(Closed) Found out my OB doesn't do on-site ultrasounds–should I switch?

posted 8 years ago in Pregnancy
Post # 17
Member
1297 posts
Bumble bee
  • Wedding: June 2011

Hi there, this sounds a lot like my current scenario.

First of all most doctors only do 1 prenatal visit per month-just as mine does. Until 30 weeks or so when they become twice/month.

Also, if you are not high risk you really do not need to get that many ultrasounds.

I had my 1st ultrasound done transvaginally at 6 weeks ONLY because my periods were so out of whack there was no way of knowing when I had ovulated, so they had to figure out if I was farther along than I had thought.

My 2nd ultrasound was the optional NT scan (where they screen for downs and other chromosomal abnormalities), this was at 12 weeks.

My 3rd ultrasound was the first ‘official’ ultrasound, at 16 weeks, where they called it the initial anatomy scan, they were able to take a peak at the gender, but weren’t 100% sure.

My 4th ultrasound was the full anatomy scan at 22 weeks (here they confirmed the gender)

My next and last scan which really had I not done the 1st two, would only be the 3rd one, will not be until 36 weeks and its just a quick scan to see the baby position (like if she’s breeched).

Anyway, all of my scans were done at an imaging center where there is a doctor there, so after the technician does the scans I met with a doctor (not my OB), to go over the results, so it was nice not having to wait to see my actual OB.  Why don’t you find out if the place you will have to get your ultrasounds at has a doctor that you will meet with?

 

Post # 18
Member
7899 posts
Bumble Beekeeper
  • Wedding: March 2012 - Pelican Grand Beach Resort

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@hippomama:  Many doctors have policies against releasing any results over the phone. That’s fairly normal.

Post # 19
Member
817 posts
Busy bee
  • Wedding: July 2013

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@hippomama:  For test results I always talk to the nurse over the phone because I am impatient and don’t wanna wait til my next appt. I  pretty much always demanded to know my results and have no problem with getting them now. I just made sure my Dr told the receptionist that I could have whatever results I wanted when I called, and she transfers me to the nurse or if the nurse is busy she calls me back.

Post # 20
Hostess
8146 posts
Bumble Beekeeper
  • Wedding: October 2012

i would change.. i feel like for checkups (paps)  it wouldn’t be an issue, but when you are going for prgnancy checkups more frequently, i’d want everything in one place! that me though.  🙂

Post # 21
Member
3625 posts
Sugar bee
  • Wedding: June 2012

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@hippomama:  If you are not happy with your OB and their communication, now is the time to switch. Clearly, there are some consistencies and inconsistencies between different OBs and their practices so it may be worthwhile to shop around. I don’t know about your area but in my area, there are a lot of OBs to choose from and lots of hospitals to choose from. If this is the case, there’s no reason to “settle”. My OB’s practice actually lists all the things they’re able to do in-house on their website.

I didn’t actually have a blood test to confirm. They assumed my POAS result was accurate and scheduled the appointment 8 weeks from my last AF. When I came in before for a GYN exam and thought that I might be PG, it was negative and the office staff was the one that called me to let me know. However, with other test results (e.g. my recent blood panel), it was the OB that called.

Post # 22
Member
170 posts
Blushing bee
  • Wedding: October 2009

I think the monthly appointments are pretty standard and all you really need if everything is normal.  I’m sure you will be seen as frequently as needed if there is a reason. 

I totally understand the pain of going somewhere else for ultrasounds.  It is pretty annoying.  My doc explained it to me like this though – my doc has an ultrasound (not a 4D) but feels it is important to have a “second opinion” from an expert who does a zillon ultrasounds a week.  He likes having another set of eyes just in case.  

Post # 23
Member
3625 posts
Sugar bee
  • Wedding: June 2012

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@mrsSonthebeach: That’s a good point but I think I’ve also seen on the forms an authorization section that allows people to sign off on getting test results by phone at a specific phone number or even voice messages. I’ve always had test results given to me over the phone.

Post # 25
Member
46 posts
Newbee
  • Wedding: May 2012

To reiterate what everyone else has said (and to give you a physician’s perspective – I’m a 4th year ob/gyn resident and currently pregnant with my first baby, also!), your doctor’s office sounds completely normal and typical. Most OBs don’t see patients until 10+ weeks because the rate of first trimester miscarriage is just so high (25-30%). Thereafter, we see patients monthly until about 28-30 weeks, and then every 2 weeks until 36, and then weekly until delivery. If you go past 40 weeks, you’ll likely get an ultrasound and fetal heart tracing somewhere between 40-41 weeks and then be scheduled for induction of labor at 41+ weeks. There are reasons for this schedule, which revolve around timing of certain tests in the pregnancy (ie bloodwork for 1st/2nd trimester screening, bloodwork for gestational diabetes, and then more frequent testing in the 3rd trimester to ensure that baby is growing appropriately/not getting too big, etc). In terms of getting ultrasounds done at an outside office, this, too, is quite common. As others have stated, the targed ultrasounds that are recommended (1st trimester screening aka the nuchal translucency, and the anatomy ultrasound at 18-20 weeks) are typically performed by trained technicians and interpreted by specially trained high-risk OB/gyns (maternal fetal medicine specialists). At large teaching hospitals, the techs discuss their findings with the MFM docs before the patient leaves, and then the doc will come and scan the patient for any additional views, as well as a discussion of the findings. At some of the smaller radiology centers, the MFM staff is not readily available to speak with each patient individually, hence waiting to talk to your doctor about the results. I have always worked and received care at large teaching institutitions, simply because I think the staff generally has better training. But my private OB’s office is not physically at the hospital, so I have had to get my 12 week and 19 week ultrasounds off-site (but at the hospital where I’m doing my residency! so easy for me 🙂 One stop shopping is tough to find, but there are some doctor’s offices attached to hospitals, so that might be something to look for, if you’re not happy with the care you’re currently receiving.

 

Best of luck!

Post # 29
Member
3625 posts
Sugar bee
  • Wedding: June 2012

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@hippomama:  That’s how I found mine actually – via Google. I knew I wanted to target a specific hospital in our area that is well-known among the general public as being the best for L/D. So then I had to search amongst all of our in-network providers to see who had privileges there and then it was a Google search through mommy/pregnancy forums, Yelp reviews, etc. after that.

Post # 30
Member
1760 posts
Buzzing bee
  • Wedding: June 2013

Honestly, i have “one stop” with my dr. Obgyn, lab and ultrasound are all in the same level (walk off the elevator into the waiting room for all that) but its at a hospital. Even with my lab and ultrasound in the same area they won’t discuss anything with me. They send the results to the dr and she discusses it at our appointments. We always schedule the lab or ultrasound for right before my dr appointment and she gets the results by my appointment.  Most ultrasound techs won’t tell you what’s happening besides “oh here’s baby’s leg” “here’s baby’s stomach”… etc. 

My dr does have a portable ultrasound that she used to see the sac at my first appointment (we had bleeding and went in weeks before we were supposed too). And she listens to the heart beat at every appointment with a portable Doppler thing. 

And agreeing with all previous posters… Once a month until 28-30 weeks, then twice a week until roughly 36 weeks, then weekly. You are encouraged to call if you have any concerns or issues, and they might get you in in-between your already scheduled appointments. 

Post # 31
Member
4354 posts
Honey bee
  • Wedding: June 2013

My appointments were monthy and with my regular GP from week 10 to week 24. At week 24 I was transferred to my OB, who does every 4 weeks until 30 weeks, then every 2 weeks until 36 weeks where you go to weekly appointments from then on with cervical checks starting at 38 weeks I think.

OB does not do ultrasound in his office although there is an ultrasound deparment in the same medical building (haven’t had any done at this location yet though).

Going more often wouldn’t really be more beneficial as PP said, they check your pee, your weight, bloodpressure, measure you and listen to heartbeat. Ask if you have questions and send you on your way.

If you like your OB, not having onsite ultrasound is not a good reason to look for another.

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