Today was my first OB appointment at 9w4d. We got a bonus ultrasound despite having just had one 4 days ago. Still measuring right on time with a strong heartbeat, and it was unbelievable how much different he/she looked today versus just 4 days ago! Very baby-shaped. And wiggling all around.
I was officially released from my RE last week, so now I am just a normal pregnant patient, according to my OB. The appointment went ok. I think, if this continues to progress, I’ll have to get accustomed to the different level of attention you get with an OB vs. RE. Once you are with an OB it seems they aren’t particularly concerned with keeping a close eye on you, you just get a scan once in a while. Very scary for me. Fortunately my OB understands my anxiety and agreed to do doppler checks or scans as much as I needed. I took her up on that and scheduled one for August 9, just shy of 12 w.
For now, we are dealing with two main issues: One, should we do the first trimester risk assessment bloodwork/NT scan, since we already know from PGS testing that our baby is chromsomally normal? And two, are we sure we want to deliver at the hospital my OB delivers at?
On the risk assessment front, it is my understanding that the accuracy of PGS is actually slightly higher than the accuracy of the screening. So in that sense it seems pointless to do the screening. However, it would be nice to get a detailed ultrasound to show us as much as possible that things are still developing normally. So I am leaning towards doing the NT scan but not the blood work. My OB is putting me in touch with a genetic counselor at the hospital to further discuss.
On the hospital front: My OB delivers at a hospital in an urban area and the facilities aren’t as nice as other newer maternity wards in the state. I’ve also heard a few horror stories about having to possibly share a room after delivery. However, the hospital has the highest level NICU in our area. Infertility and RPL has taught me to prepare for the worst, thus making a NICU a requirement in my book.
To the few people out there reading this 🙂 – How did you select the hospital you delivered at? Am I putting too much weight in the NICU issue?