does show up, it hardly matters for a birth that is months away.

All I did was cross off the tests before I got there, and they gave me no grief about it. Easy peasy!
post #39 of 40
:d
post #40 of 40
Thread Starter 
Well, I go in next week for my 2nd mw appt.
I wanted to email her and tell her to make a note on my record about the OB clinic, but I'm having problems with my sacrum, and she may suggest sending me there so I can get a referral about physio. If I don't say something before the appt, it will come up again, and I don't want to go through the persuasion. I don't even know if I need the referral for physio, or maybe my family doc could do it (though he doesn't do OB work here, I wonder if he'd get in trouble? I mean, who's to say that the physio has to be related to pregnancy...)

I also wanted to bump my thread because I noticed it is the last one in the forum, so I don't know if they're deleting threads or archiving them or what....
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