Dr. Appointments - how's this work? - Mothering Forums

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#1 of 7 Old 09-24-2008, 10:58 AM - Thread Starter
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So, I went to the doctor yesterday and had my pregnancy confirmed. : I'm 4 1/2 weeks, and this visit was really just with a nurse who had me do a pee test. My next appointment is with the practitioner on call, when I'll be 6 1/2 weeks along. Apparently I won't see my own practitioner until the visit after that.

What should I expect from this first visit? I guess whoever sees me will do an internal, right? Will they do any kind of ultrasound? Will we see or hear the baby in any way? Should I bring DH?

I never have the presence of mind to ask these questions when I'm actually standing there making the appointment. Medical settings always make me freeze up.

N,: Wife and Wannabe AP Mamma. 11/08. 9/09. Wishing for a , but wondering if I should.
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#2 of 7 Old 09-24-2008, 11:31 AM
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Most often you'll get all your blood test stuff done, urine test for sugars and protein, pap smear if it's been a year for you, pelvic exam. It's early for an ultrasound, some doctors will do it (vaginally) most won't without suspected miscarriage or uncertainty about dates. Yeah bring DH if he's available. Next visit after that you're more likely to have at least a doppler done to hear the heart.
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#3 of 7 Old 09-24-2008, 11:50 AM
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My first appt does not involve an internal or u/s. Actually, I won't have any internals during the pregnancy. I wi.l have a blood draw at my first or second appt.

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#4 of 7 Old 09-24-2008, 11:59 AM
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I don't do internals during pregnancy either, I absolutely detest them. My appointments this time around are an hour long. I test my pee with the dip stick, weigh myself, do blood pressure, we'll do a fundal check and heart tones. Then we'll just talk about whatever. I'll go for blood work at some point, I have to go elsewhere for that but I'm not going to do the full panel because it isn't necessary. I'll probably have a 20 week ultrasound at the same place that does my blood work.

With DS we had 2 hour long appointments, all the ladies due that month met together and we did our own weight and blood pressure, dip stick, then a fundal check and heart tones. Then we'd have a discussion about a different topic at every meeting.

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#5 of 7 Old 09-24-2008, 03:56 PM
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No internals here either. The were never offered even and I didn't want any with my last pregnancy. I don't intend to have any this time either, except maybe at 38weeks+, just due to labour complications last time.

My first appointment is mostly paperwork, they'll listen for fetal heart tones (at 9 weeks), send me for blood tests (need to figure out exactly WHAT my blood type is because I've had it tested twice with different results!), weigh me, pee on a stick and discuss what tests are offered (most of which I decline) in the next appointment. Then I come back at 15, 20, 25, 30, 33, 36, 37, 38... etc weeks until I deliver and each time I pee on a stick, weigh, blood pressure, fetal heart tones and position, chit chat and off I go.

Mom to Kayleigh (05/07) Jacob (05/09) and Ned decluttering 615/2010
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#6 of 7 Old 09-24-2008, 05:11 PM
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Depends on the OB. first one was VERY fond of internals, but at that time I didn't know I could say no. DD2 they always asked me if I wanted to be checked but if I didn't they didn't care to do it. Every visit, pee in a cup, weigh, talk, measure belly, 15 min in and out (beside from the 1 hr 1 1/2 hr wait ). first ob only did US in office if there was a problem or if you don't have a clue when your cycle was. second ob, they roll out a prehistoric US and check the date at first visit. There is a blood test in the beginning and another one later can't remember when or why. a halfway US to make sure everything looks okay, others if something looks odd. There is the diabetic test too I forget when its, not quite half way I think, you aren't supposed to eat or drink anything the night before or morning of, drink this sugar tonic and then get blood drawn. I've heard this is pretty pointless, I needto do some research and see if I wanna skip it this time. Remember there isn't a single thing you HAVE to do.
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#7 of 7 Old 09-24-2008, 05:48 PM
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Depends on what kind of practioner you are seeing. Is it an OB, a family doc or midwife?

Usually with an OB, you'll be weighed and asked to pee in a cup, a pap smear will be performed (internal exam), lab work done on that pap sample, bloodwork and possibly a transvaginal ultrasound to check for heartbeat, amniotic sac, fetus, etc. An OB will also probably counsel you on all the scary genetic diseases your ethnic group is prone to, counsel you about your due date and give you a book about pregnancy and birth. Maybe you'll get some information on diet, but it will probably be in the book you are given.

With a family doc, you might be able to avoid the pap if you've had one in the last year as well as the ultrasound. A family doc will probably spend more time talking to you and making give some diet/nutrition counseling.

A midwife would probably just do the bloodwork if that's what you wanted, but I do know some midwives perform internal exams and paps at the first appt too. You may be asked to be weighed and take the pee test. A midwife will by far take the most time talking to you, asking questions, giving counsel on due dates, nutrition, etc and determine your risk level. If you are high-risk on somethings you might be referred to an OB or specialist. Its most likely that you would be low-risk and a perfect candidate for midwifery care. You may talk about birth plans also.

Most women who see midwives highly recommend the quality of care and personal touch that is much more supportive and encouraging. A lot of women who see OBs feel like they are being scared into certain decisions at worst, ignored or brushed off. At this early point in your pregnancy you are at the perfect time to decide whether you would like seeing a midwife for your pregnancy. Good luck and yay for your new wee one!

M.Ed. Mama to Chunka (1/07), Beauty (5/09) and Elizabear 3/12): Birth Doula (working toward certification) AAMI Midwifery Student, Advocating with Solace for Mothers & The Birth Survey

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