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Doctor insights on: Referral To Perinatologist

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I have complete placenta previa that won't move. Never had a c-sec. Should i get a referral to see a perinatologist or stay with my ob/gyn?

I have complete placenta previa that won't move. Never had a c-sec. Should i get a referral to see a perinatologist or stay with my ob/gyn?

Placenta previa: If you have a complete placenta previa you will need to be delivered by cesarean section. Most OB/GYN's feel comfortable with managing and delivering patients with this pregnancy complication. Discuss this with your doctor. Most importantly, if you have any bleeding or start to have uterine contractions, please go to the hospital right away. ...Read more

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Should I be concerned that I was referred to a perinatologist?

Should I be concerned that I was referred to a perinatologist?

High risk pregnancy: it is very likely that you were referred to a Perinatologist because of some high risk pregnancy issue. Be reassured that you are being referred to someone who specializes in high risk pregnancies. If you are high risk, you need to be managed by someone who has both experience and comfort in dealing with complicated pregnancies. ...Read more

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Perinatologist is worried about recessive conditions as we live in religious group. He wants amniocentesis. What can that show?

Perinatologist is worried about recessive conditions as we live in religious group. He wants amniocentesis. What can that show?

Depends: There are now 100's of recessive conditions that can be diagnosed prenatally. It would not be economical to test for all of them though, so i'd ask what exactly s/he would look for. Also, consider whether you would do anything differently if you knew your baby had a recessive condition? Amniocentesis has a small risk of pregnancy loss, so it is worth considering the pros and cons of having it. ...Read more

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I have level 2 ultrasound with perinatologist. What is that?

I have level 2 ultrasound with perinatologist. What is that?

Level 2 ultrasound: A level 2 ultrasound, by a Perinatologist is a targeted or a detailed fetal ultrasound done by a doctor who specializes in high risk obstetrics. Perinatologists are trained in fetal ultrasounds and their level 2 ultrasounds are designed to detect various different fetal anomalies. ...Read more

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Is it advidable go to a perinatologist for being obese while pregnant?

Yes: Severe morbid obesity is associated with serious maternal diseases and pregnancy complications that need the close follow up of a perinatologist. I would advise to check with your general obstetrician to see if your obesity is severe and/or if you have other comorbidities (other diseases) that justify that subspecialized care. ...Read more

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What is the difference between neonatologist and a perinatologist?

What is the difference between neonatologist and a perinatologist?

Mother-fetus/newborn: Neo(new)natologists care for babies in the first month of their life and sometimes beyond. Peri(around)natologists care for fetuses during and before the time of birth. Newer term is maternal-fetal medicine, a subscpecialty focusing on maternal and fetal health throughout and sometimes before pregnancy. Neonatologist has peds residency + neonatology fellowship. Perinatologist has obgyn + mfm ed. ...Read more

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Perinatologist needed pregnancy problem please help?

Perinatologist: How can I help you? Do you have a question that you would like to ask? ...Read more

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With gestational diabetes why do I have to see a perinatologist?

With gestational diabetes why do I have to see a perinatologist?

Comfort of your OB: Many obs simply do not feel comfortable treating persons with gestational diabetes due to the potential for complications. It depends greatly on their expertise with this condition and their comfort level. However, some obs do treat gestational diabetes and it would be up to you and your OB to decide what is the best care for and your unborn child. ...Read more

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How much ultrasound training must a perinatologist have in order to be reimbursed for performing and interpreting a fetal sonogram?

Ultrasound training: A perinatologist spends three years doing a fellowship in maternal fetal medicine. During that 3 year training, a significant amount of time is spent learning fetal ultrasound. ...Read more

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I have a few questions about gestational diabetes before seeing a perinatologist. What is risk to baby and me? Can I start insulin just in case?

I have a few questions about gestational diabetes before seeing a perinatologist. What is risk to baby and me? Can I start insulin just in case?

Wait for MFM advice.: High blood sugar during fetal development can lead to excessive growth (macrosomia), predispose to adult diabetes mellitus, increase the risk for cesarean section, shoulder dystocia and fetal death from cardiac arrhythmias and hypertrophic cardiomyopathy. Most women with gdm have normal outcomes, but are at increased risk for all of the above, as well as polyhydramnios, preeclampsia (hypertension). ...Read more

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I have recently suffered my second pregnancy loss and would like to speak to someone on how soon to see a perinatologist?

I have recently suffered my second pregnancy loss and would like to speak to someone on how soon to see a perinatologist?

Need more info: Have you been under a care of an OBGYN for these pregnancy losses, and if so has s/he done a workup? A general OB/GYN should be able to start the workup (looking for genetic abnormalities in the fetuses if available as that is the most common cause and usually not persistently recurring; medical conditions such as thyroid dysfunction, diabetes and clotting disorders that predispose to blood clots) ...Read more

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Should I see a perinatologist for my new pregnancy? I have suffered one ectopic, one miscarriage, and pre-term labor @ 23 wks. No live children.

Should I see a perinatologist for my new pregnancy? I have suffered one ectopic, one miscarriage, and pre-term labor @ 23 wks. No live children.

Seeing MFM early: Many of us perinatologists or subspecialists in maternal-fetal medicine (mfm) encourage women with a history of prior losses to bring records for consultation before or early in pregnancy. We use the information and history to help create a plan for the healthiest possible pregnancy and know the patient in case problems develop. Plus we interact with OB care provider and do advanced fetal imaging. ...Read more

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What is the definition or description of: maternal-fetal medicine?

What is the definition or description of: maternal-fetal medicine?

High Risk Obstetrics: Check out: https://www.Smfm.Org/what%20is%20maternal%20fetal%20medicine%20page.Cfm?Ht=p.

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My wife is having complications. Can a person in maternal-fetal medicine give me advice on the phone?

Maternal fetal: Most Maternal Fetal Medicine doctors can answer questions about complications occurring in your wife's pregnancy. Most however, will not answer your questions over the phone. Most consultants require an in office consultation or a virtual consultation before they will answer any questions. ...Read more

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What is the clinical difference between maternal-fetal medicine and neonatal-perinatal medicine?

What is the clinical difference between maternal-fetal medicine and neonatal-perinatal medicine?

Ob vs. neonatology.: Mfm is a subspecialty of obstetrics/gynecology and deals with both fetal and maternal pathology. Perinatal/neonatal medicine is a descriptive term for both mfm and neonatologists (subspecialists of pediatrics). ...Read more

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Are there any maternal fetal medicine doctors that perform transabdominal cerclages in houston, texas? I am having difficulty locating any. Thank you

Are there any maternal fetal medicine doctors that perform transabdominal cerclages in houston, texas? I am having difficulty locating any. Thank you

Cerclage: i would go to a Perinatologist in Houston first of all to determine if a cerclage and in particular, a TA cerclage is indicated in your situation. I'm not aware of anyone in particular in the Houston area that does TA cerclages. The top people in the country that perform TA cerclages are: Dr. Haney in Indianoplis ;Dr. Summerland in Chicago and Dr. Davis in NJ. I'm sure that there are also others. ...Read more

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Fellowship in maternal-fetal medicine, can I get a fellowship in gynecologic oncology afterward?

Fellowship in maternal-fetal medicine, can I get a fellowship in gynecologic oncology afterward?

Theoretically yes...: In practice, few if any physicians can endure 11 years of training and resident pay. Additionally, most program directors would frown upon the switch in direction as a sign of personality imbalance and/or unpredictability and would be reluctant to hire you after the first fellowship without a very good reason. Given that both subspecialties are now quite competitive, i advise against trying this. ...Read more

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I have confidence in my OB, BUT I was told with my history I should seek out a maternal fetal medicine Dr as well as my regular high risk OB, should I?

I have confidence in my OB, BUT I was told with my history I should seek out a maternal fetal medicine Dr as well as my regular high risk OB, should I?

Perinatologist: Given your high risk pregnancy conditions, a consultation with a maternal fetal medicine specialist, may be beneficial. The specialist could work together with your OB doctor and provide the best care for you. It is not that you should not have confidence in your OB doctor, but perhaps the maternal fetal specialist would provide additional support in case additional complications arise. ...Read more

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Two previous m/cs..if already pregnant, can maternal fetal medicine doctor do something to help or is it too late?

Yes: A maternal fetal medicine specialist can help you even if you are already pregnant. There are certain tests that can be run and if those tests are abnormal then you might be able to be treated. ...Read more

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