Saturday, 21 August 2010
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My First (2nd) OB Appointment...
Today I met with the nurse for my first OB appointment for my second pregnancy. When I called the doctor's office, I asked if this initial appointment was really necessary my second time around, and they said that it unfortunately is. That's fine, I love my doctor's office.
What's nice about this office visit is that it makes the pregnancy feel more real. Yes, I already saw the positive test at home on August 9, but I felt oddly relieved when the nurse walked in with a fresh pregnancy test and said, "Yep! You're pregnant!" I don't know why, but both with my first pregnancy and again this pregnancy, I was scared that the nurse would walk in with a negative test and say "What are you talking about?"
Of course, that makes absolutely no sense; I have every symptom in the book. I am so tired I can hardly stand, my breasts are hard as rocks, the meat aisle in the grocery store makes me gag, and I pee once an hour.
I'm a little disappointed that the nurse was following the "rulebook" when she calculated my due date based on my last menstrual cycle, instead of the date of ovulation, which gives me an estimated due date of April 6, 2011. But I am positive that I didn't ovulate until Day 26 of my cycle, so her due date is completely off!
As best as I can tell, I am actually due around April 18, 2011. When I meet with my doctor during my next appointment in a month, I'm assuming that she'll schedule me for an ultrasound to check my dates. I had my first ultrasound at 12 weeks when I was pregnant with Hannah, so I'm assuming that's what she'll aim for this time too. Unfortunately, when my chart says I'm 12 weeks, I'll actually be closer to 10 weeks. Oh well, I guess the ultrasound will prove it!
I guess some would consider me lucky that the estimated due date they assigned me is early. But unlike most women at 40 weeks, I do not want to be induced unless I am SERIOUSLY overdue.
Even though I had a great induction experience with Hannah, it was evident that I didn't actually need to be induced when my "dangerously low amniotic fluid" required a mop for clean up once my water broke. It worked out for the best, but I want to go into labor on my own this time unless absolutely necessary. I know my dates are right; I just want my doctor to get them right too.
How about you, Mamas? What were your first prenatal visits like? Has your doctor every changed your due date? By how many days?
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Comments (19)
My doc changed mine when I had my first u/s back in June - they said I was measuring a week smaller, so they pushed my due date from dec 6th-ish to the 14th-ish. I knew around what three days i ovulated and got pregnant (st patty's day), but they back tracked it to the 5th of that month since it was my last period. when i went to the doctor last week he said i was measuring big - just by doing my belly - so that'd make the previous due date more correct. *lol* righ tnow we're just saying he'll be here the first of december.
My doctor gave me two due dates, the one based on LMP which is Nov. 25, 2010 (Thanksgiving!!!) and then the one based on gestational age which is simply two days earlier on Nov. 23, 2010. I go by the gestational age one as I believe it is more accurate. It's never really changed, per se, I just get two options. lol
My experience was exactly like your first pregnancy, I have longer cycles and don't ovulate until day 26. The OB office follows their "rule book" too and estimated my delivery 2 weeks earlier. After talking to the nurse and the doctor, and getting a dating ultrasound, and reasoning with the doctor when my conception date was (as I knew exactly), they finally changed my due date. I too was fearful they would try to induce me early. However, for the next 3 months, I still had to explain over and over and over to various nurses and technicians and doctors (had different doctors for genetic testing) about the change in the due date as they kept looking at my LMP and based everything on that. Frustrating to say the least, as the genetic testing doctor was fearful my baby was 2 weeks too small and wanted to do all these other tests, but after explaining about the later ovulation, the doctor was reassured the size of my baby was fine. It amazes me that this happens as I couldn't be the ONLY person who has longer cycles and went through this. Reading your entry was a relief that I wasn't the ONLY person who went through this!
I could have written this. Well, except that I didn't. But this is basically my story. My ovulation day was CD 22 and I KNOW that. So they put my due date a week sooner than I do and like you, I do not want to get to 42 weeks (which is really only 41 weeks) and be told i need to be induced when really I shouldn't need to yet. And I also had a good induction last time - but would rather just go naturally this time. I really hope the doctor will change the due date on my chart based on my ovulation chart without much fight. But the nurse couldn't do it. I really feel it's completely ridiculous that they base EVERYONE off LMP even when people clearly know when they ovulated. There are so few people who ovulate on CD 14!
When people ask me how far along I am I tell them 9 weeks (well, right now at least) which is the time line that I know to be more accurate vs 10 weeks which is what the dr office claims. It's really not a big deal at all until those last few weeks. And personally? I'd rather be counting down to a later due date than an earlier one and be disappointed when the day comes and goes.
Ha! I love this! My first baby I had the positive test. Called the dr, and they didnt want to see me until 10 weeks or so, so I was living for weeks, just doing my thing. The night before the doctor appointment I had to run out late and grab another test, just to be sure it was "still" positive. My husband laughed at me! Since nothing changed, it was quite clear I was probably STILL pregnant! I too wanted to be sure!
Definitely express this AND those concerns to the doc!!
@Lydia_Lynne@xanga - My best friend is due two days after you! Two days aren't a huge deal though... TWO WEEKS is a different story! I have an ultrasound scheduled for next week, so I hope to get this sorted out.
@aliyagator@xanga - @spamandrice@xanga - I'm so glad to hear I'm not the only one! Why are they so hesitant to listen? I've been charting my cycles for months so I have PROOF that I typically ovulate between Day 25-35 of my extra long cycles (which vary from 40-55 days). With cycles like that, there's no way my LMP would be accurate!
I have an ultrasound scheduled for this week, but I'm a little nervous about it. According to their "measurements" I should be over 8 weeks, but I'll actually be exactly 6 weeks. Hopefully the lab tech will listen to me about when I ovulated, otherwise I'm nervous that they will tell me I'm about to miscarry because from what I can tell, 6 weeks may be too early to hear the heartbeat, but we should DEFINITELY be able to hear it at 8. Oh well, maybe they'll just keep giving me ultrasounds. Kind of annoying, I guess. I know when I'm due, so why can't they go by that?!
@LeelaJane@xanga - Isn't it the weirdest thing?! You KNOW you're pregnant but you are still afraid that the doctor is going to tell you that you made the whole thing up. It makes no sense but I felt that way with both pregnancies so far! :) Glad to know I'm not the only one!
I'm just like you, long cycles so I ovulate late. With this last pregnancy (my third) I never had a period, but I knew approximately when I ovulated because I spotted one day (when the egg implanted). I told my doctor's office this and they STILL assigned me an arbitrary due date...based on my LMP...that I never had. Does that make ANY sense?? I also had the initial sonogram that assigned me a due date based on the baby's size, but of course the doctor went with the earlier date. Thankfully they were only 3 days apart and my doctor was really laid back so she didn't insist on an induction (I ended up delivering him naturally 9/6 days late). It does REALLY bug me that OBs do that...it makes much more sense to base due dates on the baby's size, but noooo they have to follow that "rule book" that most women's bodies don't follow anyway.
I have the opposite problem, with my last 2 pregnancies,I ovulated around day 7, so I've been further along than the doctor thought and they ended up moving my due date ahead 10 days after the first ultrasound. And that's good, because I still had them both 3 weeks earlier than that, if they didn't change the due dates, they'd be trying to stop my labor, thinking my babies were coming too early. And heck, my last baby was 3 weeks early and 8lbs 6.4oz, so I really didn't want him to stay in any longer! :) Good luck with your pregnancy.
This is our first. When I took the test, it was a very faint positive. All the looking it up I did, and the few people I talked to at that point, told me a positive was a positive was a positive. :p
When I took another test a few days later, and it was only a little darker, I was still having trouble with the idea that it was most definitely a positive, despite how faint. My husband told me he knew I was pregnant, and that was what the doctor was going to tell me. I, on the other hand, was so scared that we were going to walk in there and, somehow, despite all the symptoms I was going through and the fact that both tests had been positive (faint, though they were), the clinic was going to be like "Nope, you're not pregnant." :p
I was so happy when the results came in and I had that reassurance that, yes, I really am pregnant. LOL
So I got a new ob and she's been good. The staff is very friendly.
YAY!!! Congrats cant wait to see the ultrasound pics of the new little one :)
I got pregnant without any insurance...during school I was punched in the stomach. That's when I had my first emergency u/s at 8 weeks. No due date was set but they were able to tell me I was around 7-9 weeks from the growth. Good thing I was already keeping track so I knew how far along I was. I didn't get insurance until I was 6 months pregnant, so that was my first doc appointment. My due date changed once...and Idk why he even changed it since it pushed the date up by one day lol.
My EDD, according to LMP is January 2 and according to an ultrasound at 13 weeks, December 28. The OB decided to keep it at January 2. Thats fine with me, just 5 days difference, but I'm still hoping the baby comes in December! Don't know why, I just think it would be nice to be a little early this time, instead of late (duh, I guess that would be everybody's pick)! I agree with you though, I absolutely do not want to be induced unless I'm very over-due (or some other issue arises). Oh, and it cracks me up and makes me feel a little better that I'm not the only woman out there who has that irrational "what if I'm not actually pregnant" fear when going for her first appointment!! Best wishes for your pregnancy!
There was a 2 week difference in dating from LMP and U/S. I went in thinking I was 8 weeks and it turned out I was 6 so my due date changed accordingly. I was only off the pill for about 2 months when I got pregnant so I do think I could have ovulated late.
@gwendylyyn - With my first pregnancy, the first test I took was such a faint positive that I thought I was seeing things! I asked my husband if it was positive or negative and he just looked bewildered and said, "Both?" I took 3 more that were all like that, so faint that I couldn't even tell if there was a line there or not! But my best friend told me that a line is a line, no matter how faint! I've since had some negative tests while TTC again, and it really is obvious when it's negative. If you even think you see a line, you'd better believe it's positive! But I know, for some reason, I'm still always scared that the doctor is going to tell me I made it all up!
@JadaFish@xanga - I don't think they "officially" change your due date unless an ultrasound shows that your original due date is more than 7-10 days off. I'm positive mine is more like 12-14 days off, and hopefully my ultrasound tomorrow will prove it!
By my LMP I should be due on 2/6, but I knew that wasn't right since I have long cycles, so my OB did a very early ultrasound, saw a hearbeat, but apparently I have a tilted uterus so she guessed 6 weeks, making my new date 2/23 but wasn't 100% sure on that. Then 4 weeks later I went back for another ultrasound which said 11 weeks, so my new, "we're sticking with it" date is 2/16-- which I could have told them in the first place...haha. Congrats on your new little one!