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Old 01-27-11, 12:19 PM
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Default What should I do

Went to the ob January 20th the ob stated she had bad news fortunately her bad news was just that I am high risk and she was unwilling to except me as a patient I told her about some concerns I had I have been pregnant only once before a year ago and it ended in a m/c measuring at 7w 1d they had never found a heart beat with that pregnancy so she agreed to do a transvaginal ultrasound where she said I was 6 w 3d but according to my LMP I should have been almost 9 weeks heart beat was 130bpm is that normal? My next question is they refered me to a high risk ob and they aren't going to see me until February 28th which is a month and a week later why do I have to wait so long? Background info on my high risk reasons, previous miscarriage and type 1 and type 2 diabetes. Also 2 prior abnormal paps
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Old 01-27-11, 12:41 PM
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Hmmm, that is strange that your next appt is so far away. Although, unfortunately, 1 prev miscarriage does not mean "high risk" to a doctor- they see it all the time. I had a m/c prior to my current pregnancy and I wasn't seen any faster then I had been before. Maybe call back your new high risk OB and let them know that there was discrepancies in how far along you might be and if there is any way they can squeeze you in to verify? Or get a 2nd opinion from another OB?

Whatever happens, I hope it turns out wonderfully. There are many ladies here who have more experience with this that will have more advice. Good luck!
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Old 01-27-11, 12:58 PM
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Thank you I'm more worried about the diabetes than the previous miscarriage
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Old 01-27-11, 02:28 PM
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Could you talk to a diabetes nutrionist/specialist? I have gestational diabetes, which I know is not the same, but that is who I was sent to to go over my new diet and carb counting, etc. I also had it with my 1st pregnancy. It was my OB who decided to put me on insulin and chose the dosage, but it was at the nutrionist's office that I had to go back to learn how to give myself shots. Their office was very helpful and always there for me to call when I had questions.
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Old 01-27-11, 03:21 PM
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It's not uncommon for the due date to be 2 weeks off when you compare LMP to ultrasound measurements. When you calculate it by LMP it assumes that all women have a 28 day period and ovulate on the 14th day. If your period is longer or you ovulate later, then it throws it off. My due date was changed by 8 days when they did my ultrasounds. Of course my Ob had me come back 2 weeks later just to make sure the growth was consistent.
I am curious about the fact that you are supposed to only be 6w3d and yet she was able to tell you a heart rate. My first ultrasound I was 6w1d and you could barely see a baby blob and the faintest possibility of a heartbeat.
Having to wait 4 weeks between appointments is pretty common in the begining. I could see them making you wait 5 weeks if the other office doesn't do transvaginal ultrasounds. My doc said he won't do a normal ultrasound until around 12 weeks.
IA with the others that maybe you should call the new OB and see if there is anyway they can get you in earlier. Another option if you have the money is to go to one of the stand alone ultrasound places that are cropping up all over the place and see if they can help ease your fears. You don't need doctors orders to use them, but the price is usually pretty steep.
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