Quote from Jolie
I guess the point of this long-winded post is to suggest that you consider getting more than one opinion from docs with different treatment perspectives. I was fortunate to find providers that were willing to work with me to devise a treatment plan that we could all live with.
Thank you for your advice. I would like to get a second opinion, but at this point I don't know how to go about doing it. At this point, since I don't have a rapport established with this OB (I was supposed to deliver at a different hospital), I'd prefer to switch physicians. We clearly have a personality clash -- I need someone who can communicate for I don't buy completely into his vision, and he pretty much dismissed my ideas of Nifedipine to replace the mag sulfate. He didn't say anything bad about Nifedipine, just that "this is what we do and the mag sulfate is better." Should I pursue a second opinion or switching OBs through patient services or attempt to contact different OBs on my own?
Baby is pretty non-reactive right now, although I know that due to the side effects of mag sulfate that is probably normal... She was capable of having reactive non-stress tests when i first arrived, though, so naturally I'd prefer to watch things a little closer.
How often do most OBs order fetal monitoring when on mag sulfate? This OB has not even ordered the non-stress tests; the on-call over the weekend did, and this OB didn't have intentions of ordering any... The fetal heartrate is checked it seems once a day by a nurse.
I'm kind of wondering if I was "spoiled" for having gotten a two non-stress tests every day with my 27-weeker while on Nifedipine? While on mag sulfate with the 27-weeker, I was constantly monitored and on complete bedrest.
To date, there is also no ultrasound or biophysical profile scheduled, and this is something my regular OB was to follow up with, so I mentioned this when I spoke with this OB...
I've had a fetal demise at 36 weeks, m/c @ 10 wks, and m/c @ 8 wks in addition to the PTL history, so I wonder if my emotions are doing the thinking and if what is being done is "standard," or if I should have valid reason to be concerned?