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Old 06-25-2008, 12:16 PM   #1
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Question know anything about Maternal Fetal Medicine Clinic?

Last week we went in for our ultra sound. We seen only one baby. It sure was a cutie in black and white waving its lil arms and kicking its legs up an down. We were relieved to see everything was good. He said 160 beats per minute and it was measuring 10 weeks an 5 days (huge relief as I was not on any back pain medication or OCD meds). The technican mentioned my uterus was enlarged than asked if I had any surgery on any of my reproductive organs while he spent alot of time on my ovaries. Of course I have never had any surgery there just real bad cysts that were supposed to prevent us from having more children. So he congratulated us and we thanked him and left.

Later that afternoon I got a call from St Joesphs Hospital letting me know my Dr was referring me to the Maternal Fetal Medecine Clinic at St Joesphs Hospital to a specialist.The more the RN talked the more nervous I became. She stated that there was evidence of a 2nd baby that did not survive, that they think my cervix is incompetent and they are wanting me to start getting progesterone shots once a week until its time to deliver. She also said there are things that the specialist would like to speak to me about but was not going to do it over the phone. So on June 30th I will be with my husband at the Maternal Fetal Medicine Clinic at St Joesphs. I was told to dress comfy and that they would be doing a repeat ab ultra sound and a vaginal ultra sound (might be able to find out babys sex). She said I need to take it easy and do as little as possible... I have 3 kids..so we all know thats the impossible!

So I am a little sad but mostly scared and worried. At this point in time I think they are worried about me and not our baby as I was told the baby looked great.


My pregnancy history-I have 3 living children to date.
lost twins at 15 weeks pregnancy, had a son 4 weeks preemie 7lbs 3oz, lost a son at 29weeks due to placental abruption from car accident, had a daughter 6 weeks preemie 4lbs 15oz, had another daughter 6 weeks preemie 5lbs 7oz and this pregnacy twins but one started being reabsorbed by my body.

Any ideas, advice or suggestions on whats going on?

**** Went into today. Specialist was very thoro. He explained progesterone shots are once a week starting at the 18/20 week and not before then and receive them until the 36th week mark- they keep you from going into labor and its a 50% chance rate of not having a premature baby.

My cervix is ok for now but I have an incompetent cervix as it starts thininning out starting labor into my early 2nd trimester. So he will start seeing me in my 20th week by week.
He said as far as my vwd I will go and see a new hematologist that deals with pregnancy and they will gather all the information they need to prepare me for birth.
After the baby is born I have to see another oncologist as their maybe a chance of cancer spreading to my ovaries but nothing can be done or looked at closely until after the birth of the baby.
Other than all of this babys heart beat was 159 and he gave us 2 new pictures that I will post tomorrow as hubby has to scan it at work.
They were very nice and professional and answered all of our questions. Next appt is in 6 weeks.. and I am to rest, walk and rest.

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*Jacob Daniel 12/01/97 *Aubreann Grace12/29/02
*Patience Eileen 09/28/04 *Ryan Charles 12/22/08
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Old 06-29-2008, 07:50 PM   #2
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Re: know anything about Maternal Fetal Medicine Clinic?

Appt is tomorrow am. Anyone know anything about maternal fetal medicine specialists and what exactly they do?? Any experience?
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twin babys ^i^ ^i^ 12-96 , son William ^i^ 02-00 and Ryans Twin^i^ 08
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Old 06-29-2008, 07:58 PM   #3
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Re: know anything about Maternal Fetal Medicine Clinic?

I don't know mama, but I wanted to say I will be thinking of you and praying that everything is okay.
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Old 06-29-2008, 08:01 PM   #4
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Re: know anything about Maternal Fetal Medicine Clinic?

and for you!!!
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Old 06-29-2008, 08:02 PM   #5
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Re: know anything about Maternal Fetal Medicine Clinic?

I am pretty scared.. Thank you for replying back
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twin babys ^i^ ^i^ 12-96 , son William ^i^ 02-00 and Ryans Twin^i^ 08
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Old 06-29-2008, 08:02 PM   #6
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Re: know anything about Maternal Fetal Medicine Clinic?

Hey, maybe you should post this in the main pregnancy forum too.....that way more see it.
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Old 06-29-2008, 08:03 PM   #7
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Re: know anything about Maternal Fetal Medicine Clinic?

Its a perinatalogist aka high risk pregnancy specialist. They'll check your vital signs, check your urine and run ultrasounds. Depending on what they are concerned about, they can run different types of u/s. I have a clotting disorder that puts me at risk for fetal death at any point in the pregnancy. They see me every 6 weeks until 28 weeks when they then see me weekly until I deliver. One week they do a full biophysical profile, the other week they do a weight check.

Basically, if you're concerned that something can threaten the baby, then you watch the baby closely. And, the only way to watch the baby closely is to do u/s. I call the peri the u/s doctor. I don't think they EVER do a visit without an u/s and I know every room in every branch of my peri's practice (now 6 branch offices) has an u/s in the exam room--high quality u/s.

Since this is an initial appointment, likely your doctor wants the peri to evaluate you and determine whether your situation warrants the high risk protocals. If the peri feels it does, then you'll see both your regular OB and the peri. Mine have always been willing to not require visits with both weekly in the last months but I know not all do. Its possible the peri may evaluate you and decide there's no reason to follow you further.

Radiology and OB offices are notorious for not being good at reading prenatal u/s. I've had more than one peri tell me Radiologists shouldn't be allowed to review prenatal u/s. And, I've had more than one OB admit that really they are just screening and don't make any diagnosis, just bump you to the peri.

Perinatalogists do NOT deliver babies. They are high risk OBs who are specialized and trained for managing risky pregnancies. They carefully watch the pregnancy and make recommendations to the OB on how to manage your care and when to deliver your baby. If the peri says its time to deliver, the OB delivers you...end of story.
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Old 06-29-2008, 08:12 PM   #8
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Re: know anything about Maternal Fetal Medicine Clinic?

Quote:
Originally Posted by TestifyToLove View Post
Its a perinatalogist aka high risk pregnancy specialist. They'll check your vital signs, check your urine and run ultrasounds. Depending on what they are concerned about, they can run different types of u/s. I have a clotting disorder that puts me at risk for fetal death at any point in the pregnancy. They see me every 6 weeks until 28 weeks when they then see me weekly until I deliver. One week they do a full biophysical profile, the other week they do a weight check.

Basically, if you're concerned that something can threaten the baby, then you watch the baby closely. And, the only way to watch the baby closely is to do u/s. I call the peri the u/s doctor. I don't think they EVER do a visit without an u/s and I know every room in every branch of my peri's practice (now 6 branch offices) has an u/s in the exam room--high quality u/s.

Since this is an initial appointment, likely your doctor wants the peri to evaluate you and determine whether your situation warrants the high risk protocals. If the peri feels it does, then you'll see both your regular OB and the peri. Mine have always been willing to not require visits with both weekly in the last months but I know not all do. Its possible the peri may evaluate you and decide there's no reason to follow you further.

Radiology and OB offices are notorious for not being good at reading prenatal u/s. I've had more than one peri tell me Radiologists shouldn't be allowed to review prenatal u/s. And, I've had more than one OB admit that really they are just screening and don't make any diagnosis, just bump you to the peri.

Perinatalogists do NOT deliver babies. They are high risk OBs who are specialized and trained for managing risky pregnancies. They carefully watch the pregnancy and make recommendations to the OB on how to manage your care and when to deliver your baby. If the peri says its time to deliver, the OB delivers you...end of story.
Wow.. thats alot to take in. Well I know I am high risk already due to past history and having von willebrands disease. My last two pregnancies I was on bedrest with both my girls in the hosp w/bio physicals every week..

Do you know anything about progesterone shots and or incompetent cervix?

Thank you soo much for your information.
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*Jacob Daniel 12/01/97 *Aubreann Grace12/29/02
*Patience Eileen 09/28/04 *Ryan Charles 12/22/08
twin babys ^i^ ^i^ 12-96 , son William ^i^ 02-00 and Ryans Twin^i^ 08
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Old 06-29-2008, 08:23 PM   #9
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Re: know anything about Maternal Fetal Medicine Clinic?

Incompetent cervix is often caused by repeated loses or procedures which remove part of the cervix (for instance if they cut off genitial warts at some point). If they know you have it, they can put a stitch in the cervix...I think around 16 weeks, which is removed after 36 weeks. It stops the cervix from dialating.

Basically with IC, you can give birth without labor and without necessarily knowing you are delivering. Rather than slowly dialating and thinning, the cervix just gives out and cannot hold the weight of the baby anymore, which is why the stitch.

I don't know anything about the progesterone shots so late in pregnancy. Sorry. AFA I ever knew, progesterone is something they stop doing after the first trimester. Its not a treatment for vWD though. I can tell you that. I'm not aware that vWD puts you at higher risk *during* the pregnancy, and in fact the increased estrogen levels caused by pregnancy would help minimize the vWD. You are at significantly increased risk for hemmoraghic bleeding *at* birth. If your doctors know you ahve vWD before delivery, they can combat them. You can even talk to your doctor about DDAVP immediately after birth to help prevent PP bleeding complications.

If I'm remembering correctly, I think the new vWD factor was supposed to hit the market this summer. So, if you have one of the severe types of vWD, you might even investigate if I'm remembering correctly to see if you want to have vWD factor on hand for your delivery and/or immediately afterward.

(DH and 2 of our dd's have VWD. The youngest baby hasn't been tested yet, and obviously newest little one again has a 50% chance of inheriting like all the other bio-kids. VWD I KNOW about! I've been researching for my dds female health issues for 8 years now!)
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Old 06-29-2008, 08:25 PM   #10
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Re: know anything about Maternal Fetal Medicine Clinic?

Quote:
Originally Posted by Kimbellishments View Post
Hey, maybe you should post this in the main pregnancy forum too.....that way more see it.
Thanks!! I just did.. I am still trying to get around on the board.. I havent been too nice in one area today..
I am thinking I should go apologize as Im not a mean person.. just a little hostile right now

I just ate a jar of pickles and I hate pickles

I'll update in my first post how my appt went and what the dr says..

Again thank you
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*Jacob Daniel 12/01/97 *Aubreann Grace12/29/02
*Patience Eileen 09/28/04 *Ryan Charles 12/22/08
twin babys ^i^ ^i^ 12-96 , son William ^i^ 02-00 and Ryans Twin^i^ 08
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