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Re: Ambivalent Doctor ?
From: Marcia (anonymous@obgyn.net)
Thu, 6 May 1999 13:32:24 -0500 (CDT)
I would just like to echo what Karen says. I gave birth times in a
small rural hospital and I never had an internal exam until I was in the
hospital in obvious labor. My friend had her first child in a larger
city hospital and then switched to the same insurance plan that I have
and was required to go to the rural hospital for her second child's
birth. She talked ahead of time about notifying her mother when she was
so many centimeters dilated. I said, "Well, you'd better tell them you
want an internal exam, then, because they don't give them as a matter of
course!"
It has always helped me to state immediately, as soon as the doctor
comes in the door: "I have some questions." It's always made a
difference to do it that way. At Tue, 04 May 1999, Christopher and
Karen wrote:
>
>The more procedures you have doesn't necessarily equal a better outcome.
>>From what you describe your care has been typical to a low risk pregnancy
>with all the important screenings (glucose, GBS etc..). Internals are not
>necessary at all unless your dr is concerned about pre-trem labor. Many
>practitioners do NO cervical exams to check for dilation at the end of a
>pregnancy. They serve no purpose other than to satisfy curiousity. I
>wouldn't expect a second U/S unless the first one showed something to be
>concerned about or you go overdue. Honestly, all sounds well. The only
>thing I would be concerned about is your dr's lack of time to talk with
>you. Your physical care sounds fine from what you say. Regardless, if you
>are not happy with your care you should change dr's until you find someone
>you are content with.
>
>Karen
>
>>Hello. I am due to deliver in 11 days, and throughout my entire
>>pregnancy I've been researching, following message boards, newsgroups
>>etc. My concern is that my pre-natal care has not been particulary
>>thorough.
>>
>>I have had no problems, other than elevated blood pressure, and some
>>swelling here towards the end. I am wondering if my "low-risk"
>>pregnancy has made my OB and family doctor ambivalent.
>>
>>I'm definately not a hypochondriac! but I'm bothered that I have been
>>told nothing about my pregnancy, even when I ask specifics, it's one
>>word answers. I have had 1 ultrasound at 19wks. The glucose test, and
>>the pap/rectal test for bacteria (?). Umm..that is it, other than the
>>usual urine test for protein each visit. It is only now that I am being
>>checked "weekly" with only 11 days left...
>>
>>My question is, should I have had another ultrasound? How about an
>>internal exam? I have never had an internal with this entire pregnancy.
>>I have no idea if I am dilated, or whether that is something that must
>>be known in advance of obvious labour signs.
>>
>>After this pregnancy I will be changing doctors, since I do not want my
>>baby cared for laissez faire style.
>>
>>Should I have been more adamant about having more "procedures" done?
>>
>>Thanks in advance.
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