OB and/or MFM?

[SassyPants150]

Do you or did you see MFM in addition to an OB? How did appointments typically go?

[SassyPants150]

I saw both MFM and my OB. Since my twins are di/di, I saw MFM once a month for ultrasounds to check their growth and my cervical length. I did have one 2 week check up to make sure my cervix wasn't shortening after a pretty big change although it was still normal range. I saw my OB on the regular maternity schedule. OB did weight, BP, glucose testing, etc.

I found that MFM was pretty much the doctor for the babies and that the OB was my doctor.

[anakah]

I thankfully had a very run of the mill pregnancy and only saw my OB. The appt. schedule was exactly like her schedule for singleton pregnancies for the most part except we got a quick ultrasound at each appointment instead of just the doppler, extra growth checks, and more NSTs towards the end.

[Squishy622]

I'm with MFM only. It's a huge academic practice and there is a "high risk OB" group, which is what they call their MFMs. I'm still relatively new to the practice, transferred in after first tri, but so far it's been nothing but positive.

There is a fellow assigned to my case for continuity of care (because otherwise the docs change so much) and she is incredible- was there all through my hospitalization last week making sure babies were ok. I also have a case manager/RN that I call directly with any questions or concerns and she is super helpful and responsive- I called her this morning about my weight loss concerns and within 10 minutes had already spoken with the nutritionist and have an appointment with her tomorrow.

[mrsf0831]

I saw both, but then requested to be discharged to just my OB the last few mos

[thesportsgal]

I am currently just with my OB. They recently tried to put me on the "meet and greet" schedule, where you meet all of the other doctors in the practice and I said I had already done that and really didn't feel comfortable not seeing my doctor for almost 3 months (I love her, she calms me . I'm doing my appt this week with one of the other doctors so I'm chalking it up to a BS appointment and then back to every 4 weeks with regular doc, thank goodness.

[elvenqueen]

I'm a SS because my care is neither MFM or OB, being in Europe, although I imagine it's pretty much all the same.

I was automatically seen by a "consultant" (doctor/specialist in fetal medicine) after my 12 week scan because of my last pregnancy, and I would have been released from that special care after 16 weeks if we hadn't discovered it was twins that day. I imagine this is similar to MFM in North America, as they look after high-risk pregnancies and such. I'm seen by them once a month at the hospital for a growth scan and regular clinic appointment (BP check, urinalysis, measurements, any blood work needed, etc).

I still have all of my regular midwife appointments at my doctor's office close to home. She's given me go ahead to just book with her when I want to, so I don't have to double up with her on weeks I'm already being seen at the hospital. Right now I see her once a month, but I think it'll be once a fortnight going into 3rd tri. Appointments with her are similar to the hospital clinic ones, but she's also responsible for giving me my paperwork, relevant literature and info. And I'll be getting my Anti D shot from her at the end of next month rather than at the hospital.

[ashb62]

My twins are di/di and I only saw my OB. BUT... My OB has lots of twin experience and treated me as high risk. I was seen every three weeks until 20w, every two weeks until 28w, then every week until delivery.

I had an u/s at every appointment. Usually it was a quick heart rate and fluid check. I had more involved scans at 12w and 20w, then growth scans every four weeks after that. I also did the glucose tolerance test twice, at 8w and 28w.

[mrsp419]

I saw both an MFM and an OB, pretty much from 16 weeks on. I saw the OB every 2-3 weeks until maybe 25/28 weeks or so, then every two weeks, then every week maybe starting at 32 weeks (totally pulling these numbers out of my butt right now). I had an ultrasound at the MFM office for every visit, but they were mostly "doppler checks," with growth scans every 4 weeks. While I loved seeing the babies all the time, it was a bit excessive for di/di twins, in my opinion. And having those weekly ultrasounds with the MFM office rather than the OB (which was standard practice...the MFM was on the floor above so they worked closely together), cost a ton!

[anotherdreamer]

I saw my OB (which was for *my* care) and MFM (which was for the *babies* care). I saw MFM every 4 weeks for a detailed growth and fluid check. OB checked everything on me, plus later on they were also checking my fluid/growth. I saw someone every 2 weeks because of how it was set up, later on I came in with my OB more frequently. My pregnancy was di/di.

[sunnyb]

I'm with my OB only. He has an U/S tech there that works through an MFM practice, so my major scans got sent to an MFM as well. Also I feel I've been closely monitored by my OB. I've had an SCH, marginal cord insertion, marginal previa, spotting and contractions and my doctor has been great about seeing me/following up.

[kcwalza]

I only see my OB, though the practice is considered a high risk practice as well. It was never even mentioned or brought up that I should see an MFM which still makes me nervous sometimes. My next appointment is Wednesday and I'll be 21 weeks, my apts have been every 4 weeks so far. My twins are di/di.

[julie216]

I have been seeing my OB and MFM since the get go. Saw my OB every 4 weeks and MFM every 4 weeks...but the way it was set up, I was being seen by one or the other every 2 weeks. I'm 28 weeks today and saw my OB this morning. I will now be seeing her every 2 weeks. I do have a cervical check with my MFM on Thursday. OB said I will probably start being seen by them every week to 10 days for u/s. My OB checks my weight, BP, fundal growth, and checks babies HR with Doppler. MFM checks the babies growth, fluid levels and my cervical length.

[beachy]

Apr 27, 2015 12:24:59 GMT -5 SassyPants150 said:

I saw both MFM and my OB. Since my twins are di/di, I saw MFM once a month for ultrasounds to check their growth and my cervical length. I did have one 2 week check up to make sure my cervix wasn't shortening after a pretty big change although it was still normal range. I saw my OB on the regular maternity schedule. OB did weight, BP, glucose testing, etc.

I found that MFM was pretty much the doctor for the babies and that the OB was my doctor.

This is the same with me. I was sent to the MFM after my a/s because of discordance and they have kept me there for my u/s. I also had a fetal echo done through them. I just show up and do my scans and leave, they don't do any vitals. 

[Deleted]

Only saw my OB. My anatomy scan, however, was done by a different doctor at the hospital because they have better equipment.

[wamom]

Just my OB.

[Deleted]

I go to an OB group with 10 different rotating OB's. They are affiliated with a teaching hospital and have a lot of experience with twin pregnancies, high risk pregnancies, and their hospital has a level 3 NICU so I don't feel like I'm missing out on an MFM. I've had monthly growth scans and bi-weekly appointments the entire time.

[blueberries8]

I saw only a MFM. I had monthly appointments with an ultrasound until week 16. From week 16 onwards I had a cervical length ultrasound every other week and continued to see the doctor monthly. Appointments became every other week at 28 weeks and I started 2x weekly BPPs and NSTs at 36 weeks.

[serejane]

I saw both. They worked in the same office so that was easy. Since my girls were mono/di I had ultrasounds every two weeks from the end of the first tri until I delivered (33 wks)