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Discussion Starter · #1 ·
Help! I have an appointment with the mainstream...a mainstream Dr. that is. I have never gone to a Dr. for a single prenatal appointment in my life. And yet, I have an appointment on Weds. Whatever your views of ultrasound may be, my husband and I have decided to get one. (I didn't want one, DH does...BADLY. And, I've been swayed considering we don't know what our birth month is or how many babies to expect.) So, in order to get an U/S I need approval from my Primary Care Provider.<br><br>
So, here is my question -- what should I expect? Is there anything I should decline? If she tries to use the doppler, i will decline that (because it's even more concentrated than the U/S sonogram). But, what else should I be aware of?<br><br>
Thanks. Advice would be much appreciated!
 

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they may want to do bloodwork if you haven't had any done already (or any that they deem "reliable"), so you can turn that down - although many states have required tests for pregnancy, so it may be a fight. Perhaps you can ward them off with "well, I'm afraid of needles and I would feel better preparing myself for it tomorrow, if I can come back"...<br><br>
Blood pressure, weight, urine dip are all pretty standard. Some want to do a pelvic exam/PAP at the first visit. It's not necessary - it's better to do it after the baby comes if you're due for one.
 

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Internal exams and STD exams!!!! The internal exams were done throughout my first pregnancy.. and the STD tests they said were state law, but I'm in the same state still and my midwives haven't asked me to take any so now I'm wondering.. Hmmm.. Okay, that's all I can think of. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngtongue.gif" style="border:0px solid;" title="Stick Out Tongue"><br><br>
I had to go to an OB for one visit during this pregnancy to be considered her patient in case of a transfer, and I felt extremely anxious and nervous about being there too!<br><br>
Let us know how it goes!
 

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Expect some serious confusion/resistance when you decline the doppler. They'll be all confused about what to put in your chart. Blood pressure, weight, and urine will be done, but you shouldn't have any trouble putting off bloodwork... the can get a positive PG test from your urine and tell them you will wait until your records have transferred/you have more time/whatever and will come in for bloodwork later. I'd be really surprised if they did a Pap or internal...and again, you can put that off by saying your waiting for your records to be transferred, etc.<br><br>
They will probably ask a bunch of questions about medical history (of this is an intake appt) and you'll have to fill out some paperwork.
 

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The other thing you might want to ask about is a strep b test. I would expect them to test your urine for it.<br><br>
I am not sure if your midwives test as a rule, but your baby and you will be treated very differently at the hospital if you test positive than if you test negative. An unknown test sometimes gets the same treatment as a positive test.<br><br>
I only mention it because one of our homebirth transfers ended up in the hospital for 36 hours instead of the 3 or 4 she intended because they wouldn't sign out the baby. Having that positive test result on record (and about 1 out of 4 women test positive) might affect your care in the case of transfer.<br><br>
I don't know which would be the hospital of choice for you for a transfer. This was at U of M.<br><br>
Also re: bloodwork, I would expect an hiv and hep b test to be thrown in with the other bloodwork unless you specifically decline them.<br><br>
Good luck.
 

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Discussion Starter · #6 ·
Thank you all for your fast response! I really appreciate it. Gosh, she could possibly want a lot of stuff.<br><br>
Now, the thing I have going for me is that she knows I'm planning a homebirth and only want her approval for U/S. She seems willing enough to have me in just for one prenatal. I'm thinking if she wants to go more in depth with blood draws or internal exams, I'll be firm and say that my midwife is taking care of all that. Good idea to say that I'll get my records to her if it's something she really wants.<br><br>
Gosh, I'm so glad you all told me about the possible things she could want. I didn't know there were so many things. I'm in a bit of shock. I wonder what she'll ask for. I'll let you all know how it goes tomorrow.<br><br>
Defenestrator, my Dr. is associated with St. Joseph-Mercy (I'm assuming you mean UofM as U of Michigan, not Minn or Miami). But, I don't plan on transferring. I'm using Pat Kramer as my midwife. I don't think she's had a transfer in quite a few years. I would never break her trend!<br><br>
Thank you all so much!!! If anything this just makes me so glad I have my kids at home. Home sweet homebirth!
 

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Discussion Starter · #7 ·
Well, that's over! It was a little wierd. I'm really glad I'm having a homebirth. She just wanted to use her pregnancy wheel on me (looking at when I had a positive test) and I think she did it wrong. She said I was due May 8th. But, I tested positive July 12 or 13. That means I'd be pregnant from June until May? And, then she tried to feel my uterus. She said could only feel the right side. Hmmm, my midwife can feel the whole thing. And, then she measured from just above my pubis to the right side of my uterus and pronounced me 8 weeks. Uh, I'm a little confused. I denied the doppler and she was ok with that.<br><br>
I did get permission for an U/S. I guess that was worth it.<br><br>
Thanks again!
 

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Discussion Starter · #9 ·
Yeah, Pam -- what's up with her info? Did my uterus suddenly contort to one side? I don't get why she couldn't feel the other side. And, she palpated my abdomen for a looooong time. It was like she was blind and thought my old stretchmarks were brail. And, why did she not measure straight up to my belly button?. It just doesn't make sense.<br><br>
I left there rather confused and perplexed. Even a bit aggitated. I don't think I could EVER go to a Dr. for prenatals. Again, I am soooo glad I am having a homebirth. I trust all is well. And, that I am due whenever the baby is ready! Maybe I should change my sig to include April and May, just to be safe. Ha!
 

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Glad it went well! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> Well, reasonably well. You didn't have to fight about anything, so that counts as a <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"> in my book!<br><br>
When you get the u/s you should get a better idea of the date if you are less than 20 wks. When it's done early, it's got a pretty good accuracy rate--like w/in 7-10 of your "real" date. Better than a "sometime b/n Jan and May" date, right?! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> Plus your measurements should be good markers for dates. I got an u/s around 18 wks for a date b/c I had no clue! We guessed my due date at Dec. 9, but the u/s said Jan 14! That goes with how I'm measuring too. We'll see what happens! It's better to have a late date than an early one since mw are really regulated here, and she may have to drop me if I go over so many weeks. Haven't asked about that, but I'm assuming. Maybe 42 is the max weeks.... We'll see! I'm ready for uc or very late transport to hosp. if necessary!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
OK, sorry that was off-topic. Just thought I'd share!!!
 

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Discussion Starter · #11 ·
Emmajean - you are so right. It was so much better than it could have been! Thank goodness i just left confused and not angry about not being taken seriously or something. It was almost as good as could be expected, I suppose.<br><br>
It's interesting you're going through similiar things, too! And, yes, if MW is monitored where you are it's a really good thing you know it's much later. I fear I'm going to be all crazy if I go in & they tell me I'm not due until April 7 or something. It's weird at first I thought I had sailed all through the first trimester without morning sickness and then MS hit. Then, I measured so big I thought maybe it was just in my head <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/confused.gif" style="border:0px solid;" title="Confused">: It's truly a mystery. I'll be glad to know about when I'm due so I can tell my students and arrange for a sub next semester. Best wishes in your pregnancy!
 

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So weird....let me know how it turns out!! I hope it helps pin down a due "month"! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 
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