Maternal Fetal Medicine Consult? - Mothering Forums

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Old 01-28-2010, 09:53 PM - Thread Starter
 
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Ok, so I got back the results from the nuchal test, and they are in the normal range, so further screening is not recommended. But then I got a phone call this morning from a Maternal Fetal Medicine Specialist. I vaguely recall a nurse telling me I'd have a consult with one since I'm over 35. Mind you, I'm not that much over 35. I conceived at 36 and will deliver at 37. But nonetheless.

So I call back and they want to schedule me to come in at 14 weeks, and they will do an ultrasound. Now, I just had a fairly thorough ultrasound at 12.5 weeks for the nuchal scan. And as much as I love looking at the baby, part of me just wants to leave the baby alone for a little while.

So here's the question: does anyone know what this doc will be looking for in the u/s that will be different than what was done at 12.5 weeks? I saw something online about genetic ultrasound screening, but this guy doesn't mention that on his website, so I really don't know what they want to do. His staff just assured me there would be an ultrasound and we'd meet with the doc. I think there is also the option to take my and DH's blood for some genetic testing if we want.

Anyone know what they do at these? I plan to go, but I'm kind of wondering what to expect.

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Old 01-28-2010, 10:40 PM
 
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Nuchal thickness is ok and they still want to do an additional u/s? I personally would just wait until the mid term u/s at this point, and ask what if any new information they are hoping to learn from another u/s at this point.

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Old 01-28-2010, 11:56 PM
 
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I would find out more, and personally, I would decline. It sounds like over management to me. Women are having babies after 35 all the time now, I am also 35 and I'm not having any genetic testing at all. So much false positive results and unneeded stress.

It's OK to decline and it doesn't mean you're not a good mom!!
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Old 01-29-2010, 12:52 AM
 
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To me it sounds like a way for this guy to make money. Unless he can give you a real reason to have another one done (as in they did not thourghly check x or y in your last one) then I would wait and ask if he would like to perform your 18-20 week check. If this guy has a website and is working independently then the more ultrasounds he does the better for his business. If you are truly concerned I would discuss it with your doc. I would discuss it with my doc first anyways just because I think my doc would be able to offer me some very good advice on the need/not need of it and what the results meant.
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Old 01-29-2010, 12:53 AM
 
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ddc crashing from sept and nak.

we had a need for a more in depth u/s with dc3. even after it came back clear, i was informed i was still considered high risk. once high risk, always high risk he said. and then came the list of interventions they would consider. yeah, no. i cancelled the rest of my appts. and they kept calling me to tell me about the poor choice i was making for my baby and that she might die, etc, etc. it was really frustrating. (perfectly healthy baby, btw. and homebirth.)

"If you keep doing the same things you've always done, you'll keep getting the same results you've always gotten."

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Old 01-29-2010, 08:34 PM
 
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I'll weigh in on the other side a bit.

I got a call a few days ago about some not so good results from the quad screen (I know this is not uncommon, and why many women choose not to have this test - for my circumstances it was the right decision for my family).

Today I met with the genetic counselor and the maternal/fetal medicine doc.

The time w/ the genetic counselor was not particularly useful to me as I have done much reading on this and have a strong background understanding of statistics. I will say that it was very helpful for my husband, and I thought she did an excellent job of describing the tests/risks/etc without too much bias towards testing. If you don't know a lot about genetics/have a particular concern/want to know more, this might be useful.

However the time I spent with the maternal/fetal medicine doc was invaluable. He was the one person willing to look at my specific information and offer insights and explanations. I happened upon a _really_ good doc and boy did it show. I did not feel pressured to have additional tests or interventions, got good balanced information about what additional tests would tell me vs what additional interventions they could lead to etc. I actually enjoyed my time with him (1+hr) as much as or more than my appts w/ my midwives (partly b/c he was willing to answer questions others wouldn't/couldn't and partly b/c he was just a great guy).

Now, I suspect that my experience is not the norm, and if you did end up with a pushy doc only you know how you will deal with that and whether you'll feel comfortable pushing back/walking out or whether you will feel pressured to do something you are not comfortable with and/or will regret.

If I understand your post you have no reason to suspect any issues and are being steered towards this based solely on an AMA label. I'll tell you what I would do in your shoes (skip the additional US), but IMHO, as long as you are aware of the additional info/additional intervention cycle you could be stepping into, it isn't about what any of us would do, it's about what you feel is the right decision for you and your family.

I'll get down off my soapbox now (no offense to anyone meant, my ferocity about this issue is directly related to my own struggles with my decision and what those around me think of it).

Me (36), my DH (37), our DD (12/07), and our new DS (7/7/10)
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Old 01-29-2010, 10:03 PM
 
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If this is only based upon being over 35 and your NT came back clear then I think you ought to just wait for the 20 week scan. There isn't going to be big enough baby to get much different of a scan than you did at 11 weeks. If they did find something I'd bet that the answer is going to be 'come in for another scan in a couple weeks'...by that time you're about to hit 20 weeks anyway.


I just had my MFM/Peri consult and wow, that guy wants me back soon and often. However I'm highrisk so I see the point. I've heard that this doc does this to ALL women. Works for me but overkill for someone lowrisk

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Old 01-29-2010, 11:00 PM
 
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I am too the dreaded 36, darn and just last week I wan't too old to have a baby, ha ha. However, I digress, I am having my mid term ultrasound done with the maternal fetal specialists instead of my OB office. I had a choice and my husband wanted something a little more thorough I guess and so for that reason only we are having it done with them. However, I didn't feel pressured to get it done.

When I called though, they wanted me to come in two days later and I was like, um, I am not mid term yet and they called my drs office and my dr got on the phone and told them that she was not transferring CARE to them, just the ultrasound and she called me and told me how after my ultrasound they would want me to come in for other check ups and she said to politely decline unless something comes up.

You do what you feel comfortable with :-).
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