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

Anonymous
Anonymous wrote:
Anonymous wrote:I had GD and had to take a pill (elected for this rather than insulin). Foxhall never mentioned inducing me early and I was measuring ahead 2 weeks the whole time. They were wonderful. I delivered at Sibley.


OP here. Ob officially dropped me and is sending me to find a doctor through my MFM who's recommending a doctor that delivers at Shady Grove. I really don't want to go there....was there a particular doctor you liked at Foxhall? Thanks!
loved Dr. Green. Dr. Abraham is also wonderful. I really actually liked them all...even Dr. Lightfoote, my least favorite, is smart and I would have been comfortable with her delivering my kids. Good luck! Your OB is so shitty to do this to you.
Anonymous
Anonymous wrote:
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.


Your solo practitioner doesn’t have privileges outside of Sibley? Mine (Dr. Brendan Burje) delivers at Georgetown for high risk pregnancies, and at Sibley otherwise.
Anonymous
Anonymous wrote:
Anonymous wrote:
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.


Your solo practitioner doesn’t have privileges outside of Sibley? Mine (Dr. Brendan Burje) delivers at Georgetown for high risk pregnancies, and at Sibley otherwise.


Typo - Brendan Burke
Anonymous
Anonymous wrote:
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.
I’m surprised by this too. I am pp that had GD and delivered at Sibley with Foxhall. Baby had low blood sugar and I said give all the formula!! Sadly it didn’t work and DC had to be in the special care nursery for almost 1.5 days.
Anonymous
Anonymous wrote:Why isn't your MFM delivering you? They're better equipped to deliver GD babies. They are usually trained to break the clavicle of the baby if it gets stuck due to GD and being too big. Your OB should have transferred your care.


Geez, why not just do a planned c?
Anonymous
Anonymous wrote:
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.


Op here. Sorry if I forgot to mention, but I do have a MFM, they just don't deliver.
Anonymous
This is unfortunate OP, but better be dropped now than have an OB who for whatever reason does not feel equipped to deliver you safely. I'd just go with whatever practice/dr your OB or MFM can transfer you to quickly.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I had GD and had to take a pill (elected for this rather than insulin). Foxhall never mentioned inducing me early and I was measuring ahead 2 weeks the whole time. They were wonderful. I delivered at Sibley.


OP here. Ob officially dropped me and is sending me to find a doctor through my MFM who's recommending a doctor that delivers at Shady Grove. I really don't want to go there....was there a particular doctor you liked at Foxhall? Thanks!
loved Dr. Green. Dr. Abraham is also wonderful. I really actually liked them all...even Dr. Lightfoote, my least favorite, is smart and I would have been comfortable with her delivering my kids. Good luck! Your OB is so shitty to do this to you.


Op here. Thank you! I'll call them tomorrow.
Anonymous
Anonymous wrote:
Anonymous wrote:
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.


Your solo practitioner doesn’t have privileges outside of Sibley? Mine (Dr. Brendan Burje) delivers at Georgetown for high risk pregnancies, and at Sibley otherwise.


Op here. Honestly I didn't get to ask since he dropped me so quickly.
Anonymous
That's really weird. Maybe his insurance lapsed or recently had a traumatic delivery or something.
Anonymous
OP: Who is the OB that dropped you?
Anonymous
This sounds so strange. I go to a solo practicioner in dc & had a GD baby this winter at Sibley. Never once was transferring this pregnancy brought up. An earlier pregnancy had to be delivered at Georgetown bc I needed an emergency c-section at 31 weeks but even then I was never dropped, the OB stayed involved in my care.
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.


I would imagine OP would at least want to make sure whoever does the delivery will take her insurance...I wouldn’t just show up.
Anonymous
Anonymous wrote:
Anonymous wrote:
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.
I’m surprised by this too. I am pp that had GD and delivered at Sibley with Foxhall. Baby had low blood sugar and I said give all the formula!! Sadly it didn’t work and DC had to be in the special care nursery for almost 1.5 days.


NP - my DS has low blood sugar - I nursed him and he was monitored (which would happen with formula anyways) until he had three tests above the cutoff. There was no mention of using formula unless he didn’t stabilize within 24 hours. If it dropped drastically I’m sure more intervention would have been discussed. A lot depends on the individual doctor on duty and hospital protocols.
Anonymous
Anonymous wrote:OP: Who is the OB that dropped you?


I'll definitely post his name and my experience after I have the baby. Right now I want to stay on his good side since I need a smooth medical record transition.
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