Is seeing an OB enough?

[AshRS]

I've read about a lot of ladies on here that are seeing perinatologists for their twin pregnancies. I am seeing an OBGYN. Normally if I was having just one baby I would stick with my family doctor, but because its twins she referred me to the OB. Is this ok? Should I be seeing someone else?

(Note - I am also staying on with my RE until 28 weeks - he checks my cervix every 2 weeks, just in case).

Maybe this is a Canadian thing??

[cpgal]

it sounds as if your RE is serving as your specialist. is you OB familiar/comfortable with twins? the only reason you would need one little step up (peri and not a real specialist which is a maternal fetal specialist) is later in your pregnancy you are going to want regular scans to monitor the growth of your twins which is what the peri will do and has the equipment for. They don't want to see one twin growing a ton and the other to be falling behind - it can then become a dangerous situation for the twin falling behing. If you have identicals you need even more monitoring.

Ask your OB what they plan for you. At around 28 weeks twins start falling behind singletons in size and it is important that they have regular scans and also to make sure there is enough room. If your OB has this in mind and feels comfortable delivering twins and not just saying hey c-section is a given then you are okay. But I would question your doctor thoroughly and you have to feel comfortable.

[Hunter11]

I'm seeing both an OB and a maternal-fetal medicine specialist. You should ask your OB what the plan is if their are complications or premature delivery - you may need access to a Level III NICU.

[Midnight78]

My neighbor had twins and was followed by both an obgyn and a high risk/ maternal fetal medicine ob too.

[patcurt]

I just see an ob. I will be 32 weeks tomorrow and feel like I have had excellent care.

[jenmitchell7]

I see an OB and a perinatologist. My OB considers every twin pregnancy high risk, therefore he wanted me to start seeing the peri at 14 weeks.

[Sarah1124]

I'm just seeing my OB. They do an ultrasound at every appointment, and starting at 32 weeks they will see me weekly (with ultrasound and non-stress tests.) They are very confident and I trust our babies to their care.

[AshRS]

thanks for all of the info ladies. My OB delivers all the twins in our area, and hes very confident in a vaginal delivery assuming baby A is head down. I'm having ultrasounds every month until 28 weeks, then every 2 weeks for a bit and then every week near the end. We are within a 25 minute drive from one of the best children's hospitals in the province. So...I guess we're good!

[cpgal]

Sounds like you are getting excellent care and they are on top of things.

[volleyballer]

When is everyone going to stop working before deliver of twins? Or when did you stop working before you delivery? Does your OB say you need to go on bedrest at a certain amount of weeks? Mine seems too lax about this, and he said there is no need for bedrest unless there's a problem. Same goes for seeing a peri. I just started a new job (laid off as a teacher, so I'm glad to find another teaching job), and I don't get any FMLA or disability since I have not worked there long enough. I'm hoping to work as much as I can up to the delivery, and hopefully my boss will let me take 3 months off even though legally I can only take 6. I'll try to post this elsewhere also. I need some real information, not just suggestions from the doctor.

Me 29 PCOS, DH 33
Married Aug 2000
IVF April/May 2010
ET May 31: Two grade 4AA blasts
Freezing 11 blasts
Beta:
June 6, 6dp5dt: 64 (Nurse said should be between 10-20).
June 8, 8dp5dt: 220
June 18, 18dp5dt: 9400! (should be 1500+)
US: 6weeks 1day: 2 babies. 110 hb both
US: 8w1d : 2 babies. 163 and 165 heartbeats