Doctor insights on:
Referral To Perinatologist
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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