As many of you know, my visits to the high risk ob have been less than I assumed they would be. After Ronny called the doctors out on my perceived lack of care, we were given the information that I wanted (really just test results) and the doctors promised to be better at passing along information. I also spoke to the head nurse that works with my chronic pelvic pain doctor. We have had a pretty good relationship for the past 4 years. When I expressed my concerns with the level of care I was getting she immediately set to work. After consulting with Dr. W, and speaking with some higher ups she was able to finagle my pregnancy being co-managed by high risk ob and the nurse midwives if I wanted to.
Here is the part that has left me confused and not quite sure what to do: I am high risk for a reason. I have had multiple miscarriages, a bleeding disorder, asthma, a concave chest and spina bifida occulta. For this reason, the midwives referred me over to the high risk clinic for more monitoring and care. Aside from one extra blood test, I haven’t really felt like I am getting much “extra” care.
The entire visit is very clinical. I arrive on time or a little early, sit around for about 10 minutes, am taken to the back by a nurse where they take my weight and blood pressure and then send me to the room to wait. I usually wait about 10 minutes for someone to come in. So far I have only seen residents and have yet to see an actual licensed doctor in a white lab coat (I really want to see that happen). We spend a few minutes, 10 at most, talking about how the vomiting is going and if I have any concerns. They listen to my heart and lungs, presumably due to the asthma and chest wall issues, and then spend 30 seconds or so listening to baby’s heart on the doppler. Overall the appointment from start to finish is only about 20-25 minutes. The timing is fine, but I do not really feel like they are taking the time to explain to me what is happening in the pregnancy, or what to expect next. I have solely to rely on family pregnancies and the women online who I converse with. The other thing is that every time I tell them something that concerns me, like the chest pains I’ve been getting and the dizzy spells (to which I was told to drink more water…..fainted 2 days later), they brush it off as if it’s no big deal. If I was worried enough to bring it up to you, you better believe it might actually be something. I am notorious for not giving doctors all the details due to years of doctors calling me a liar.
I am told that the midwives take a more personal approach to the whole baby making thing. They take time to listen to your concerns and teach you about pregnancy rather than just push you through the system. I’m also told you see the same midwife each appointment rather than the “doc of the day” approach in the high risk clinic.To be honest the one midwife appointment I did have I didn’t much care for either.
I don’t know what to do. I don’t know if I have this glorified fantasy of what should be occurring in a prenatal appointment, and then feel let down when reality isn’t as good as the fantasy…..OR I’m really not getting the care that I should be. I’m reaching out to the community right now and asking for help.
Do you see an OB, midwife or high risk OB and what happens in your appointments?