This is weird for an appointment, right?

[mrsmuq]

I had an appointment with my OB today to go over family history, etc., get another u/s, and have my annual. Two things struck me as odd:



a) I'm only 8w and my doctor is already telling me I should get a c-section (for reason non other than I already had one and this baby will probably be big because DS was big...)



b) I need to see a high-risk doctor because I get migraines and I need a pain management plan. Um, isn't that what my neuro (who I've already discussed pregnancy + migraines with) is for?



(Eta: This is not the OB I usually see. There are three in the practice, and I usually request one of the other doctors, but got stuck with him today.)

[mrsred09]

I do think the part about the c-section is odd unless you will be delivering at a hospital that does not allow VBAC. He may know already that isn't an option and your only choice will be a c-section. For part B, I am considered high risk because of my asthma and blood pressure issues. While I see a respiratory doc regularly for my asthma and my GP for my Blood pressure, it was in my best interest to involve MFM since they are the experts as it relates to conditions that can impact the baby. I did this with DS and enjoyed the extra monitoring throughout for piece of mind that conditions I've had for a while weren't impacting baby.

[kelle017]

I went in at about 10 weeks and my doctor said I don't have to make any decisions about a rcs for a while. The hospital I will deliver at does allow vbacs.

[dreadpiratebuttercup]

Yeah that c-section talk would have really rubbed me the wrong way.

[becwheat]

Like those above I agree with the c-section talk being weird, but I also think the high risk thing may just be a standard of practice.

Even if a person has a specialist for their medical conditions it may be standard for the OB to recommend a High risk doc because they are usually more well informed on any new guidelines within the Obstetrics community.

It could be a liability thing. They just have to make sure to make the suggestion and document it.