Had my first OB appt.

I come from a very small town, and since I just had Gastric back in June I wanted to make sure this pregnancy is well taken care of - so I traveled 45 min. to a specialized High Risk dt. He states that I'm measuring around 7-8 weeks, and everything from what he can hear/see looks normal. He does not seem concern about me not getting my protein in, or any other concerns that I have regarding vitamins, ultrasounds, etc. I asked him about the glutose test (he said things will prob. change before then so we wont worry about it now (also be awake I've discovered that I have to monitor sugar since the diet two weeks before surgery)), he has me on my reg. vitamins, extra folic acid, low dose aspirin (both my prior pregnancies I have had severe toxemia), and some b6 for my morning sickness. I'm not scheduled for a ultrasound or blood work til next month, as he noted there is no hurry. Does this sound right to you? Shouldn't he be concerned? He is like the only high risk dt. in my area unless I want to travel 1.5 hrs away to the nearest big city. (oh btw, i have a 75% chance of having twins as I have 3 year old twins now!)

My OB here won't see you until you are 8 weeks and that is only for a nurse visit. Then, at 12 weeks the OB sees you and you have an ultrasound. The High Risk OB will only see you if you have been referred after being seen by an RE or OB during your pregnancy.

Do you have a regular OB? Maybe you could get into them to have normal blood work done.

Traci

I use to live in the big city 1.5 hours away - thats where I had my twins at. Since then my PCP is the one that did my yearly, etc. He is the first OB normal that I've seen since my twins 3 years ago.

Why don't you see if your PCP will do your blood work? They could check your HCG and progesterone levels for you if that would make you feel better.

I agree with involving your PCP- I have continued to see mine for blood work and other regular health problems because my OB is also not concerned with blood work ect, but I am. My PCP is easier to convince to doo this sort of thing. Plus, if he or she is closer, it would be easier for you to use that excuse with them- Tell them that the high risk is far away and hard to get into.... ect. Usually that will help you out! Some people recommend two prenatal vitamins per day- I, hoewever, had levels that were too high when I did that, so I just stick with one with the extra folic acid and calcium. Of course many people will probably disagree with that. So, get your blood checked on what he recommended fast and then add if necessary. Too many vitamins or higher levels is a problem too- Even though I have malabsorption from my RNY my vitamin levels don't get as low as some people's do- And I don't need extra iron on top of my prenatal dose. Everyone is different. Talk to your PCP and, if worse comes to worse, maybe your surgeon could order the tests for you- mine will do that too.

Carrie

That sounds right to me also. We went in around 8-9 weeks to do initial paperwork and then 12-13 for first visit and then a week or so later an ultrasound. Here bypass does not make you high risk. They did check my blood levels as I asked and it was all pretty good. I took 2 prenatals 4 calium prevacid and a b12shot monthly. For the glucose test I did fasting. Everything was great. :)

That sound about right here too, unless you have an RE that will do a few extra things early on.  It is frustrating when all you want is to see that heartbeat or get some bloodwork to reassure you.  Surgery itself does not make us high risk in most situations.  Some doctors assume that because they lack experience with WLS patients.  Mine has been great about responding to what I need as far as extra labs, not doing the glucose test, etc.  My doc didn't make me take the glucose test this go around.  I've monitored my sugar periodically and let him know if I have had any problems.  He's put me down as glucose intolerant which allows him to treat me as though I have diabetes which means we get to do extra ultrasounds, NST's, etc.  I really don't mind the extra attention it gets me.