Switching OB’s and Delivery Hospitals

Many of you may remember how unhappy I was with the OB care we received while pregnant with Luke. I felt like we should be seeing the same doctor in the high risk clinic for some sort of continuity, and that wasn’t happening. Well…… I’m not super happy with the delivery hospital or the OB clinic that we chose to go to this time, and have decided to switch back.

I love the OB that we see at the new clinic. She is friendly, knowledgeable and willing to work with me to keep the HG under control. But that’s where the love ends. One of the ultrasound tech’s is really good and takes her time. The other one (that I always seem to get) rushes through, and wiggles the ultrasound wand on my belly all the time. Let me just tell you……when you’re trying not to puke, having someone jiggle your belly constantly isn’t really a good thing.

While I was in the hospital, one of the doctors from the clinic came in and basically treated me like total shit. She was so pissed off that I wound up with a PICC line because according to her, “I don’t have HG because I haven’t lost any weight.” News flash doc… I lost 10 pounds at that point and hadn’t kept anything down for 2 weeks. She also told me that I have a huge probability of going into septic shock and that I have to get the PICC out as soon as possible. It really rubbed me the wrong way. The way she spoke was horrible bed side manner, and it’s never okay to basically make the patient feel like the decision that was made on their behalf is going to kill them. We’re 3 weeks in and so far everything is going great with the PICC line, thank you very much!

So, this bitch of a doctor wouldn’t really be that big of a problem based on the other few doctors I’ve seen in the practice….other than the doctors rotate who is on call for delivery at the hospital. And they are the only delivery doctors at the hospital. There is no way to guarantee that she wouldn’t be the delivery doctor.

The other thing weighing heavily on us is the fact that the hospital associated with the OB clinic is the same one that botched both my nerve release and neuroma removal surgeries. I don’t know how comfortable I feel going to that hospital for anything.

The other issue with the hospital is the process of patient intake during delivery. They do not have a separate labor and delivery ward, so everything either goes through the registration desk or through the er. If you go into labor Monday through Friday 8-5, you would check in at the registration desk, where they would then call someone from the labor and delivery floor to come get you and wheel you upstairs. If you go into labor Monday through Friday from 5 pm to 8 am, or anytime Saturday or Sunday….you check in at the emergency room where they would call the labor and delivery floor to come get you. If you are less than 24 weeks pregnant, you are taken care of in the emergency room if you have a problem. If you are 24 weeks or more and have an issue, you are taken up to the labor and delivery floor.

Whereas with the hospital that we delivered Luke at, they have an entire labor and delivery unit where you first go for any problems with the pregnancy and where you go to check in when you are in labor, before being brought up to the delivery floor. I like the idea of being in an area where all the doctors and nurses do is take care of women that are pregnant.

Now, there is one caveat with switching OB’s and hospitals right now. The PICC line poses a challenge. I’m not sure if the prenatal internal medicine doctor will continue to manage the care of the PICC line if I see a different OB in a different hospital, and I don’t know if the new OB will assume management of the PICC line. Seeing as that the PICC line won’t be going anywhere anytime soon, we need to get this part figured out so I’m not double dipping in the OB pool.

We have appointments with both the prenatal internal medicine doctor and the new (well old) OB clinic today. I can ask both about coordination of care and get everything squared away.

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2 thoughts on “Switching OB’s and Delivery Hospitals

  1. Best of luck to you as you decide between the two! It seems like there are both positives and negatives to each decision. I’m glad you’re feeling better, though, and that the PICC line is working! 🙂

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  2. Good luck with all of this. I hope that you can end with a great Dr (or set of Drs) that will continue to manage you in a way that both you and baby are healthy.

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