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Little advice please

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Lynsey
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Little advice please

Postby Lynsey » Thu, 22 Jul 2010 6:07 pm

Hi All

Just a little advice if anyone can help.

I plan to stop taking the pill in Oct, and thought i would just go to the drs the month before to ask advice about vitamins etc, as i would have done had i been at home (UK).

However when i went for a repeat prescription early this year the dr tried to say i must go for a pre-marital check up (at a cost of 175) and that i need to plan a year in advance etc............she really laid it on heavy.

Anyhow i never went as i had a full medical when i left the uk for here and so believed it wasnt necessary.

I was just wondering am i correct in going the month before for advice? Im just concearned they will push me intot hings that i dont want!!!

Thanks - any advice is appreciated
x

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gravida
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Postby gravida » Thu, 22 Jul 2010 7:56 pm

What will the check up include?
My doc didn't want to do any special preparations, when I've asked him, he just told me to take folic acid and try.
I have waited half a year after stopping the pill and starting TTC, as I thought it will be good idea.
I also insisted to have blood test for toxoplasmosis and cytomegalovirus, which is not a standard here before conceiving. They will run those tests after confirming the pregnancy, which again in my opinion would be a little too late, so I've done it before.
Other than that what you need is a PAP smear and normal checkup, I think. Nothing special.

Good luck :)

Lynsey
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Postby Lynsey » Thu, 22 Jul 2010 9:29 pm

Hi

they wanted to do SPAMMER called a pre marital which involves a blood test which checks for all sorts from rubella to HIV etc etc, and I had a full medical before comin out here, so I just didn't think it was necessary, so didn't go to get it done.

I made the decision that I will just go end aug to ask for advice etc, but nothin more.

I'm up to date on pap smear etc so I just felt they were all about the money.

Will stick to what I feel is right I suppose. Just wanted a little reassurance.

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Postby poodlek » Thu, 22 Jul 2010 10:34 pm

It seems to me that if you were healthy a few months ago, and your vaccines are up to date (since you can't get boosters when you're pregnant, and you def don't want to contract any nasty viruses when you got a bun in the oven) you should be just fine. I'm wondering though if this "premarital" exam is some sort of liability thing for insurance? If that's the case, then perhaps you can just offer to show your medical records?

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Postby Lynsey » Fri, 23 Jul 2010 9:24 am

All my vaccines are up to date, so I'm sure I'll be fine, like u say I was perfectly healthy 12 months ago.

I have no idea why she was pushing it other than money..... But I just got concearned as I want to do all I can to make sure I'm as healthy as can be!

I think I am doing that and just lack of experience made me question if I should have it, and that it's what all women do........ Here that is!

Thanks for the info
lyns

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Postby gravida » Fri, 23 Jul 2010 9:44 am

Well, the other thing is as I mentioned before that regular checkups and vaccinations do not cover stuff that is directly related to the condition of the fetus. Like toxoplasmosis and cytomegalovirus. CMV is something you can get very easily and normally goes unnoticed but can be very dangerous for the developing baby. Same with toxoplasmosis. Same with rubella - if you did not have it as a child and were not vaccinated (not all countries require it, I think) - then she may want you to get vaccinated before getting pregnant.
Of course, she should explain you that in details and not just mention about the "package" or check up.

Anyway, you should do what you feel is the best for you.

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Postby missis » Fri, 23 Jul 2010 9:48 am

In the UK rubella jab is mandatory for girls so you would have had that. Sounds like a money-spinner to me.
Noone I know ever had checks for toxoplasmosis or CMV before TTC.

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Postby gravida » Fri, 23 Jul 2010 1:10 pm

missis wrote:Noone I know ever had checks for toxoplasmosis or CMV before TTC.


And what does it proof other than they were lucky (or rather their children) not to have any ongoing infections? ;)

I know lots of people who have never been vaccinated against flu, but that doesn't mean that having jab is ridiculous.


By the way, Lynsey, are you sure you want to continue with the gynea who you do not trust? Since you are suspecting she wants to do the check up just to earn on you, will you be able to be comfortable with her during pregnancy?

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Postby Lynsey » Fri, 23 Jul 2010 1:47 pm

That's a good question!!

To cut a long story short, it was not the dr I normly go to see she was covering a holiday. I was initally told by my dr I wdnt need to go in for repeat presc that I cd call, so 6 months later I rang and this other dr demanded I came in........ So I went and was in over 20 mins....... She gave me a breast examination, felt a lump and sent me to the hospital for a ultra sound, and was trying to force this pre marital thing on me! So no I wd not trust her! I felt the whole episode was to do with money, and being on my own was all a very unpleasent experience.

When I went back the next day with results from hospital it was the original dr, and she then treated me like I was wasting her time, going through the results!!! So I'm not entirely comfortable......... But the end or the day you have to trust these people.

I wish I cd talk to my mum about it really but she's 6500 miles away and I don't really want to tell her anything yet!!

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Postby poodlek » Fri, 23 Jul 2010 4:17 pm

gravida wrote:
missis wrote:Noone I know ever had checks for toxoplasmosis or CMV before TTC.


And what does it proof other than they were lucky (or rather their children) not to have any ongoing infections? ;)

I know lots of people who have never been vaccinated against flu, but that doesn't mean that having jab is ridiculous.



I've never even heard of either of those viruses. Do they go by common names? Maybe it's something that's more common on this side of the world than in the West? I'm certain I was never vaccinated for those but it's too late now for me and my foetus :-)

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Postby missis » Fri, 23 Jul 2010 6:50 pm

gravida wrote:
missis wrote:Noone I know ever had checks for toxoplasmosis or CMV before TTC.


And what does it proof other than they were lucky (or rather their children) not to have any ongoing infections? ;)

I know lots of people who have never been vaccinated against flu, but that doesn't mean that having jab is ridiculous.


By the way, Lynsey, are you sure you want to continue with the gynea who you do not trust? Since you are suspecting she wants to do the check up just to earn on you, will you be able to be comfortable with her during pregnancy?


So all the people trying to conceive (and as I say, I've never heard of this) who don't go for these unnecessary tests then go on to have healthy pregnancies and children are "lucky"? Sorry, it's over the top and paranoid.
Otherwise, I agree, find another OB/gyn.

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Postby gravida » Fri, 23 Jul 2010 7:25 pm

Yep, you may treat it as paranoia. I will allow myself on the other hand call it irresponsible to be a mother or mother to be and not know what is toxoplasmosis or cytomegalovirus. We both have full right to our own opinions.

Poodlek, they are both commonly used terms and have nothing to do with geographical location.
Toxoplasmosis is a parasitic illness, that you may 'catch' by getting in contact with unwashed fruits, raw meat or simply poo of infected animals (cats). If you will be infected while getting pregnant or will get it during the pregnancy, especially in th early stage, it may lead to serious problems with the foetus, such brain damage.
More here: http://en.wikipedia.org/wiki/Toxoplasmosis

Cytomegalovirus (CMV) is a virus that can easily spread from human to human, as it can be found in saliva, urine, tears, blood, semen, breast milk. Often it goes unnoticed when you get it, as it gives symptoms like a light flu. When passed from the pregnant mother to the baby - it can cause deaf and blindness.
http://en.wikipedia.org/wiki/Cytomegalovirus

Both toxoplasmosis and CMV are part of a TORCH group of illnesses that are dangerous for the foetus and pregnant woman are usually tested after the pregnancy is confirmed.
http://en.wikipedia.org/wiki/TORCH_infections

TORCH complex is commonly tested in Singapore, as a routine blood work once the pregnancy is confirmed by the gynea.

In my opinion (and everyone has to have his/her own, I am not trying to convince everyone, especially those who treat prevention as 'over the top' approach) there is too big risk for the baby to simply ignore it. All it takes is to let the doctor to draw your blood, test for the TORCH group and if it will be needed - take a medication that can help easily. Once you get it when you are pregnant or will get pregnant once you have it, there is still possibility your baby will be fine. Well, again it's better to be safe than sorry IMHO.

On the other hand, there will always be people who will easily call other paranoid etc. when one decides not to drink AT ALL alcohol during pregnancy or breastfeeding, avoid medication, eat well and do other things that will lead to healthy baby. After all, there is no guarantee. One may not care for herself and have a perfectly fine baby and other can stand on the head and dance around and end up with sick one. Yet, my philosophy is - since I am getting pregnant on purpose, I am aware and will do my best to have a healthy little one.

BTW, toxoplasmosis is so well known that even Hugh Grant in "Nine Months" movie knew what it is, and he was not planning for a baby :lol: :lol: :lol:

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Postby poodlek » Fri, 23 Jul 2010 8:01 pm

gravida,

Thank you for your information. It appears I misread what you wrote originally, I thought you meant that there were vaccines for these conditions (of course I've heard of the parasite you can get from cat poo, but a vaccine wouldn't help that, so I thought toxoplasmosis must be something else). I believe I exercised due diligence in getting a preconception check up and advice from my GP before TTC (which is the topic of the OP), and she never mentioned anything about these two conditions, which is why I thought it was unusual. In fact, she confirmed that all my boosters (MMR and DPTP) were up to date. Now that I understand you're talking about bloodwork a woman gets done AFTER she is pregnant, I'm on the same page. My OB mentioned this at my last visit and I'll be having it done in a couple weeks.

Fortunately, I trust my doctors to put my health and the health of my baby in their best interests. OP I'd be happy to recommend my OB/GYN to you.
Her name is Dr. Mary Rauff at NUH.

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Postby gravida » Fri, 23 Jul 2010 8:19 pm

Yes, this is routinely done as a compulsory test AFTER getting pregnant.
I've done it also before I got pregnant, when I was TTC, as I believed it will be easier and on the safe side to treat an illness (if any) before having a bun in the oven.
This was purely my own decision and I am not saying that everyone should follow. I felt better knowing that I've done everything I could think of before I got pregnant and REALLY paranoid (first trimester was stressful enough for me).
There are most likely millions of women who had the tests done only after they got pregnant and it didn't lead to any problems. However, for me, if there is at least one in a thousand who ended up with unhealthy baby just because she didn't check on TORCH illnesses... I prefer not to take the risk to be the one in a thousand, since I can easily avoid it.
It's my way. It doesn't mean that if someone didn't do it while TTC, she is anyway in wrong. I like to know. I read a lot during the pregnancy, so I know what is going on and what can I do to minimize the risk. I cannot control everything, but there is a lot I can do just by being aware.

Hence, I thought that the gynea who suggested some pre marital check up could suggest it not only to ripe OP off, but to do the thorough check. It was just a suggestion.

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Postby missis » Sun, 25 Jul 2010 10:36 am

Ah, now it makes more sense. I was in Japan when pregnant and was tested "to check for any infections" (language barrier - I speak some Japanese but not medical stuff) - but this was done a long time into the pregnancy and was not mentioned before I got pregnant (even though the doctors knew I was TTC). The names of the "infections" were not mentioned but it must have been these.
Apologies Gravida, that's why I didn't make the connection.
:oops:


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