I'm not sure what it is or what triggered it but I feel like I'm officially going bonkers. My head feels like it's all over the place but I'll do my best to keep this post coherent. I think I have some legitimate concerns wrapped up in my invented ones.
Perhaps this is all triggered by the fact that I'm 16 weeks today and have never felt less pregnant. The doppler has been great; I know the baby is fine. But:
1. I'm concerned about my risk for an incompetent cervix. I know the condition is relatively rare but so are four miscarriages (statistically speaking), so that isn't any comfort. Apparently one of the causes is trauma from a D&E or weakening of the cervix from forced dilation. My two D&Es and two hysteroscopies both fit this bill (at least partially) I'm not sure why my OB didn't check to be sure that all was ok at my last OB appointment at 14w5d OR want to follow-up with me before my next four week appointment, where treatment wouldn't really work. Anyone have any thoughts on this? At my last regular OB appointment (14w5d) they didn't do an u/s or an internal exam. My last u/s was at 13w5d due to spotting (which is often too early to see this problem) and I won't have another u/s for another four weeks or so (which to me could be too late to fix the problem).
2. Referring to #1, yes, I know I should call my OB. However, I'm thinking that I should switch. It's been a nagging feeling that I've had in the back of my head for a couple of weeks now. Why? Well, in their defense, they were great when I was spotting and fit me right in. They checked me out (via u/s) and said all was fine. But...
- I called over a month ago for my thyroid levels to be checked. I was due and left a message for a lab slip. They literally NEVER CALLED ME BACK. This may not seem like a big deal, by my thyroid always goes wonky when I'm pregnant. I saw a different doctor for my 1st trimester u/s and asked him for a lab slip (after waiting a week for them to call) and it was taken care of, but still.
- When I had my genetic counseling for the 1st trimester screen, the nurse asked if I had been on antibiotics because I had a slightly elevated level of bacteria from my urine test. Um, no. I didn't even know this. She then said oh, it must have been low enough that they weren't concerned.
- My last OB visit was awful. It was with a resident and she was horrible. She pushed me to have the 2nd tri bloodwork. Literally, she said that it's "just a blood test" and "what's the big deal about having it?" Then, she called me back bright and early Monday morning to tell me to set up an appointment with my hematologist (I saw him already...read my chart) and to PUSH, again, for this bloodwork.
So, I feel like if I call and express my concerns and say that I'd like to be checked internally to see that all is ok, I'm not even comfortable that they'll call me back. That's not really a good feeling to have.
If any of you have had similar conversations about this concern with your doctor, I'd love to hear about it. Also, feel free to tell me that I'm half-crazy, too.

