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01-03-2013 at 12:09 PM
provwife
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appointment and ultrasound Q

I have my first appointment coming up which I will be just over 11 weeks. My appointment is with a new midwife....

I was just wondering when they do an ultrasound..? I want to see my little peanut!!

Does the fact I have had 2 miscarriages change their normal ultrasound schedule? What was your experience?
 
01-03-2013 at 12:11 PM
MommyAmes2
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Every OB office is different. You will have to see what your OB does in reguards to early ultrasounds.

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01-03-2013 at 12:15 PM
BelhurstBr...
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MommyAmes2:
Every OB office is different. You will have to see what your OB does in reguards to early ultrasounds.

ditto this. My OB does early u/s if medically necessary. I can opt in for the NT scan, otherwise she only recommends the 20 week anatomy scan.  



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01-03-2013 at 12:19 PM
magdalina....
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If I remember correctly, a lot of midwives don't do an early u/s.
01-03-2013 at 12:20 PM
provwife
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magdalina.h:
If I remember correctly, a lot of midwives don't do an early u/s.


Oh really? I have never heard that. Is there any particular reason?
 
01-03-2013 at 12:24 PM
ilovetolau...
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magdalina.h:
If I remember correctly, a lot of midwives don't do an early u/s.

 

I have always heard the same about midwives. 


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01-03-2013 at 12:31 PM
JCWhitey
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You can always call and ask.  Each practice is different so a board of strangers can't really answer that questions unless one also goes to your practice.  My midwife doesn't even do u/s.  If you want the 20 week anatomy scan they refer you to their associate OB office.  Otherwise there are no other u/s done through their practice as they don't even have the machine to do them with.

I've had two m/c and a c/p.  It didn't change my u/s schedule at all.


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01-03-2013 at 12:42 PM
JCWhitey
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provwife:
magdalina.h:
If I remember correctly, a lot of midwives don't do an early u/s.
Oh really? I have never heard that. Is there any particular reason?

You may want to read up on the differences between the OB style of care and the midwifery style of care.  They are very different and if you don't understand why midwifes don't do u/s as often, you don't seem very educated on this subject and may quickly find that the midwifery style of care is not what you are wanting.

There are lots of different types of midwifes, so it really does depend on whether your midwife practices in a hospital under an OB or as a separate practice, but in general midwifes tend to be more "hands off" with their care.  You talk a lot, but they don't touch you a lot.  I'm 11 weeks and have had one midwife appointment that lasted an hour and a half.  Besides shaking my hand the midwife did not touch me.  We just talked about my diet, feelings, thoughts, hopes, and she answered my questions.  To a midwife these things are important when providing care.  My midwifes will not do u/s, and won't do a physical exam at each appointment.  I haven't had blood tests yet (just a pee test) or any labs run for anything yet and won't until the second trimester.  Midwifes tend to be a great option if you are wanting a med-free births and midwifes tend to slower to jump to suggest interventions.

OBs are a bit more hands-on.  The ones I'm familiar with will do a physical exam at each appointment, they will likely do more u/s, will check the heartbeat at each appointment, and you will have access to genetic testing which you likely won't have through a midwife.  You will also get labs done a lot sooner.  The downside is some are very busy and they don't schedule as much time for an appointment so you won't always have as much time to talk to them about any concerns or questions you may have, although they usually leave time for this at each appointment, just not as much.  They also tend to like to use modern technology in birth, like epis, monitors, etc.

Again, there are some OBs that do use some midwifery practice ideas and some midwifes who utilize OB techniques, it really depends on the individual OB/midwife and their practice.  These are just general ways that midwifes and OBs differ.

ETA: This really only applies if you live in America, btw.  In other countries the OB/midwife relationship is a bit different.


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I believe in a lot of things. I believe in fresh tennis balls, the healing power of bunnies, and that the novels of Susan Sontag are something I'll never read. In fact, I don't even know who Susan Sontag is. What is she... like... a painter? I believe in Crystal Lite because I believe in ME. I believe in the movies of Val Kilmer, though these days it ain't so easy. I believe in Darren Sproles, the word "dabble", the first season of "Silk Stockings", and big, warm, moist, gooey chocolate chip cookies that melt in your mouth and all over your face. 

01-03-2013 at 12:43 PM
kestock120
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It's really up to how they do things at your particular practice.  I know I will have a dating u/s at my first appt at 9 weeks, but not all practices do those.
01-03-2013 at 12:45 PM
provwife
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JCWhitey:

You can always call and ask.  Each practice is different so a board of strangers can't really answer that questions unless one also goes to your practice.  My midwife doesn't even do u/s.  If you want the 20 week anatomy scan they refer you to their associate OB office.  Otherwise there are no other u/s done through their practice as they don't even have the machine to do them with.

I've had two m/c and a c/p.  It didn't change my u/s schedule at all.



Thank you. And yes, I am aware every practice is different.........i was asking for your experience or general practice of ultrasounds, as you gave me in the second part of your response. Thanks.
 
01-03-2013 at 12:52 PM
provwife
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JCWhitey:

provwife:
magdalina.h:
If I remember correctly, a lot of midwives don't do an early u/s.


Oh really? I have never heard that. Is there any particular reason?

You may want to read up on the differences between the OB style of care and the midwifery style of care.  They are very different and if you don't understand why midwifes don't do u/s as often, you don't seem very educated on this subject and may quickly find that the midwifery style of care is not what you are wanting.

There are lots of different types of midwifes, so it really does depend on whether your midwife practices in a hospital under an OB or as a separate practice, but in general midwifes tend to be more "hands off" with their care.  You talk a lot, but they don't touch you a lot.  I'm 11 weeks and have had one midwife appointment that lasted an hour and a half.  Besides shaking my hand the midwife did not touch me.  We just talked about my diet, feelings, thoughts, hopes, and she answered my questions.  To a midwife these things are important when providing care.  My midwifes will not do u/s, and won't do a physical exam at each appointment.  I haven't had blood tests yet (just a pee test) or any labs run for anything yet and won't until the second trimester.  Midwifes tend to be a great option if you are wanting a med-free births and midwifes tend to slower to jump to suggest interventions.

OBs are a bit more hands-on.  The ones I'm familiar with will do a physical exam at each appointment, they will likely do more u/s, will check the heartbeat at each appointment, and you will have access to genetic testing which you likely won't have through a midwife.  You will also get labs done a lot sooner.  The downside is some are very busy and they don't schedule as much time for an appointment so you won't always have as much time to talk to them about any concerns or questions you may have, although they usually leave time for this at each appointment, just not as much.  They also tend to like to use modern technology in birth, like epis, monitors, etc.

Again, there are some OBs that do use some midwifery practice ideas and some midwifes who utilize OB techniques, it really depends on the individual OB/midwife and their practice.  These are just general ways that midwifes and OBs differ.

ETA: This really only applies if you live in America, btw.  In other countries the OB/midwife relationship is a bit different.



Thank you for your response. I chose a midwife because I do want natural birth without medicine or medical intervention unless completely necessary. I have seen a lot of women go to OB's who seem to just want the baby out as quickly as possible no matter what that entails. I have seen a lot of avoidable Csections, among many other preventable complications, occur because of their push for interventions. The body knows what it is doing! So yes, I am happy with my decision for a midwife, I was just unaware of their standard ultrasound practices : thanks again for the info!
 
01-03-2013 at 12:53 PM
magdalina....
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provwife:
magdalina.h:
If I remember correctly, a lot of midwives don't do an early u/s.
Oh really? I have never heard that. Is there any particular reason?
Midwives tend to use less medical intervention.
01-03-2013 at 1:05 PM
HeatherLyn...
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Hi, I'm about 10 weeks pregnant and I go for my 1st u/s tomorrow with a midwife. The office I go to sets you up with a midwife your first visit which was about 2 weeks ago. Then she scheduled me for an U/S for tomorrow and she said it will give a better date when the baby will arrive and we will be able to hear a heart beat. Big Smile 

 
01-03-2013 at 1:10 PM
katharine2...
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I would add that typically a multiple loss history can warrant more ultrasounds, but they tend to be more of them in the first trimester when development is more volatile. It's more for peace of mind (or if your on meds or such).  For instance, I've already had 2, and I'm hoping for at least another one more at 9w before the NT scan. Since you're already 11w it's somewhat of a moot point at this stage unless your loss history is more in the 2nd trimester.

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01-03-2013 at 2:17 PM
bdawn8403
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Like previously said all drs are different but with your history of ms I would think they would want to monitor you more closely. And if you have been ttc for a while they should also. Ask them at your appt.


 
01-03-2013 at 2:59 PM
Elinetrouw...
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katharine25:
I would add that typically a multiple loss history can warrant more ultrasounds, but they tend to be more of them in the first trimester when development is more volatile. It's more for peace of mind (or if your on meds or such).  For instance, I've already had 2, and I'm hoping for at least another one more at 9w before the NT scan. Since you're already 11w it's somewhat of a moot point at this stage unless your loss history is more in the 2nd trimester.

I wouldn't call it a 'moot point', if OP hasn't seen the baby yet I assume seeing that everything is ok will mean a lot to here. Do mention your history to your midwife and don't be afraid to ask for an u/s, or at least if she can listen with the doppler.

As for the international situation that JCWhitey referred to: I'm in Belgium, where midwife care outside of hospitals is rare. I am visiting a private midwife for most of my appointments though, who works closely with the local hospital, and for the three u/s that are standard here (12/20/30w) I visit the OB-gyn.  


 
01-03-2013 at 5:08 PM
provwife
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Thank you all for your responses. That cleared things up for me. I will be sure to just come out and request one because it sounds like there is a slim chance she will do it on her own.
 
01-03-2013 at 6:30 PM
Lotsoflove...
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Depends on your office.

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01-03-2013 at 6:36 PM
JoySeattle
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Call and ask!

My family practice (who does maternity care) doesn't do early u/s, but my OB office does at around 8 weeks. None of the OOH midwives that we'd eventually transfer to do any u/s (only doppler/fetoscope) in office (they refer out). We're seeing my OB on Monday for an appt and early u/s. Technically, it's not medically necessary to have any u/s although it's standard to have a 20 wk on as well as any you opt in for prenatal screens. We chose to stick with my OB for our first appoint, in order to have the u/s for peace of mind (due to my thyroid condition and progesterone supplementation) then we'll transfer to a home birth midwife.

I wouldn't have know any of this if I hadn't asked each provider what they're practice was!

 


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01-04-2013 at 9:13 AM
tineseharr...
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I had my first visit yesterday and im 7 weeks.....they did a pap smear.....took some blood and i got an ultrasound....but different doctors vary according to if they have the equipment onsite!
 
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