S - posted on 04/20/2011 ( 18 moms have responded )
I saw a different doctor in my practice today. It was the fastest appointment I've ever had in my life and it left me feeling unsatisfied. I am 16 weeks into my second pregnancy. My first ended in preterm labor at 24 weeks. I changed OBs a few weeks ago and everything was great until today. My old OB referred me to a perinatologist who was going to monitor me every two weeks to make sure there was no cervical opening. The doc I saw today immediately dismissed all of my concerns without even knowing me or my history. He was not interested in monitoring and refuted the possibility of cervical incompetence...again without even knowing me. I did start progesterone shots this week to prevent preterm labor but I also remember the perinatologist mentioning that I needed the monitoring because if they started to notice cervical opening they would need to do a cerclage and put me on bed rest. Now i'm wondering if I should just continue to see the perinatologist to make sure I'm getting the necessary care....in this case preventative measures could mean all the difference between losing the pregnancy, preterm labor and carrying to full term. The new OB doesn't want to see me back for 4 weeks which would put me at 20 weeks. All he did at this appointment was check for a heartbeat and basically rush me back out the door. It seems like he thinks the shot is sufficient and whatever else happens will happen. I don't like that feeling since my old OB did that and essentially dismissed me when I called complaining of recurrent pains (labor) at 24 weeks. Their unwillingness to listen resulted in my delivering less than 24 hours later when they might have been able to give me meds to stop the labor and taken measures to prolong the pregnancy.
What do you think? Should i continue to see the perinatologist? I'm tempted to call a nurse from my insurance and ask them, I would think they'd rather pay for ultrasounds than almost a million in claims for another preterm birth