right MFM, NICU hospitals, pregnancy after loss please help

[Anonymous]

I have a history of pre-term labor and birth (DC1 was born at 32 weeks, DD only made it to 38 weeks with progesterone injections). The first thing I would do is go with an OB and MFM specialist that has a plan for the reasons WHY you experienced a pregnancy loss. A second trimester loss is not typical. Do you know why it happened, and what are the possible options against it happening again? Second, the NICU. For me, obviously, very important that it be a level 4. Don't feel that you need to match the OB with the hospital with such a NICU, OP. There's pre-birth care, and then there's birth. The best OB to oversee your high-risk pregnancy may not be present for the birth, and that's fine. Once you go into labor, they can try to stop it, or try to get the baby out, and there are only so many ways to do that.

[Anonymous]

Georgetown. Great NICU and I've heard good things about the MFMs and regular OBs.

[Anonymous]

Anonymous wrote:I was in your similar situation. I was seeing Dr Ahmadzia at GW, but got so frustrated with her failure to unresponsive to my follow-up emails after she told me I may have placental issues. Dr. Macri was the most responsive and helpful. But he no longer delivers.

Since I had heard so many mixed reviews from GW, I decided to transfer to Inova Fairfax at 24 weeks (I waited till after my fetal echocardiogram to make the official transfer). I'm so glad I did. The MFM I meet with takes the time to explain and answer all my questions. I never feel rushed. The only drawbacks are having to meet individually with an obgyn and MFM, but my obgyn does allow virtual appointments. And yes, it's farther, my obgyn is next to the Ballston metro.

Thank you. Sad to hear Dr. Macri no longer delivers. My OB told me he is retiring soon. Who do you see at Fairfax? Do you plan to deliver there? Are you based in DC?

[Anonymous]

Anonymous wrote:I have a history of pre-term labor and birth (DC1 was born at 32 weeks, DD only made it to 38 weeks with progesterone injections). The first thing I would do is go with an OB and MFM specialist that has a plan for the reasons WHY you experienced a pregnancy loss. A second trimester loss is not typical. Do you know why it happened, and what are the possible options against it happening again? Second, the NICU. For me, obviously, very important that it be a level 4. Don't feel that you need to match the OB with the hospital with such a NICU, OP. There's pre-birth care, and then there's birth. The best OB to oversee your high-risk pregnancy may not be present for the birth, and that's fine. Once you go into labor, they can try to stop it, or try to get the baby out, and there are only so many ways to do that.

Thank you. The MFM at GW couldn't find a reason for my PPROM, it all happened so suddenly. I am looking to get a second opinion from another MFM outside GW.

However, GW MFM has been so nonresponsive that now I am thinking of keeping an OB at GW and seeking an MFM outside GW. The metro accessibility is key for me.

[Anonymous]

Anonymous wrote:Would you consider Georgetown? They have an excellent NICU. And the nursing care is supposedly great. GW is an administrative mess.

I’m really sorry for your loss. If you haven’t scheduled an appointment to debrief with the provider about what happened, I strongly suggest it.

Thank you. my OB at GW immediately suggested I see an MFM at GW and she couldn't find any reason why my water broke suddenly. I am considering Dr. Driggers at GT.

[Anonymous]

Hey OP, I'm here to learn and listen too. I had a second trimester loss back in December. No answers, all tests were negative and literally nothing to do or change. We've been trying since my recovery. Nothing. My periods are terrible too.

[Anonymous]

Anonymous wrote:I'm the poster above who transferred to Inova Fairfax. I wanted to add that before I transferred, I was seeing both Dr. Ahmadzia at GW and an MFM at Inova Fairfax. The issue with records was never a problem as both hospitals use MyChart and could access each other's records. So you could see an MFM outside GW without issues with records. Just make sure they use MyChart and make sure each hospital enables the share part on your profile.

This is so helpful. Thank you

[Anonymous]

Daphne Drassinower at a Georgetown is so kind and compassionate. Dr. Landry is also wonderful. Less hand holdy, but very comforting nonetheless. You just know she knows what she’s doing. The general OBs there are also very good for the most part. Dr. eguiguren (sp?) was my favorite.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I have a history of pre-term labor and birth (DC1 was born at 32 weeks, DD only made it to 38 weeks with progesterone injections). The first thing I would do is go with an OB and MFM specialist that has a plan for the reasons WHY you experienced a pregnancy loss. A second trimester loss is not typical. Do you know why it happened, and what are the possible options against it happening again? Second, the NICU. For me, obviously, very important that it be a level 4. Don't feel that you need to match the OB with the hospital with such a NICU, OP. There's pre-birth care, and then there's birth. The best OB to oversee your high-risk pregnancy may not be present for the birth, and that's fine. Once you go into labor, they can try to stop it, or try to get the baby out, and there are only so many ways to do that.

Thank you. The MFM at GW couldn't find a reason for my PPROM, it all happened so suddenly. I am looking to get a second opinion from another MFM outside GW.

However, GW MFM has been so nonresponsive that now I am thinking of keeping an OB at GW and seeking an MFM outside GW. The metro accessibility is key for me.

If I get pregnant again, this is what I will be doing. I've already discussed with my GW OB; she is fully in support of me going where I feel like I will receive the best care (as I've determined over multiple pregnancies, one of which was an early 2nd trimester TFMR, that GW MFA is not a good match for me)...I will be going to Sibley MFMs. Unfortunately, that's not probably not metro accessible for those who need that.

[Anonymous]

Hi Friend - I am so sorry. I had a full term stillbirth and just had my second son last month. Pregnancy after loss is tough. I saw Dr. Gallagher (MFM) at George Washington University and was really happy with the care.

[Anonymous]

Anonymous wrote:Daphne Drassinower at a Georgetown is so kind and compassionate. Dr. Landry is also wonderful. Less hand holdy, but very comforting nonetheless. You just know she knows what she’s doing. The general OBs there are also very good for the most part. Dr. eguiguren (sp?) was my favorite.

Seconding Georgetown. It’s also really easy to get in touch with your providers, especially compared to GW, which what drove me insane there. Every time I called or messaged my doctor, I’ve heard back from the doctor within hours, if not sooner.

[Anonymous]

I had a full term stillbirth in January due to a cord accident and am newly pregnant looking for an Mfm. When I was pregnant with my son, I saw the MFMs at sibley because he was measuring small. Even knowing cord compression is hard to detect, I just feel uneasy going back after getting so much reassurance that everything was fine and then having my son die at 39 weeks. Any advice on MFMs who can compassionately deal with my anxiety would be much appreciated. Most curious about Georgetown doctors.

[Anonymous]

I’m sorry for your loss pp. I don’t have any insight into Georgetown MFM (or stillbirth) but hope you get some recommendations.

I lost my first son as a baby and in my second pregnancy saw Dr. Bathgate a lot at GW, who is very compassionate and a great doctor. Unfortunately, GW admin is a huge pain. Best of luck.

[Anonymous]

This may not be helpful to OP but wanted to leave it for anyone else browsing. I loved Dr. Novak at Sibley MFM.

[Anonymous]

This rec is no good for convenience, but I'm going to the Rainbow Clinic at Mt Sinai in NYC in addition to seeing a MFM at GW where I plan to deliver. I am very happy with the care at Mt Sinai. The Rainbow Clinic is specifically for parents who have experienced still birth and my Dr is so much more thorough and took my concerns seriously. You can call and see if they will see you as you prep to try again.