Asking Doctor to use fetoscope instead of Doppler to hear baby's heart beat? - Mothering Forums

Forum Jump: 
 
Thread Tools
#1 of 27 Old 01-09-2013, 10:06 PM - Thread Starter
 
missmelancholy's Avatar
 
Join Date: Jan 2013
Posts: 12
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I was in my OB/GYN office and I expressed my concern over the use of a doppler to hear the baby's heart beat and asked if she could use a fetascope instead and the Dr got defensive and asked "what can I do for you then?"  As if theres no purpose for me to see her if I wont let her do her standard procedures, she also said she wasn't 90 years old and that a fetascope is an ancient instrument and tried to make me feel that my views on dopplers were loony. I figured if there was a fetascope hanging around , i'd rather use that.  Do I not have a say in what I want and don't want?  She ended up telling me that maybe her practice was not right for me.
missmelancholy is offline  
#2 of 27 Old 01-10-2013, 12:55 AM
 
deborahbgkelly's Avatar
 
Join Date: Feb 2011
Location: Longmont, CO
Posts: 2,959
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Ugh. Frankly, it sounds like her practice isn't right for most. You are the patient and have a right to what you want.


Mama to my twin butterfly boys, Alan and Bruce, who passed away at 22 weeks gestation (3/24/12): Forever in Our Hearts. Our rainbow baby girl, my little bud of Hope,  joined our butterfly boys and Grandma Jan 1/31/13 at 9 weeks gestation. Love you so much. Next step: triadadopt.jpg
deborahbgkelly is offline  
#3 of 27 Old 01-10-2013, 05:28 PM
 
mereniki's Avatar
 
Join Date: Feb 2010
Posts: 8
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Of course you have a say, it's your body, your baby, and your money! Maybe a midwife would be more open to the idea than an OB? Because fetascopes aren't in regular use anymore, it might be tough to find someone who still uses one. My midwives said they would be open to the idea of using one, but they'd have to find one first. I thought it was nice that they were willing to make that effort :)

 

Keep searching, and you'll find a good fit, whether it be with an OB or a midwife!

mereniki is offline  
#4 of 27 Old 01-10-2013, 05:38 PM
 
LeighPF's Avatar
 
Join Date: Jan 2010
Posts: 890
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I know my midwife offers it upfront as an option.

I think your Ob is right about one thing, hers is not the right practice for you if you are treated like that.


Mama to Monkey (Jan '09), Bee (May '11), and Cat (August, '13)

LeighPF is offline  
#5 of 27 Old 01-10-2013, 06:26 PM
 
JamieCatheryn's Avatar
 
Join Date: Dec 2005
Location: SW Pa
Posts: 5,121
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 8 Post(s)

Some midwives don't even do the fetascope, but won't be uppity about it if they don't. Great that you found out early the lack of respect you get with that doc. My 2nd baby reacted poorly to Doppler, heartrate always spiked with it and he would kick and squirm a lot, so my mw used the Pinard horn (talk about ancient tech there) and got good steady rates. My current mw doesn't have a fetascope so keeps the checks on Doppler short for me.

JamieCatheryn is online now  
#6 of 27 Old 01-11-2013, 05:14 AM
 
womenswisdom's Avatar
 
Join Date: Jan 2008
Location: in my skin
Posts: 939
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
For those who want their providers who don't have one to use a fetoscope, you could always purchase one (they are as inexpensive as $15-30) and bring it with you.

Fledgling midwife on hiatus, Wife to B, mama to C (c/s ribboncesarean.gif 12/04) and S hbac.gif (12/07), angel3.gif m/c (3/12) and expecting another bean 6/13 stork-suprise.gif.

womenswisdom is offline  
#7 of 27 Old 01-11-2013, 06:41 AM - Thread Starter
 
missmelancholy's Avatar
 
Join Date: Jan 2013
Posts: 12
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Yes,   I purchased a fetoscope online one the day before my appointment and the doctor had the nerve to tell me that the only place I could find a fetoscope would probably be in a museum.  Anyway,  she said a midwife would be more on my level, which she is probably right.  I thought if I found a good doctor that was ok with what I wanted that I wouldn't need to look into midwives since I have no idea how to start looking for one.  This, all because I didn't want her to keep using her fancy machine on me. 

missmelancholy is offline  
#8 of 27 Old 01-11-2013, 10:55 AM
 
letniaLynne's Avatar
 
Join Date: Jun 2006
Location: RI USA
Posts: 1,887
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
My home birth midwife only uses a Doppler during labor since she can get the heartbeat quickly with that device and not interfere with the labor process by having to ask me to lie still and quiet. But during all other appointments she uses the fetoscope.
The kind of doc you want is out there you might just have to start really hunting, scour the Internet and local moms with similar views and then go interview the docs.
Good luck

Mountain Biking bikenew.gifMama of 3 little beans, .      Epumped 1pump.gif 22mths for dd1 (2006) notes.gif
Nursed fly-by-nursing1.gifmy homebirth.jpg babe, dd2 (2008) until self weaned at 3yrsbouncy.gif. We survived a major nursing strike.

Awesome homebirth.jpg for Baby #3 who turned out to be a babygirl.gif (Aug 2013)!   

letniaLynne is offline  
#9 of 27 Old 01-11-2013, 11:10 AM
 
Alenushka's Avatar
 
Join Date: Jul 2002
Location: CA
Posts: 1,893
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)

As a patient you have a right to ask for what you want but not to get it if the doctor does not feel that the treatment is warranted.  Doctor is also is not obliged to provide a treatment that she finds too risky, harmful , or not scientifically sound.

 

Fetoscope is an outdated piece of technology . There is reason why it is not longer used. You can;t force you doctor to use it more than you can force your doctor to bleed you as treatment of a common cold.

 

You can simply refuse a Doppler and have visits without it.

 

Also, go to your local Health Library and ask a librarian to find you peer reviewed studies about Dopplers and if there is in fact any real danger

Alenushka is offline  
#10 of 27 Old 01-11-2013, 11:34 AM - Thread Starter
 
missmelancholy's Avatar
 
Join Date: Jan 2013
Posts: 12
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I'm not looking to become an expert on ultrasounds, for now I don't feel totally comfortable with the techonology and would like to avoid it if at all possible, I already had an transvaginal one and had a doppler used on me 3 x and I feel that that was unecessary exposure to high frequency sound waves that I don't feel have given me any benefits. 

missmelancholy is offline  
#11 of 27 Old 01-11-2013, 11:46 AM
 
womenswisdom's Avatar
 
Join Date: Jan 2008
Location: in my skin
Posts: 939
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by Alenushka View Post

As a patient you have a right to ask for what you want but not to get it if the doctor does not feel that the treatment is warranted.  Doctor is also is not obliged to provide a treatment that she finds too risky, harmful , or not scientifically sound.

Fetoscope is an outdated piece of technology . There is reason why it is not longer used. You can;t force you doctor to use it more than you can force your doctor to bleed you as treatment of a common cold.

You can simply refuse a Doppler and have visits without it.

Also, go to your local Health Library and ask a librarian to find you peer reviewed studies about Dopplers and if there is in fact any real danger

Are you serious? Do you even know what a fetoscope is? It's simply a stethoscope which is specially constructed in order to slightly amplify the sound of the baby's heartbeat so that it can be heard at an earlier gestation. It's the exact same technology as a stethoscope. There is nothing "risky, harmful, or not scientifically sound" about it. It's the same "technology" that will be used on the baby immediately after birth in order to hear the heartbeat - with a stethoscope. It is used to assess the fetal heart rate, which is the same thing a Doppler is used for. Actually, one additional benefit is that it allows the practitioner to be more specific about where the heartbeat is located because you can't pick up the heartbeat from multiple place in the abdomen like you can with a Doppler so it makes it easier to confirm a breech or vertex position. It takes more skill to use than a Doppler and you have to actually count the heartbeat and multiply it appropriately to get the bpm, which makes it less convenient than the nice bpm readout you get on a Doppler. You've fallen into the "newer is better" trap, which in this case is simply not true.

Fledgling midwife on hiatus, Wife to B, mama to C (c/s ribboncesarean.gif 12/04) and S hbac.gif (12/07), angel3.gif m/c (3/12) and expecting another bean 6/13 stork-suprise.gif.

womenswisdom is offline  
#12 of 27 Old 01-11-2013, 12:17 PM
 
velveeta's Avatar
 
Join Date: May 2002
Location: Chapel Hill, NC
Posts: 2,607
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by Alenushka View Post

As a patient you have a right to ask for what you want but not to get it if the doctor does not feel that the treatment is warranted.  Doctor is also is not obliged to provide a treatment that she finds too risky, harmful , or not scientifically sound.

Fetoscope is an outdated piece of technology . There is reason why it is not longer used. You can;t force you doctor to use it more than you can force your doctor to bleed you as treatment of a common cold.

You can simply refuse a Doppler and have visits without it.

Also, go to your local Health Library and ask a librarian to find you peer reviewed studies about Dopplers and if there is in fact any real danger
Huh? Or, you could just google that info. (Scratches head). Alenushka, perhaps you should use google to learn more about fetascopes. They are just stethoscopes that are designed to hear the baby more easily. A health care provider could also use a stethoscope . They have to risk whatsoever! Maybe they're a bit cold on the skin...

Jean, happy HS mom to Peter (5), Daniel (9) and Lucie (2) and also someone new... baby.gif
velveeta is offline  
#13 of 27 Old 01-11-2013, 12:23 PM
 
rnra's Avatar
 
Join Date: Dec 2011
Location: USA
Posts: 583
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

All pieces of medical equipment, regardless of how simple or complex they are, require training and skill.  If an OB has not been trained in the use of a fetoscope and does not have sufficient experience with a fetoscope to feel comfortable in using it to accurately assess fetal heart rates, then he/she is being perfectly reasonable to refuse to use one.  

Sanveann likes this.
rnra is online now  
#14 of 27 Old 01-11-2013, 12:29 PM
 
womenswisdom's Avatar
 
Join Date: Jan 2008
Location: in my skin
Posts: 939
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by rnra View Post

All pieces of medical equipment, regardless of how simple or complex they are, require training and skill.  If an OB has not been trained in the use of a fetoscope and does not have sufficient experience with a fetoscope to feel comfortable in using it to accurately assess fetal heart rates, then he/she is being perfectly reasonable to refuse to use one.  

I don't disagree with that. However, comparing it to bleeding someone for a common cold is a bit much.

Fledgling midwife on hiatus, Wife to B, mama to C (c/s ribboncesarean.gif 12/04) and S hbac.gif (12/07), angel3.gif m/c (3/12) and expecting another bean 6/13 stork-suprise.gif.

womenswisdom is offline  
#15 of 27 Old 01-11-2013, 01:23 PM - Thread Starter
 
missmelancholy's Avatar
 
Join Date: Jan 2013
Posts: 12
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I just received my fetoscope in the mail today and I was able to find the heart beat after just a few minutes.  At first I was only able to hear my intestines squrming and then there it was!   It sounded exactly like with the doppler except much lower sound. 

missmelancholy is offline  
#16 of 27 Old 01-11-2013, 01:59 PM
 
Teles's Avatar
 
Join Date: Apr 2012
Location: Canada
Posts: 574
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I have not found any real evidence that dopplers have any negative impact on the health of a baby in any way (see here:http://www.mothering.com/community/t/1361972/doppler-moms-share-some-infoz#post_17109802 if you want to read a discussion on the topic), but I'd say the concern here is not the doppler but your doctor's attitude toward you. At first I assumed that you're relatively early in your pregnancy to be having this discussion for the first time but you have to be a good 18 to 20 weeks along to hear a hb on a fetoscope, as I understand it, so maybe you're around halfway? Regardless, I would say that this discussion is a good indication that this doctor is not for you.

 

You don't want to be in labour and have to argue with her about something that you believe in but she doesn't, so it's best to look for someone better matched to you sooner rather than later.

deborahbgkelly likes this.

 

 

Teles is offline  
#17 of 27 Old 01-11-2013, 11:37 PM
 
phathui5's Avatar
 
Join Date: Jan 2002
Location: Oregon
Posts: 17,479
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by rnra View Post

All pieces of medical equipment, regardless of how simple or complex they are, require training and skill.  If an OB has not been trained in the use of a fetoscope and does not have sufficient experience with a fetoscope to feel comfortable in using it to accurately assess fetal heart rates, then he/she is being perfectly reasonable to refuse to use one.  

 

It's not rocket science. It's a basically a stethoscope that you use to hear the fetal heartbeat.

 

OP, maybe you would be happier with midwifery care. Heck, I have a fetoscope in my car!


Midwife (CPM, LDM) and homeschooling mama to:
13yo ds   10yo dd  8yo ds and 6yo ds and 1yo ds  
phathui5 is offline  
#18 of 27 Old 01-12-2013, 12:29 AM
 
here we are's Avatar
 
Join Date: Sep 2012
Posts: 768
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
So interested in this discussion. Just learning about doppler, had my first one yesterday and it made me nervous. Cant wait to read about sound wave stuff&hope it was safe for baby who kept moving away.
here we are is offline  
#19 of 27 Old 01-12-2013, 07:00 AM
 
bird_verde's Avatar
 
Join Date: May 2005
Location: Western Maine
Posts: 211
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

missmelancholy - Although you don't agree with the doc (and it sounded like she was pretty condescending), she did you a favor by suggesting that you may not be a good fit for her or her practice.  Better now than in the delivery room.  I am not sure where you are located but there are many sources for finding a midwife or perhaps a natural birth friendly doctor.  For midwives - you may want to start at http://www.mothersnaturally.org/midwives/findAMidwife.php  if you are in North America. You may want to try posting in the "Finding your Tribe" area on Mothering to get some recommendations too.  Good luck!

 

FWIW- my midwives almost always use a fetalscope first and then go to a Doppler if needed (or when in labor).

phathui5 likes this.

Catholic wife to S and mama to my two loveys V dd1 10/04 and G dd2 11/10 - #3 due in August 2013.  Here we go again.  homebirth.jpgwinner.jpg selectivevax.gifcd.gif

bird_verde is offline  
#20 of 27 Old 01-14-2013, 07:13 AM
 
amlikam's Avatar
 
Join Date: Nov 2008
Location: Berkshire County MA
Posts: 777
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I had an OB with my DD pregnancy use a fetoscope on me. She told me she didn't see any reason for using a doppler when this tool worked just as well and was more reassuring to her than a doppler for many of the reasons listed above.

 

My current midwives have both and asked if I would be ok with a doppler IF the fetoscope didn't work. They asked if it would be ok- that blows my mind. Like I have some control over my body and my childs body... like I am a person capable of making choices.

 

I agree the OB did you a favor by helping you see early on their model of care is not for you. There is a finding your tribe area on mothering where you coudl ask about midwives in your area OP.

 

best of luck!


hang.gif  WOHMama to dust.gifDD (July 2008) and coolshine.gif DS (May 2013); wife to DH sleepytime.gif.

Live your life, like your life depends on it. joy.gif         

amlikam is offline  
#21 of 27 Old 01-14-2013, 09:54 PM - Thread Starter
 
missmelancholy's Avatar
 
Join Date: Jan 2013
Posts: 12
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

It would be nice if the doctors would ask every women and get their permission before hand. I went in for prenatal care knowing that I only wanted 1 ultrasound and on my very first visit at 10 weeks my OB performed a transvaginal ultrasound on me without even asking me if it was ok.  I asked her what that was, expressing concern and she was like oh don't worry it's just soundwaves and made it sound like it was something good.  I was caught off guard and let her do it.  Now i'm learning that doppler uses ultrasound technology as well.  So pretty  much the way I look at it,  I have had  a total of four ultrasounds so far and all during my first trimester and for no reason at all, it makes me so mad.  

missmelancholy is offline  
#22 of 27 Old 01-19-2013, 07:37 PM
 
zekedancin's Avatar
 
Join Date: Jan 2011
Posts: 5
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I am new to this knowledge of possible harm in doppler and ultrasound. I just did some reading online about it today after watching a short clip of Ina May Gaskin in More Business of Being Born suggesting that it be possibly dangerous, and at the very least unnecessary.

 

I am using a midwife, but am in the early stages, and haven't even picked one yet, I am still interviewing. Now I will add this to the question list.

zekedancin is offline  
#23 of 27 Old 01-20-2013, 12:06 AM
 
phathui5's Avatar
 
Join Date: Jan 2002
Location: Oregon
Posts: 17,479
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by missmelancholy View Post

It would be nice if the doctors would ask every women and get their permission before hand. I went in for prenatal care knowing that I only wanted 1 ultrasound and on my very first visit at 10 weeks my OB performed a transvaginal ultrasound on me without even asking me if it was ok.  I asked her what that was, expressing concern and she was like oh don't worry it's just soundwaves and made it sound like it was something good.  I was caught off guard and let her do it.  Now i'm learning that doppler uses ultrasound technology as well.  So pretty  much the way I look at it,  I have had  a total of four ultrasounds so far and all during my first trimester and for no reason at all, it makes me so mad.  

 

Have you thought about looking for a midwife? Most midwives won't perform any tests without your consent, certainly not an ultrasound without asking you.


Midwife (CPM, LDM) and homeschooling mama to:
13yo ds   10yo dd  8yo ds and 6yo ds and 1yo ds  
phathui5 is offline  
#24 of 27 Old 01-20-2013, 03:29 PM
 
naturalcrunch's Avatar
 
Join Date: Dec 2010
Posts: 23
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I've been concerned about the use of the doppler as well as ultrasound, there is some controversy about how it may affect the fetus so I think the concern is valid. I have opted for the fetascope and no ultrasound unless there is a concern. Although I agreed to allow my midwife to use the doppler during labor. With the fetascope the heartbeat can not be detected until 17 weeks which may be one reason why the OB refused. It is also more time consuming and requires more skill then a doppler. I am doing a homebirth so I have a lot more flexibility in my choices and have found a wonderful midwife to accommodate. Without a second thought I would keep shopping for a provider, a midwife may be more willing to assist you with your desires and if you want a natural childbirth I think they are much more respectful of that as well.

naturalcrunch is offline  
#25 of 27 Old 01-23-2013, 09:10 PM - Thread Starter
 
missmelancholy's Avatar
 
Join Date: Jan 2013
Posts: 12
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Yes, i'm in the process of switching to midwifery care.  My appointment is next week. Hope everything goes well :)

ShyingViolet likes this.
missmelancholy is offline  
#26 of 27 Old 10-26-2013, 04:57 PM
 
neycie's Avatar
 
Join Date: Jul 2013
Posts: 67
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
This is an older thread...but I asked my Midwife about using a fetoscope with this pregnancy and she too looked at me like I had three heads, and referred to it as an ancient piece of equipment that she had no experience or interest in using....this a pretty naturally minded group of midwives in my opinion. It seems Doppler is rarely questioned.
neycie is offline  
#27 of 27 Old 11-02-2013, 01:04 PM
 
ocelotmom's Avatar
 
Join Date: Jul 2003
Location: "I drove through there once!", NV
Posts: 1,705
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 7 Post(s)

My midwives the last two pregnancies have humored me on my desire to (mostly) avoid doppler and use the fetoscope. I do let them use the doppler once or twice when it's early enough that the fetoscope isn't practical (I feel movement early, so have reassurance that the baby is alive and kicking well before the fetoscope will pick up a heartbeat), and also during labor. But not every visit.


DS born 6/03, DD1 born 9/06, DD2 born 10/10, DD3 born 4/14.
ocelotmom is online now  
Reply

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off