I was just going to respond to Niobe’s question about what Dr. K told me to expect this pregnancy in the comment section, but then it got really long so I thought I’d just post it.
She told me she expects that I’ll be very anxious during this pregnancy, but assured us that they want to help us through that. I described to her what happened in my last pregnancy, the dynamic cervix and the frequent contractions. She has my records but she wanted to hear how I would describe it all.
She said that my small frame and my history of contracting a lot in my last pregnancy will probably mean that it will happen again this pregnancy. She said she knows that will be very upsetting, but that we will watch it very closely with frequent appointments and many many of those lovely trans-vaginal ultrasounds.
She wanted more information about my labor, more details about the treatment choices made at the hospital, especially my reaction to the medications. She was careful not to say she disagreed with anything the hospital doctors did, but said that with the benefit of hindsight we can make different, hopefully more effective decisions (what those would be will depend on circumstances as/if they happen). Of course the first goal is to have me go to term without problems.
She said we would definitely do the cerclage, and that they have great success with that. Of course I know that it’s not 100% effective, but I want some optimism. Regarding progesterone treatment starting at 16 weeks she wanted to consult with the whole team at the practice, and we’ll talk about it next Friday. They’ve had great success with that too but she’s wary of deciding right now to do it, before we watch how this pregnancy progresses.
She assured me that if I called with complaints about contractions, I would be seen right away, they wouldn’t just assume B-H. That seemed to bother her, that I wasn’t seen enough about that, and that Dr. M’s office didn’t make an appointment with me right away after I’d gone to the ER with contractions at 19 weeks last time. But she was very diplomatic in saying that that’s the benefit of hindsight.
Aurelia asked why we had an appointment with a nurse anyway. I don’t know why that is, but it was that way at Dr M’s, and at every other office I called. The nurse at Dr. K’s office, S., though, was a thousand times nicer and more knowledgeable than any of the nurses at Dr. M’s. I felt like she took all my anxieties seriously and that she definitely understood why we are struggling to be excited and at ease over this pregnancy. Even the receptionists were nice and supportive.
Of course, I don’t want to go through this pregnancy fearful and nervous the whole time, but I certainly think it’s understandable and I’m so relieved to be treated like that’s normal under the circumstances, rather than a burden and some sort of pathology on my part.