Asking for my wife
She's 34 weeks pregnant today, diagnosed with GD at 28 weeks. Has been taking 3x500mg metphormin and the fasting number is still difficult to control so she may soon be starting insulin. All other post meal numbers - they have never spiked.
So we are going to Women's health center since beginning of pregnancy as the Hospital we wanted to go *Henry Ford* didn't have immediate appointment available when we found out she was pregnant. This center has like 5-6 OBGYNs , where we take appointment every time with a different one so during delivery we know the doctor well by then.
This small center is affliated with this hospital and the doctors here deliver the baby at Henry Ford hospital.
At her 24th week return OB appointment, the assistant measured her BP high which was re-taken after 30-50 minutes - it again came high so the Doctor sent us to emergency L&D at Henry Ford hospital, where she was monitored for 2 hours and all blood tests were done to rule out anything.
All reports were good and not even a single spike was recorded during triage stay. Fair to say this day was very stressful for her and me.
I also bought a BP monitor to measure her BP twice a day.
next week's follow up OB appointment, they again measured her BP high so I asked the doctor to measure it herself as none of the measurement i took at home ever came high. When she measured she immediately noticed incorrect cuff size, and when re-taken with larger cuff it came normal.
At her 27th week OB appointment again the assistant measured her BP high. I told her to use larger size cuff and then it came back normal. It took them 3 visits to even put in her chart to use larger size cuff. Before every OB visit, my wife started having anxiety and stress. This was STRIKE ONE.
As i mentioned she was diagnosed with GD at 28 weeks and on a diet which is managing her numbers, except fasting one. From 32 weeks they started 2 NST per week and 1 AFI every week.
During the second NST visit, baby's heartbeat was great entire time (130 baseline with accelerations) and it didn't dip below 120 at all for first 20-25 minutes. As soon as the Doctor came in, she started moving around the sensor and somehow the reading went below 120 and again started coming back up and was normal after. But the doctor didn't bother to check the previous 20 minutes NST and directly as soon as she saw the dip said she's sending us to L&D at Henry ford hospital. We were stressed and went to the hospital where she was on NST for 4 hours. No decelerations noted during entire stay and we were sent home.
At the week's second NST visit at our center, everything went well.
Now this week we had our third NST, she was monitored for around 30 minutes , doctor came midway through it and again moved around the sensor, monitored for another 10-15 minutes. The result she said is NST reactive, which is good I know. But the baseline she told the assistant to write is 120. Whereas I was there the whole time, at maximum it touched 120 maybe 2 or 3 times and it was above 130 all time. I didn't ask the question then to doctor and thought once the NST result is available , i will check it myself and then ask if it's true.
So today the NST became available and I uploaded on chatgpt to ask baseline, it confirmed basically 135. So i asked another doctor from same women's health center about it - that why did the other doctor that day mention baseline 120 and also send her the NST as attachment.
Even she replied yes the baseline looks 135 but even 120 which is noted is within the healthy spectrum 110-160 and reactive so its good.
For which I replied 'shouldn't the 135 value be reflected then '
That doctor took much offense to it and basically said she's concerned that we are not trusting the practice and doubting her/her partners there. Also, to not contact her again without wife present and future questions only face to face. STRIKE TWO.
At this point, I feel it is our job to ask questions to understand what is going on so we are prepared. They have made us feel like shit honestly. Cannot question them. I am not qualified to perform what they do, but understanding something which we don't know I feel is part of their job , specially for mother and FOB.
There is always anxiety before visits.
Do you feel we should switch OBGYN directly to hospital ?