Booking appointment and kicks

Today I’m 23 weeks and as of yesterday finally all booked in for maternity care in London. The booking-in appointment at the hospital antenatal clinic where I self-referred was at 8:30 in the morning and we ended up being late… Traffic was horrendous meaning that a 15 minute journey ended up taking almost an hour. Welcome to London! šŸ™‚

Anyway once we got there we were seen by a midwife who booked me in by spending ages asking loads of questions about our social and medical history. They took all the blood tests and did a quick scan since I’m still not in possession of my records or test/screening results and scan reports Ā from Amsterdam. I have tried calling and also sent a letter recorded delivery. Still no response. It makes me wonder if my file is still missing… But maybe at this point it does not really matter much anymore.

The midwife booking me in did not seem to know anything about the issue with the marginal insertion of the cord which the obstetrician in Amsterdam told us represented a risk at birth. But because it’s an IVF pregnancy it seems to be standard practice here to provideĀ obstetrician-led care at the hospital antenatal clinic all the way through, i.e. both antenatal care and birth. So as far as we understood this means I will mainly be seeing obstetricians rather than midwifes. The first appointment with an obstetrician is in two weeks. Hopefully we will then be able to get the issue with the cord investigated further (see update below). Although the ultra sound technician who did the quick scan yesterday told us that it’s not something they normally check for in the UK. I am also curious why an IVF pregnancy is viewed as a risk factor generally (see update below). We have not heard this before and since it’s not a twin pregnancy I wonder what it’s all about. Has anyone else been told there are more risks associated with IVF pregnancies then normal pregnancies?

Regardless, I’m happy to be offered consultant-led care at the hospital in any case. It’s not that I’m particularly worried. I just prefer medical professionals with as much knowledge as possible.

All that aside, everything seems to be going great with my pregnancy! My bump is growing and the scan yesterday revealed that our baby boy is indeed growing as he should. I’m feeling his kicks and movements daily and it’s absolutely amazing. My husband has been able to feel them from the outside as well for the last 2 weeks or so. The kicks are getting stronger by the day and I love it every time he gives me that little sign of life. It’s a strange, fascinating and wondrous sensation. That combined with my growing bump makes it so much more real.

*Update: Two weeks after the booking-in appointment we got to see a consultant, but it did not yield any more information about the umbilical cord issue. Apparently here in the UK they do not regard marginal insertion as a problem and we were thus more or less told not to worry about it. They do however view IVF pregnancies in general as more risky – particularly with regards to being overdue which they said involves a higher risk of stillbirths. They are therefore planning to induce me at 38 weeks.

Read more about about marginal insertion of umbilical cord here:Ā http://www.jultrasoundmed.org/content/21/6/627.full.pdf+html

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7 responses to “Booking appointment and kicks

  1. Here in the US once I got the all clear 12 weeks after my IVF, I was free to see a midwife. I’m not considered high risk just because I had IVF, and haven’t heard why I would be. Hope it all works out!

  2. Good that you have been seen and is in the system now. But no, they didn’t consider my pregnancy high risk and I saw a midwife at my GP’s office from week 10 I think, but I got an offer to meet with a consultant dr at the hospital to ease any worries (before we knew anything was wrong). And the traffic, it’s bad were I’m at but I can just imagine London, how stressful.

  3. Over here in Germany, an IVF pregnancy also automatically counts as high-risk (however, I could still get prenatal care by a midwive; except for the ultrasounds). So does “advanced maternal age” and all sorts of other stuff. However, it’s still up to the doc to decide if they really treat you as a high-risk patient (which basically means appointments every two weeks instead of every four, more ultrasounds and a chance to have some other stuff paid for by health insurance that you’d normally have to pay for out-of-pocket).
    I have three “things” that make me “high risk” (IVF, 39 years old, taking asthma medication) but my doc has treated me like a normal patient every since we saw a heartbeat and that baby’s measuring in time. He is doing an US every time I see him (instead of the 3 you normally get throughout your entire pregnancy), but he does that for all his patients.

  4. Hi Irene lovely to hear your boy is booting you too… Doesn’t that and the bump just change everything? It goes from being a ‘medical’ unreal thing to being about a real baby. I finally FEEL pregnant. My clinic said that once I was pregnant its a normal pregnancy, yet every specialist I’ve seen since in Australia puts you in a high risk category just for being ivf. That happened before any of my other complications, and was before my age was discussed. I guess it differs w each professional . I know now, through experience, that there’s a lot of issues that are 5% risk in a ‘normal’ pregnancy that become 20% risks after ivf. But for most of us, it doesn’t change a thing… I think with me one small thing went wrong which set off a chain reaction, I was just unlucky. I think it’s good you’ll be seen by obs when there are issues you want looked at, and I’m sure the cord insertion thing will just be a point of monitoring, not a game changer. It’s so cool to hear from someone at the exact same point!!!

  5. Bachelor's Button

    How brilliant Irene. No idea why you are considered high risk (I am obviously) but I would go with it if it means you get consultant led care (which tends to be very good – as long as you get the same consultant each time rather than different ones, or are fobbed off with their registrar/SHOs). So pleased your little boy is doing so very well. Wonderful news. I must have missed a post as didnt know it was a boy. Enjoy those little kicks (and hope they arent keeping you awake at night)! Hxx

  6. Just caught up with your news – how great that it’s all good. I’m glad you’ve pulled off a big move and are now plugged into the system over there. I have lots of friends who’ve had babies on the NHS and don’t know of any bad experiences. *Also have you watched One Born Every Minute? Or a great recent series, which is drama based on a history of midwives in the East End, Call the Midwife? I’ve been loving both, in different ways, as I try to get my head around this childbirth thing looming ahead of us. Anyway, so so so pleased it’s a boy and he’s doing well xxx

  7. myjourneythruinfertility

    So happy all is going well and that your are enjoying all of the special little movements that make pregnancy so real and such a miracle!

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