Need advice/opinion's..a kind of wwyd situation about doctors...

Ok, I really like my OB, he is nice, down to earth and bends over backwards for me if I have any issues or concerns. I am also seeing a high risk doc once a month for growth and uterin scans because I had a classical c-section with the triplets (they had to T up into the thinner membranes of the uterus to get to my daughter) which puts me at a higher risk for uterin rupture.
SO my OB says he wants to deliver me two weeks early, he thinks that gives baby enough cooking time and baby would still be small enough that rupture would not really be an issue (unless I go into active labor). High risk doc says FOUR weeks early, she thinks it would be pushing to to go the extra two weeks especially since I trend on the side of having larger babies.
Now IF I go with the high risk doctors idea I will basically have to switch over to her practice completely and she would be the one to deliver me, not 100% comfortable with that because I don't know the people in her office or how they would handle my paranoid phone calls twice a week (ok, I am not THAT bad, but close LOL).

OR I can stay with my OB, where I know the staff really well, feel comfortable calling at any hour with an issue, BUT I go the extra two weeks that the High Risk doc feels might be pushing it.

I just don't know, so I figured I would use you ladies as a sounding board. If you where in my shoes what would you do? Stick it out or switch. Thanks for ANY and ALL input!

That is tricky. 4 weeks seems so early but I can see why they would want to be careful. Maybe a compromise and stick with your OB but ask to be delivered 3 weeks early after steroid shots.

If it is a boy, I would hold out longer, a girl I would deliver early. My boy was 6 days early and had lung problems. They called it "wimpy white boy syndrome" I guess white males have the hardest time transitioning.

They called it "wimpy white boy syndrome" I guess white males have the hardest time transitioning.

Ok, that cracked me up! When the trips where born, my daughter was almost a pound smaller then the boys but was ready to come home almost two weeks sooner! This baby IS a boy (and a VERY white boy at that, my kids are Irish and German, you can practically see though them when they stand in the sun LOL), so I am so wishy-washy on what to do. We will be doing the steroid shots, but because of the uterin weakness we can NOT do amnio testing to see if he is ready because they can't risk causing me to have true contractions.

Ugh, it just can't ever be simple, thank you so much for your opinion, it really helps to hear what other people think and use that as a sounding board for my own worries/fears.

Well if baby tries to get here early how does that effect you and baby? Thats a hard one there. I am one to stick with the safe side. Would they check lung maturity before they take the baby? I always say high risk docs are suppposed to know more about the risky part. That is not always true though. That would kind of be a personal what do you feel best with thing. I just worry about those things I mentioned. Good luck to you and baby!!

After week 34 it is pretty dangerous for me to have any "true" contractions, since that in itself can cause a rupture, which is why they would not be able to do an amnio check of lung maturity. We will be doing steroid shots to help his lungs, but as I saw with my son Nate, those don't always work that well (although he was VERY early at 31 weeks).

Thanks for weighing in, it really does help to sort out my own thoughts and hear what concerns others would have if it was them! 

I like the suggestion of one of the other ladies - will your regular OB agree to deliver you 3 weeks early? Then you can still see both Drs through the pregnancy but have the Dr deliver you that you prefer.

Good luck with this decision - it is a tough one!

Liz

PS - can they do an ultrasound to see if the uterus is being pushed too hard and is close to a rupture as the pregnancy gets into those "30 something" weeks??

Hey, thanks for posting! Good questions! I have a growth scan on the 4th and I am going to see what the high risk doc thinks about 3 weeks early, and then go back to my OB with that info and see what he has to say.

I assume your OB is the one that referred you to the high risk doc in the first place.  Can you ask if they will do a conference call and come to an agreement on how to manage your care?

Actually I went to see the High Risk for my Level 2 u/s, and when she heard my history she insisted that she see me more often, and threw out the four week number, it was only supposed to be one visit with her and then back to my regular OB. When I went back to my OB with the info he said he didn't like the idea of going four weeks early because of lung maturity. I think your right though, the only way I am going to get these two on the same page and to decide what is best is if I somehow manage to get them talking to each other, rather then passing messages back and forth though me! 

Okay, after literally hours of reading and watching just about every single episode of Babies Special Delivery, Deliver Me and anything else baby related over the past 6 years, I'll give my two cents worth.

If you're very comfortable with your OB, I'd request the conference call, WITH you in the room, and see if the comprise of 3 weeks early, with steroid injections for helping with lung maturity would be good.  They are correct from everything that I've read an heard (including having two twin cousins that were born at 26 weeks premature, both boys, and neither of them 3 lbs), that male babies have the hardest time with their lungs when born early.

Since they are doing u/s for you monthly, they could always do them weekly, and get a guesstimate on baby's size, and adjust the delivery date if from some reason he suddenly seems to be packing on the weight, yes?

I wish you luck with coming up with the best solution that keeps you comfortable and sane until the little one arrives.  Hopefully the two OBs can come up with a game plan that works for everyone.  Would your OB be able to assist with the High Risk doc delivering, or is that not even an option?