Pre-conception appointment

Avatar for jlynna12
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Registered: 03-25-2003
Pre-conception appointment
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Fri, 04-25-2003 - 10:22am
Laney asked when my appt was, and it's May 12. 1:30 :-D I can't wait! My DH has the afternoon off, I took the afternoon off, I don't know how long it will take...anyone been yet and can give me some guidance? I'm not really sure what to talk about. I have a book that has a check sheet in it, but that seems kind of cheesy to me, I don't want my doctor to think I'm weird. Anyone bring a checksheet from a book or magazine to their appointment? I know I'll talk about my birth control and the other pills I'm currently taking. I assume we'll talk about prenatal vitamins and health, and tracking my fertility without being on the pill, birth control to prevent for a few months if we want to. What else goes on at these appointments? I'm so excited!~

Jlynn

 

           
Jlynn, Momma to Asher and Ada

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Registered: 03-26-2003
Fri, 04-25-2003 - 12:31pm
Wow, that's coming right up! I can't really give you much advice... I went and had my visit the other day and the dumb doctor was like, "so you are here for a pre-conception visit. Tell me what that means." !!! So he was just tons of help.

But anyway, if I were you I wouldn't feel weird bringing a list of questions to ask. I think a lot of people do that. I have done it before myself. You'll kick yourself if you get out of the apointment and then you think of a few questions you really meant to ask. Don't worry about what the doctor may think. He'll probably be glad that you're so concerned with having a healthy pregnancy.

Sorry I can't really give a personal experience, but it sounds like with your checklist of questions and what you mentioned in your post that you have a good idea of what will be discussed.

Laney wtt#1 May

Avatar for jlynna12
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Registered: 03-25-2003
Fri, 04-25-2003 - 1:06pm
Laney, your dr asked you what that meant? oh my! That seems strange to me. When I called and made the appointment, the receptionist was even like "oh, yeah, that's always exciting. Will you be bringing your husband?". this brings me to another question...does everyone like their ob/gyn they have now? Will you stay with them when you're pregnant? I LOVE mine! I've been seeing him for 4 years, and I see his nurse practitioner sometimes as well. I have been with him for more than just my yearly's, I had some issues with cysts, and for a while was going monthly to see him. I feel confident that he would recognize me in a grocery store or something, and that means the world to me. He diagnosed me with something that I struggled with for 8 years, no one could figure out what caused pain, he finally did, and it wasn't even ob/gyn related! The other part of this is, do you live in a city where you have one of those ob/gyn offices where you see a different dr every time? A friend of mine in LA has an office like that....that seems a little impersonal to me....I started reading "Misconceptions", and they talk about that type of office too....anyone have something like this?

 

           
Jlynn, Momma to Asher and Ada

Avatar for pitzerja
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Registered: 03-25-2003
Fri, 04-25-2003 - 2:07pm
I think it's really great that you are planning for your pregnancy, I think it's important and is neglected by so many.

I do want to share my experience with you from when I has DS though. I scheduled my appointment and when I got there the doctor kinda made me feel like I was an idiot. He was like, "So, why are you here if you aren't pregnant yet?" Then when I did get pregnant, I was shocked that they didn't really want to see me until I was at least 8 weeks. They said on the phone, "Oh, if you took a home pregnancy test and it was positive then your pregnant, we don't need to see you until you're at least 8 weeks though." I was not a happy camper!

So, the reason I am sharing this information is because I want to help you avoid the mistakes I made. Find a doctor you like and don't hesitate to switch until you do, find someone that does not intimidate you or make you feel stupid for asking a billion questions, take lists and questions with you (otherwise you will kick yourself later for forgetting), and trust your instincts. Pregnancy is totally amazing and confusing at the same time and sometimes the doctors get so caught up in the routine of it that they forget what a powerful journey it is for the woman.

So, go to your preconception appointment and ask everything you ever wanted to know! Don't ever feel like an idiot and make the most of the coolest experience ever.

Pardon my babbling, I think I am so much more excited about having #2 because I know what I am getting myself into, I know how awesome motherhood is, and I can't wait to do it again.

Hugs,

JenP - WTT#2, Sept 2003

Avatar for jagraham323
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Registered: 03-25-2003
Fri, 04-25-2003 - 3:55pm
My experience from a WTT grad...

I had to switch docs for my pre-conception appointment. My current GYN was not doing OB work. I picked the hospital I wanted to deliver at and then picked a doc who had privelages there. I was really nervous about switching and I had never been to a male GYN before.

But, it was great! I love my new doctor. After my exam he let me get dressed and took me to his office to talk about pre-conception stuff. I really liked that compared to having to ask questions while still on the exam table! He was really reassuring and took the time to answer all of my questions from concerns about cat litter to my weight to whether we should consider genetic counseling.

The best part was that I got to hear him take a call from a currently pregnant patient. The time he took to calm her down and his reassuring manner is really what sold me on him, since I knew I would probably be the nutty lady on the other end of the phone one day! ;)

Good luck with your appointment!

Jenny

TTC#1

Avatar for ntaylor908
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Registered: 03-27-2003
Sat, 04-26-2003 - 12:39am
I had no idea how exciting it was to TTC or E2E or P4P! I'm learning the lingo!

I talked to DH this morning--I need to make my appt for my yearly, and I asked him if he would freak out if I talked to my doctor about getting off of the pill and trying. Until reading these boards and talking to friends really recently, I never really realized that was something you actually talked to your dr about BEFORE it happened. I knew I would have to be off the pill at least a couple of months before trying, but I just knew that from other friends. What do you do for BC once you go off the pill and before you ttc? i hate condoms. I guess I could live with it knowing a baby would be the reward! :-)

I'm pretty sure DH won't go to the appt with me..hopefully I can schedule it for June, but I've probably waited too late and she's probably booked out a couple of months.

I'm not so sure about my OBGYN. I've only seen her twice--once before we married. I was a virgin and nervous about sex, and she seemed to downplay some of my medical concerns, as if it was no big deal. (She was really right--people do it every day with no problems...I was just naive and scared...) I saw her last year for my yearly, but it was no big deal and I didn't really have any questions, so I can't say it went bad. I may need to shop around if she doesn't make me feel comfortable at my next yearly, since she would be the one who would deliver.

I'm enjoying getting to know you ladies here! I'll post more later!

Nicki-

wtt #1 sometime this year maybe

Nicki
iVillage Member
Registered: 04-27-2003
Sun, 04-27-2003 - 4:05pm
I haven't been to the appointment yet, or even made it, but I have come up with this list of questions and things to look for. Hope it helps!!

Things to watch for:

Does it seem like the doctor is as enthusiastic as we are about the benefits of our preconception visit?

Does it seem like the doctor dismissed any questions as insignificant?

Do we just plain like her?

Did it seem like she liked us?

Was there a feeling of mutual respect for one another?

Things to ask:

Is the doctor board certified (OB/GYN)?

Is the doctor a Fellow of the American College of Obstetricians and Gynecologists?

What hospital or birthing facilities are they associated with?

What is her birthing policy (drug free, epidural…)?

What are the labor and delivery room facilities like?

Can families participate?

How comfortable is she with participation of Chris during office visits?

Does she practice with a nurse-midwife, a partner, or a group?

o What can be expected of this?

o Who will we see for the majority of prenatal visits?

o Who will be part of the delivery team?

How often will the doctor want to see me?

What kind of nutritional plan does she emphasize?

In what position is birth accomplished?

o Can a birthing chair be used?

Does she regularly do episiotomies (cut to widen vagina)?

Is there anything she wants us to know about the way she practices from the onset?

Birthing approaches, Lamaze…?

Discuss preexisting conditions

Discuss vitamins I’m taking

Discuss genetic factors

Discuss menstrual pattern

Get a prescription for prenatal vitamins that includes 1 mil folic acid

Other things to think about:

Were we able to get an appointment within a reasonable period of time (within three weeks, if not pregnant)?

What is the overall atmosphere of the waiting room (organized, courteous, efficient)?

How comfortable did the nurse make us feel?

o Is she friendly?

o Are the questions she asks clear?

Physical exam:

How long did we have to wait in the waiting room (more than 15 minutes requires an explanation)?

Did she carefully look over the chart?

Was the exam thorough and complete?

Was she clear with questions and explanations?

Did she listen and respond well to me?

Misc.:

How was the billing handled?

Do they accept our insurance plan?

What fees will she charge for normal delivery?

o What is included with this fee?

How much is charged for a surgical delivery?

o What is included with this fee?


What is our overall sense of this place?

Does it feel right?


 

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Avatar for jlynna12
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Registered: 03-25-2003
Mon, 04-28-2003 - 9:01am
Wow! Mindybess, thank you!! Those questions are great. Some I'd thought of, but others I hadn't even had cross my mind! thank you!!

And, Nicki, you mentioned birth control that you would use during the interim....I was planning on talking to my dr about natural family planning, trying to use that, not have sex or withdraw while I'm ovulating. But, I have a feeling my DH is just going to be like "ah, whatever happens, happens" during ovulation :-D

Thanks for the comments and advice everyone!

 

           
Jlynn, Momma to Asher and Ada

iVillage Member
Registered: 03-26-2003
Tue, 04-29-2003 - 12:42pm
I went in a couple of weeks ago for my yearly appointment and told my ob/gyn that I wanted to go off the pill to try and get pregnant. He was great about it. Right away he said ok we will run some additional blood tests to make sure everything was ok for me to try and conceive. Then he talked to me about going off the pill and using a condom until I have two regular periods before trying to conceive. He gave me a chart to help me figure out when I'm ovulating and when I would be due when I get pregnant and a pamphlet with information about being pregnant. He said the average time it takes to get pregnant is 6 months and not to freak out if it doesn't happen right away. Also he said not to use an ovulating kit or anything like that just use the chart he gave me. I was very pleased with how informative he was and he seemed happy about our decision to try and start a family. When I left he said I'll see you either in a year or before then if you get pregnant. It was exciting talk to him about trying to get pregnant since I've been waiting for this time to come for several years. So hopefully in August my husband and I will start trying to have a family. Good luck to you at your pre-conception appointment.
iVillage Member
Registered: 03-19-2003
Tue, 04-29-2003 - 10:27pm
Chuck the list and jot down items FROM the list (on your own paper, in your own handwriting) that are of concern to you. Good luck! Let us know how it goes!

Sarah

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Avatar for kmtaylor517
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Registered: 03-25-2003
Wed, 04-30-2003 - 1:47pm
Just curious...why did he advise against an OPK? To avoid pressure?

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