Are you being considered high risk this pregnancy?

When I met with the doctor for my annual exam in February, I asked him if I would be considered high risk if I got pregnant again. He said probably not because in spite of the PTL, I ended up carrying to full term.

Two weeks ago when I met with a different OB (same practice), he said that I will be watched closely this time because of the PTL I had last time. I wasn't really thinking when he said this. At my next appointment (with yet another OB), I am planning to ask some questions. What exactly does "watch closely" mean? Am I high risk? Will I have more OB appointments? Will I have more u/s appointments? Will I just need to be aware of PTL signs?

BTW, my PTL started at 31 weeks. I was having contractions. When they checked me, I was 80% effaced and a finger tip dilated. By 34 weeks, I was 100% effaced and 1-2 cm dilated. I remained that way until 38.5 weeks when I delivered.

My questions: Are you being considered high risk this time? Are you being "watched closely"? If so, what does this mean for you?

 

Yes I am considered highrisk. I have chronic hypertension, so I go to the OB a lot! I have had 7 u/s's already and until delivery I go twice a week for a NST and u/s. I like having that many appt's because I am reassured so much that everything is alright.

The reason they have me going so much is because with the HBP it can cause growth restriction. So far it hasn't though! But, I do take a medication that keeps it very under control.

 

No. In fact, I am seeing a midwife (who works with a Dr) this time! It's great!

The way it was explained to me was that if it was something that was probably caused by a TWIN pg, then it probably won't be a problem in THIS pg. So, my PTL they figure was probably caused by my twin pg. Of course, if I start having contractions I'll call but there's no other reason to start doing NSTs and such as early as we did before. If I had had I/C, then I would have probably had a cerclage done and been watched closely. Same thing goes for my c/s - the reason I had to have one was position and the cut was the traditional low, horizontal cut so I supposedly have a really good chance at a VBAC.

I would definitely ask them to explain what they mean so that you know what a next pg would be like.

 

The only reason I was considered high risk in my second pregnancy was because of Advanced Maternal Age (don't ya love that?). I was 40 when I became pregnant with Liam. I had less u/s, but did have NST weekly after about 30 weeks. The issues I developed at the end of my twin pregnancy I was told were more likely because it was a twin pregnancy. I delivered at 39 weeks and never went into labor (again).

 

I also asked this at my last apt. I will not be considered high risk this time around. I too had early dilation and PTL with the twins, however, this was more than likely because it was a multiple pregnancy. I only carried to 34 weeks.

 

Nope. However, I will be keeping an eye on my fluid retention after the ordeal I had last time 45 lb rapid weight gain in my last month of pregnancy).

 

I don't even think I was considered high risk with my twin pregnancy! LOL Other than my level 2 ultrasounds & my NST's towards the end, it felt like a singleton pregnancy. My first appt. is next tuesday.

 

QUOTE(twinzmom2b @ Aug 30 2007, 08:13 AM) [snapback]386009[/snapback]
I also asked this at my last apt. I will not be considered high risk this time around. I too had early dilation and PTL with the twins, however, this was more than likely because it was a multiple pregnancy. I only carried to 34 weeks.


My OB basically told me the same thing about the PTL being a result of carrying multiples, but he said there was no way to know for sure because I haven't had any singleton pregnancies to compare it to. That is why I will be "watched closely" for PTL this time.

Thanks ladies for all of your responses!

 

Nope. I didn't have PTL with my twins. Ironically this time around I had a subchorionic bleed, so I'm a little more at risk for PTL. But they aren't really watching me too closely, and I don't think they consider me "high risk"... the only difference is that I had tons of u/s in the first 20 weeks..and now I have growth scans every month to make sure she's growing okay.

 

This pregnancy was a twin pregnancy I found out around 9 wks it was twins again during a trip to the er for bleeding. A week later at my first scheduled sonogram twin A had vanished. My doc told me if I wanted I could transfer back to the midwifes because I was no longer high risk. Im personal in denial I guess cause I still feel like there is two. Im huge for 14wks

 

This pregnancy was a twin pregnancy I found out around 9 wks it was twins again during a trip to the er for bleeding. A week later at my first scheduled sonogram twin A had vanished. My doc told me if I wanted I could transfer back to the midwifes because I was no longer high risk. I didnt because something told me not to. I guess Im in denial cause I still feel like there is two in there. Im huge for 14wks compared to last time.

 

Yes, I am being treated as high risk. I had bad pre-eclampsia with the girls and they are watching for that. Also, at 18 weeks they thought that my amniotic fluid levels were low so they are still monitoring that. I don't mind all the extra u/s. It has been neat to see the baby so often. I've been going once a month for a growth scan. I've been having a lot of other testing too though. I had to do a 24-hour urine test to check for proteins. And, I've had a lot of blood work done. I was told last week that I actually have track marks on my good vein because they've been doing testing so much. I guess I'd rather them be over cautious but I can do without all the needles.

 

I am high risk again. Technically higher risk then I was with the twins, LOL, but I have other medical problems this time around that cause more concern. It isn't because I was high risk with my twins. They were delivered at 35weeks. I would ask for more clarification and would be aware of PTL signs regardless of what they say.