Baby Corner

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What's a peri?

[Anna C. 4]

The hospital I had Jonathan at didn't have a NICU, but the other hospital in town had one. That's why only women past 37 weeks and had no signs of trouble were allowed to deliver at the hospital. But it is certified baby-friendly, had LDRP rooms and no 24/7 anesthesiologist, which was important to me so if I ask for an epidural it would take time and so I could accomplish my hopes for no epidural more easily... This time, we're at a birthing center and the CNMs are completely trained to do newborn checkups and the bili checks and newborn screening and so on. They transfer mom and/or baby if necessary to the hospital next door which has a level three NICU. Cheyenne only has a level II NICU anyways, the next one is in Denver, so whenever there is a baby born in big trouble they take you to Denver in a helicopter... Same with moms who have complications of any kind beyond normal pre-E - if you have any more serious condition or it looks like baby is born before 32 weeks, off to Denver. So I might as well be in the beautiful birthing center right next to the really good hospital with a great NICU that won awards. Faster than a helicopter that has to fly 112 miles South under God knows what weather conditions that we get here (extremely high winds! sometimes they can't fly you, and have to drive you, and now that's bad!)...

Funny that so many places allow prenatal pediatrician visits. Santa Maria did not do that, but it's rural and they were even offended that parents shopped around... I don't know about Cheyenne, I know there is just one pediatric practice with like 12 peds. We met our FPs in the hospital when Jona had croup, clicked right away and wrote a nasty letter to Tricare how terrible the base doctors are and got reassigned to the FPs we love (the base refused a 9 months well baby visit despite my begging for an anemia check, he then was severely anemic at 12 months, when he had the croup they refused to see us and refused an urgent care referral which is why we went to the ER where we got admitted - obviously those base people are endangering my child's health!). The new baby will be assigned to our FPs as well, luckily. I was very lucky with Jona, he rarely ever gets sick, so we don't see our docs a whole lot.

[Eveline 9]

What's a peri?

In what context? My first guess is that I had a typo in one of my texts and meant to write pedi(atrician) rather than peri.

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In what context? My first guess is that I had a typo in one of my texts and meant to write pedi(atrician) rather than peri.

You are lucky to have a choice of hospitals. My OB and peri had me go to the one with a level 3 NICU ...

In response to a tnh post, not something you wrote.

Edited January 24, 2011 by \

[Jenn! 918]

A perinatologist is a high-risk OB.

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A perinatologist is a high-risk OB.

So that's different than the doctors we meet at our appointments at the maternal fetal medicine center?

[Jenn! 918]

My old pediatrician (who my sister still sees) recommended Adam's pediatrician to me. There's nothing *wrong* with her, but if I could go back in time I would know now the kind of questions I should have asked. I guess I just wasn't aware of how involved the pediatrician is in things that I always thought of as parenting decisions. I was thinking the doctor was for medical problems.

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...I just wasn't aware of how involved the pediatrician is in things that I always thought of as parenting decisions. I was thinking the doctor was for medical problems.

Like what?

[Jenn! 918]

So that's different than the doctors we meet at our appointments at the maternal fetal medicine center?

No, it's the same thing - maternal fetal also means high-risk.

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No, it's the same thing - maternal fetal also means high-risk.

See that confuses me. We had to go to a maternal fetal medicine center for our first trimester screen and we're going again for the 20 week anatomy scan. My wife asked if that's because she's "high risk" and the OB said no it's routine everyone at this practice goes to that. All our friends who have been pregnant recently have also gone to maternal fetal for their first trimester screens and anatomy scans. Is there a something else high risk patients have to do besides that?

[Jenn! 918]

Like what?

Well, in my experience, as I mentioned recently, her opinions on breastfeeding haven't really jibed with my own. For instance, she pressured me to not allow him to feed on demand through the night when he was younger. I realized early on that it was best not to mention to her that we co-slept. She didn't seem like the type who would be on board with that. At my latest appointment, she also told me how to deal with temper tantrums. I just didn't expect a pediatrician to be addressing these sorts of issues.

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Well, in my experience, as I mentioned recently, her opinions on breastfeeding haven't really jibed with my own. For instance, she pressured me to not allow him to feed on demand through the night when he was younger. I realized early on that it was best not to mention to her that we co-slept. She didn't seem like the type who would be on board with that. At my latest appointment, she also told me how to deal with temper tantrums. I just didn't expect a pediatrician to be addressing these sorts of issues.

OK sorry I don't really read everything. That's interesting.

[Jenn! 918]

See that confuses me. We had to go to a maternal fetal medicine center for our first trimester screen and we're going again for the 20 week anatomy scan. My wife asked if that's because she's "high risk" and the OB said no it's routine everyone at this practice goes to that. All our friends who have been pregnant recently have also gone to maternal fetal for their first trimester screens and anatomy scans. Is there a something else high risk patients have to do besides that?

Yes. It could be that the regular practice does not have the advanced machine needed for the specific scans ordered. If her regular OB is not a doctor from the maternal fetal medicine center, then she's not high risk.

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Yes. It could be that the regular practice does not have the advanced machine needed for the specific scans ordered. If her regular OB is not a doctor from the maternal fetal medicine center, then she's not high risk.

OK,cool. Thx.

[Anna C. 4]

@ Jenn: yeah we don't like stuff like that either - neither hubbie nor I. The FP is really great and focuses on medical stuff, not parenting choices.

Hmm I never was sent to maternal-fetal medicine for an anatomy scan. Maybe the obgyn group you are seeing doesn't have a sophisticated enough ultrasound machine and hence sends everyone to the high risk practice as those places have the high resolution scans available.

So, after two days of prodromal labor it's tapering off... So off to the ultrasound to check on the placenta tomorrow... Though I could tell that my fundal height changed with her moving around this weekend. It was very easy to feel my fundal height during a contraction. When she has her feet up high, it's all the way up to my sternum, when she's curled an inch below. Maybe the uterus tilts back at the upper end and can only be felt if she is positioned there and during a contraction... I don't expect too much trouble tomorrow. Especially since the backup obgyn is awesome and very trustworthy (not like the ones in my town, yikes!).

Edited January 24, 2011 by Anna C.