Confused- told by fertility secretary I’m under obstet... - NCT

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Confused- told by fertility secretary I’m under obstetric care but midwife hasn’t mentioned that?

Hi!

I contacted my fertility doctor over my spotting & I was told I was under Mr ( insert name) for obstetric care. His advice was to speak to my midwife & if she feels concerned she’ll contact him.

If I’m under obstetric care should I have an appointment to see him? Or is he just there if is a problem?

I feel so confused by being told different things by different people.

I’m 37, was trying for over 7 years with a history of endometriosis. My endometriosis was quite severe- I had 3 laps within 13 months- last lap by an endo surgeon. It was on my pouch of Douglas, both uteroscaral ligaments, & rectum. This is my third pregnancy- had my son at 17, a chemical pregnancy last year & this one where I am 15 weeks.

I’m confused why I’m obstetric care unless it’s because of my surgeries & age.

For anyone is obstetric care- do you see your obstetrician as standard or do you only see them if there is a problem?

I will be asking my midwife on Tuesday but be interested in hearing others experiences. x

31 Replies
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I've got an appointment at 17 weeks at the obstetric department of my hospital, guessing that's the same? Have you not got any appointments booked with that doctor? Xxxx

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Thank you for replying . No I haven’t, I still see my midwife on tuesday so will ask then. I don’t think the midwife knows I’m obstetric care. xoxo

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Yeah definately ask, my midwife didn't mention anything about extra appointments, it seemed to me like it was all done on the computer, best to keep on top of it though xxxx

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I’m 31 weeks today and have been under obstetric care alongside my normal midwife appts. I believe I was referred to the obstetric consultant due to three recurrent miscarriages and this being my first ivf pregnancy. Have only seen him twice mind (but he wants me to have an extra scan at 34 weeks which is a nice little bonus). It may be due to your background xx

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Thank you for replying & hope your pregnancy is going well. My GP originally said I’d need to book to see a midwife at 8 weeks even tho under I’m obstetric care, no appointments were made with the obstetrician. I’m now 16 weeks. Then I assumed I wasn’t until I heard from fertility secretary. Will definitely query it on my appointment Tuesday. xoxo

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I’m under obstetric care alongside my midwife to, I’ve seen my consultant twice already and have been told il see them again at 28, 32 and 36 weeks. The consultant told me it was because of my history and it being an IVF pregnancy x

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Thank you that’s helpful to know. Congratulations on your 20 weeks scan & hope all continues to go well for you xoxo

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I’m pretty sure my first appt with obstetric consultant was a short while after my 12 week scan, think around 13 weeks. I then didn’t see them again till 20 weeks. Have since seen them at regular intervals. x

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Thank you for replying. The obstetrician took my maternity notes before my dating scan but didn’t speak with me at my dating scan. I’ll have to ask my midwife about it on Tuesday when I see her. Hope your pregnancy is going well xoxo

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You will still continue to see your midwife at the appropriate intervals even if you’re under obstetric care. It means I see someone - alternating MW and Obs- every 2 weeks or so. All good with me, officially 5 weeks to go but they’re starting me off 1-2 weeks early so only about 3 weeks to go!! xx

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I was put under consultant care down to having an ivf pregnancy. I had no medical problems. Again I saw them at 28 , 32 and 36 weeks but more as I got pre-eclampsia from 36 weeks . Hope this helps xxxx

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Thank you that is helpful. I hope you are okay now? Xoxo

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Yeh perfect now. It got worst after pregnancy was kept in longer and was admitted again once discharged with my little one as I am breastfeeding. But all good now . Starting to look at next round of ivf for next year , not looking forward to that . How you getting on now ? Xx

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Does it matter? It’s just someone to keep an eye on your pregnancy.

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Hi sweetie I’m under a consultant due to age, ivf. I seen him on Monday and they have made an appointment for after 20 week scan and said that they will be making regular appointments with extra scans. This is standard for consultant led seemingly for us. I would push for an appointment. Hope the spitting has still settled xx

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Thank you. I think I will as this as been put in place by my fertility doctor probably because of my endo & surgeries. So far the spotting isn’t happening 🤞🏻 Hope your pregnancy is going well xoxo

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Hello. I’m 33 weeks pregnant following an ivf pregnancy. I’ve got extensive state 4 endometriosis, have had surgery 4 times and have previously had heart problems following severe OHSS. Because of all this I’ve been seeing the obstetrician at the hospital as well as my community midwife. Due to my endo she referred me to the complex pregnancy obstetrician to discuss what would happen if I needed a c section. I’m sure it was my midwife that referred me to me consultant led and we got an appointment through after that xxx

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Thank you, that’s helpful.

I was never given my stage of endometriosis ; I had 3 surgeries within 13 months. The last surgery was by an endo surgeon & I had 5 incisions. He never told me much except it was superficial endometriosis. It grew on my pouch of Douglas, both uteroscaral ligaments & all over my rectum. How did you get a stage diagnosed?

Perhaps because of my surgeries my fertility doctor thinks obstetric care is best for me.

I will ask my midwife about this Tuesday

I hope your pregnancy is going well xoxo

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My surgeon gave me the stage after my last surgery a year ago, I assume it was just from the appearance of it and the extent of it. He said whilst he was in there he turned the camera and the endometriosis extended right up to my diaphragm. I think from the sounds of it you should be consultant led or at least have one consultation just so that they are aware of your history. Good luck! Xx

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I’ve had 3 appointments with the consultant. They were scheduled along with all my scans by Pregnancy Assessment Unit after the initial booking appointment with the midwife. For me it’s been 5 minutes with the consultant after my 12, 20 and 32 week scans just to check in and do bloods, urine and blood pressure.

Seems to be standard for IVF pregnancies along with the 2 extra growth scans at 27 and 30 weeks. Consultant said at my first appointment that all pregnancies are precious but with IVF it’s just that little bit extra precious so they like to keep a special eye on us. (Which I thought was really nice)

It’s not one particular doctor I’ve seen, just whoever is on at clinic at the time. Midwife has still been main point of contact and if I’ve had any concerns I’ve called her or PAU directly.

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Thank you. That is nice. Mine isn’t a IVF pregnancy but was trying for over 7 years & had 3 surgeries within 13 months to treat endometriosis. I definitely like someone else to keep a close eye on us 😘 Hope all is going well with your pregnancy xofo

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I had 2 appts to see a consultant because I had IVF, but I never got to speak to the consultant; I was only informed about the possibility of induction and the rest of my care has been carried out by the midwife. If you're considered to be high risk then I'm sure you'll be referred to the consultant by your midwife. Hope everything is going ok so far xx

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Thank you all is fine this end! I think I will feel better once I’ve spoken to my midwife on Tuesday. And hope your pregnancy is going well xoxo

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Good luck. Every thing is good so far thanks, on countdown now and analysing every twinge 😂 xx

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I saw my obstetrics care team every 2 weeks from the beginning . Due to a few factors . The biggest being was multiple pregnancy . But I saw them regular and they monitored everything closely . It’s worth asking them to see them so you can discuss things in more detail with them x

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And remember this is your care during a time where you trust the medical professionals the most . And they tend to not always understand that although sometimes have to fight for it keep at them. Any concerns you have should be addressed and you should be advised to the best you can be xx

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Thank you for replying.You’re right it is such an important time. I think I will enquire with my midwife on Tuesday. If my fertility doctor has specified obstetric care there has to a reason why. I hope you and the girls are okay xoxi

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We are okay thanks Jess . My smallest girlie had a seizure last Sunday so got a lot going on right now but we’re okay. The worry never ends even after fertility problems Xx

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Hey Jess1981,

Just wondering, whether you knew what caused your infertility.

I just had an apt with gyno and I thought my tubes were sluggish. Apparently one is fine and the other is slow. I’ve got ‘mild’ endo but been ttc for 4 years and no success. My ‘mild’ endo is in the same places you’ve described in this post.

Husbands fine, I’m fine so I was wondering if you could advise?

I’m sorry to hear about your spotting, good luck with your pregnancy I really hope that I someday get the same news. I fully understand that it would be upsetting after all you e gone through but as long as baby is ok. My mil spotted throughout her pregnancy too so it does happen and baby was fine xx

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Thank you for reassuring words.

Our fertility issues were purely down to my endometriosis, everything else was fine. My endometriosis grew on places that affected implantation such as uteroscaral ligaments. It also threw my hormones out of whack. I had 3 surgeries to treat endometriosis within 13 months. 2 were after my chemical pregnancy. Mine regrew rapidly & each laparoscopy was worse growth of endometriosis so bad I had my last surgery by an endo surgeon.

I would insist on a referral to an endo specialist, say your symptoms are awful, lay it on thickly. Go from the view point of pain & symptoms rather than just infertility. They can’t ignore pain. Mine produced loads of issues with my cycles & bowel issues.

I was lucky my fertility doctor was really supportive, sadly he’s retiring next month otherwise I’d pass you his details. xoxo

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I had a few spots on my uteroscaral ligaments - nothing major and for some reason it’s not happening at all.

One tubes fine, other tubes a bit slow as it looked like it had something stuck in it.

They’ve said if I don’t get pregnant by my frozen embie to go on the pill and they’ll put me forwards for another lap. This is so annoying because I’ve no idea what to do now. I’m relieved nothing major is wrong but I’m so fed up it’s not working for me.

Xx

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