Ob no longer delivering me due to having GD and insulin dependent, 35 weeks - what to do?

[Anonymous]

Anonymous wrote:Please do not just show up to Sibley. They have made it clear that they are not prepared to deliver you. Georgetown is a wonderful hospital with excellent OBs and nurses. I would see if there is any chance you can get an appointment with Dr. Kelly (she sees patients at the main hospital as well as an office in Tenleytown)- she is so kind and will make you feel comfortable. She's also an excellent doctor.
Best of luck!

It’s not like she is trying to surprise some midwives at a birth center. Sibley is a hospital, fully equipped, and prepared to deliver her allegedly 99% baby. If the kid is that big, OP, you’ll end up with a csection anyways. No need to fret for a m9nth about how to deliver a macrosomic baby, they’ll get him out for you, without breaking any clavicles.

[Anonymous]

Anonymous wrote:Please do not just show up to Sibley. They have made it clear that they are not prepared to deliver you. Georgetown is a wonderful hospital with excellent OBs and nurses. I would see if there is any chance you can get an appointment with Dr. Kelly (she sees patients at the main hospital as well as an office in Tenleytown)- she is so kind and will make you feel comfortable. She's also an excellent doctor.
Best of luck!

Op here.
Thanks! Do you mind giving me dr Kelly's first name? I feel comfortable with Georgetown - used to work there actually so I know the lay of the land.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Please do not just show up to Sibley. They have made it clear that they are not prepared to deliver you. Georgetown is a wonderful hospital with excellent OBs and nurses. I would see if there is any chance you can get an appointment with Dr. Kelly (she sees patients at the main hospital as well as an office in Tenleytown)- she is so kind and will make you feel comfortable. She's also an excellent doctor.
Best of luck!

Op here.
Thanks! Do you mind giving me dr Kelly's first name? I feel comfortable with Georgetown - used to work there actually so I know the lay of the land.

Tara Kelly- do a search on here- everyone loves her!

[Anonymous]

Anonymous wrote:

Anonymous wrote:Please do not just show up to Sibley. They have made it clear that they are not prepared to deliver you. Georgetown is a wonderful hospital with excellent OBs and nurses. I would see if there is any chance you can get an appointment with Dr. Kelly (she sees patients at the main hospital as well as an office in Tenleytown)- she is so kind and will make you feel comfortable. She's also an excellent doctor.
Best of luck!

It’s not like she is trying to surprise some midwives at a birth center. Sibley is a hospital, fully equipped, and prepared to deliver her allegedly 99% baby. If the kid is that big, OP, you’ll end up with a csection anyways. No need to fret for a m9nth about how to deliver a macrosomic baby, they’ll get him out for you, without breaking any clavicles.

Op here.

That's a good point. I have a class there next week so I'll ask them about it too. Just bummed that I'm being dropped by my Ob because of baby's size and me being on insulin for GD.

[Anonymous]

I was insulin dependent with my third and never had an issue with my OB. That’s insane.

I’m not a doctor, but the GD didn’t really effect me. However, they tried to give the baby formula almost immediately because of low blood sugar. She was borderline low so I asked/insisted they let me try and nurse her more to see if that would work.

[Anonymous]

Definitely go to the best place for you, which medically speaking is the most equipped location for your particular profile. I'm with the PP who recommended going somewhere that you won't regret if baby needs a NICU stay.

I might not understand the DC scene well enough, as I am hooked into a practice that delivers at Johns Hopkins. But my experience at Hopkins is that one is followed by a particular OB -- or the OB team at a particular practice -- and then one goes into the main hospital to deliver. The OBs you know deliver at Hopkins, along with a bunch of OBs from other locations you haven't met. Last time, I didn't see the OB who followed me until a day after I delivered, which was her next rotation in L&D. So my thought is, why not deliver with a different OB? It doesn't under any circumstances need to be the same one -- however, you certainly want your case history going over and for the transition to be seamless.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Please do not just show up to Sibley. They have made it clear that they are not prepared to deliver you. Georgetown is a wonderful hospital with excellent OBs and nurses. I would see if there is any chance you can get an appointment with Dr. Kelly (she sees patients at the main hospital as well as an office in Tenleytown)- she is so kind and will make you feel comfortable. She's also an excellent doctor.
Best of luck!

It’s not like she is trying to surprise some midwives at a birth center. Sibley is a hospital, fully equipped, and prepared to deliver her allegedly 99% baby. If the kid is that big, OP, you’ll end up with a csection anyways. No need to fret for a m9nth about how to deliver a macrosomic baby, they’ll get him out for you, without breaking any clavicles.

Op here.

That's a good point. I have a class there next week so I'll ask them about it too. Just bummed that I'm being dropped by my Ob because of baby's size and me being on insulin for GD.

I'm the first PP quoted- I think I didn't explain my point well. Yes, if you show up at Sibely they will likely deliver your baby. However, don't you want to be at a place and with a dr that is fully prepared to deal with any complications by your higher risk situation? If it were me I would want to be at a hospital and with drs that deal with high risk situations routinely. Also, if there are any issues with baby, Georgetown or GW have higher level NICUs than Sibely.

[Anonymous]

Anonymous wrote:I was insulin dependent with my third and never had an issue with my OB. That’s insane.

I’m not a doctor, but the GD didn’t really effect me. However, they tried to give the baby formula almost immediately because of low blood sugar. She was borderline low so I asked/insisted they let me try and nurse her more to see if that would work.

Did it "work" PP? I. Ant believe you'd put your baby at risk against medical advice.

[Anonymous]

Anonymous wrote:I was insulin dependent with my third and never had an issue with my OB. That’s insane.

I’m not a doctor, but the GD didn’t really effect me. However, they tried to give the baby formula almost immediately because of low blood sugar. She was borderline low so I asked/insisted they let me try and nurse her more to see if that would work.

Op here. I was shocked when my Ob said today that he'd be dropping me, especially because he's one of highly recommended Obs on here. All I asked was if the baby needed to be delivered early, would Sibley be able to handle it since it's a level 2. He's always been like, we'll discuss your delivery later, and then bam, apparently it doesn't involve him because he doesnt have much experience with GD patients.

Which hospital did you deliver in? And did you like your Ob?

[Anonymous]

Anonymous wrote:Definitely go to the best place for you, which medically speaking is the most equipped location for your particular profile. I'm with the PP who recommended going somewhere that you won't regret if baby needs a NICU stay.

I might not understand the DC scene well enough, as I am hooked into a practice that delivers at Johns Hopkins. But my experience at Hopkins is that one is followed by a particular OB -- or the OB team at a particular practice -- and then one goes into the main hospital to deliver. The OBs you know deliver at Hopkins, along with a bunch of OBs from other locations you haven't met. Last time, I didn't see the OB who followed me until a day after I delivered, which was her next rotation in L&D. So my thought is, why not deliver with a different OB? It doesn't under any circumstances need to be the same one -- however, you certainly want your case history going over and for the transition to be seamless.

Op here. That makes a lot of sense since there was a chance that my Ob wouldn't be available anyway.

[Anonymous]

Is this one of the solo.practitioners? Seems cruel and irresponsible. And then your MFM wants you to hike all the way up to Shady Grove? Ugh.

[Anonymous]

Anonymous wrote:Is this one of the solo.practitioners? Seems cruel and irresponsible. And then your MFM wants you to hike all the way up to Shady Grove? Ugh.

Yep solo practitioner. When this all blows over I'll probably post something here about him so high risk/GD moms can avoid him. Super unbelievable experience so far.

[Anonymous]

That’s crazy!

I will say I almost had to deliver at Georgetown despite the fact that my ob didn’t deliver there, and the care there was amazing. Great mfm, docs, and phenomenal nurses.

[Anonymous]

Anonymous wrote:That’s crazy!

I will say I almost had to deliver at Georgetown despite the fact that my ob didn’t deliver there, and the care there was amazing. Great mfm, docs, and phenomenal nurses.

Op here. Wait so did you or did you not deliver there? Thanks!

[Anonymous]

Anonymous wrote:

Anonymous wrote:Forgive me, but I don’t understand why you don’t just continue to be monitored by your mfm for the next 3-5 weeks and show up at sibley for delivery as planned? The hospital won’t refuse you, just because your ob ‘dropped’ you.

FTM so I really don't know how this works - I thought I needed to line up an Ob to deliver me? Or should I just go to Sibley and have anyone deliver me there? I'm a little confused about this too.

You're considered high risk. You should be transferred to an MFM to monitor and deliver your baby. That is actually what should have happened through your OB once they can no longer handle your case. Talk to your MFM about it.