Strange appointment with GP - should I have said I'm pregnant (again)?

[Blankel]

I had a GP appointment today for a UTI, I'm 36 weeks pregnant (so I'm very pregnant). I was asked to provide a urine sample on arrival. I said to the GP that I'm 36 weeks pregnant and I also said that my midwife had tested my urine and said there are nitrates and protein in there and that she had sent me to them for antibiotics. Then the GP asked for my symptoms and I told her. She then asked me to get on the scales, which I did and it said I'm 70.2kg, which she calculated as a BMI of 28 and told me my BMI is overweight. She then asked to measure my waist, which I said ok to, and it was 99cm. She told me my height to waist ratio was very high (my waist is just under 2/3 of my height) and that I should "work on that", recommending that I try to go for a daily walk and work on my diet to improve it - and that it might ease my symptoms. She then said to wait for the urine sample results and I'd get a phone call if I need antibiotics.

I feel a bit confused. I'm very clearly heavily pregnant so surely the whole issue of having a skewed height to waist ratio isn't a problem? Or am I missing something? Should I have reiterated that I'm pregnant? I didn't want to sound like an idiot...it was really obvious that I'm pregnant - she literally was measuring my waist so can't have missed my bump! Should I be trying to lose weight?

I've come out of hiding to say PLEASE be pushy and get AB's asap. My DC was on NICU with some very poorly babies who were there because of untreated UTI's.

People here are starting to get snappy with you because this is very serious and very dangerous for both you and your baby and we are trying to make you see that you need to start stamping your feet. You honestly don't want this to escalate and wish you had spoken up earlier

Thank you, phoning now.

No, I am deadly serious that I would report your husband standing in the way of you seeking medical care for you and your unborn child.

Op is there a question around whether you actually have a UTI? That’s the only reason I can think why they wouldn’t give antibiotics straight away. When you call was it clear to them that you are 36wks preg and midwife has told you it’s UTI that needs meds? Or have you only told them that you feel unwell?

Sorry, only just read the rest. The gp should have prescribed the antibiotics before the results came back as precaution anyway and based on the midwifes findings.
i know it’s a faff but I would recommend attending maternity triage or whichever similar service is at your hospital, explain the situation and their doctor will be able to give you the antibiotics to go home with.

Kindly, I'm deadly serious that you need to stop wasting their time then. They're already stretched to hell and don't need that kind of ridiculous time wasting.

The midwife said there are nitrates and protein in my urine sample and she's sending it to the lab. I don't know whether that means I definitely have a UTI or not though.

learning.nspcc.org.uk/child-abuse-and-neglect/neglect

Some information on medical neglect for you, and this can include before a child is born.

You were told on Sunday to go to the hospital. It's Thursday and you're busy having a 'massive row' with your DH about this and arguing with me. Rather than taking any of the suggestions people on this thread - some of the medics - have made.

Yes. You should have reminded your GP that you are pregnant.

With a myriad amount of patients, how do you expect him/her to remember you?

I know your notes are pulled up on the computer screen but hey, give them a heads-up!

And you could imagine you obviously look pregnant... but with the amount of obese people out and about nowadays, how is he/she to know?

Sorry if people are offended by my post, but with the last 2 - 3 years of Covid, I have nothing but respect for anyone working in health care.

They are just people like you and me and I take my hat off to them.

Are you struggling to read what happened.

Sunday morning, the midwife said to go to the hospital OR see the GP on Monday. 8.30 on Monday morning, I phone the GP receptionist and they said they'd have to do an appointment on the phone. I have the phone appointment and the GP says to fill out the online form for an in-person appointment and get a urine sample done - I immediately fill it out. Today, they respond to the form and I go in for an in-person appointment and provide a sample. They say I'll get the antibiotics, if I need them when the test results come back. Then, on discovering that was incorrect procedure, I phone the hospital who say the same thing - to wait for the results to come back. I fill out the NHS111 online form, which says to get a GP appointment tomorrow. So, where exactly in that do you think there's been any hint of medical negligence?

Ah okay, I was under the impression she has said it was a UTI. Have you had one before? They are pretty unmistakable. If you’ve not got cystitis and terrible pain maybe that’s why GP didn’t prescribe? Totally guessing here though. Did they ask for your symptoms?

I've had UTIs before and this is pretty classic in terms of the symptoms. I'm not sure if she said the urine sample meant signs of a UTI or definitely a UTI.

Why did you wait until today to take the sample in?
My mum has moved a few times in the last few years so quite a few different doctor's surgery have seen her. She has regular UTI's. All

The GP said to fill out the online form for the test and a face-to-face appointment - so I did. They didn't contact me about the form until this morning and I provided the sample when I went in.

*All the surgeries work the same.

Telephone appointment and they ask for sample.
You pop down, get sample tube from the reception, go to the toilets then come and hand sample in.
Results come in and you get a face to face appointment if necessary or prescription to collect.

You were told to do a sample so why didn't you go in on Monday for the sample tube and do it there?

What makes you think all surgeries are the same?

I would imagine because, as she clearly says in her OP, that she was asked for a sample ON ARRIVAL.

She also gave them a sample on Sunday, they haven’t asked for one in between.

Should the results of the midwife urine sample not be available by now anyway? Hope you get sorted soon op, the gp certainly sounds like a loon.

Sorry you're going through this OP, it must be really worrying. Can't believe the victim blaming on this thread. You've done everything asked of you and put trust in medical professionals as we are all told to you, and people are screaming hysterically at you that they'd report you and your DH to social services. It all sounds like a perfectly normal set up to me, you're worried, your DH is doing the usual bloke thing of saying it'll all be fine, and you should listen to the GP, and so you've had a disagreement. Your baby sounds very much loved and I really hope you get the treatment you need tomorrow.

I said that all the surgeries my mum had dealt with before and after vivid have worked the same.

Try reading.

Last time my son needed to fice a sample was about 7 years ago and our surgery also tell you t get a sample tube from reception, hand in sample and appointment will follow if necessary.

Same for the surgery in my hometown as a kid.

That's more than a dozen surgeries I've had experience with that work like that.

Without wishing to apportion blame (we all have bad days and GP’s are under a boatload of pressure). That’s not ok. Hospital or another GP appointment for you. Depending on your surgery, you might be able to ring and ask if another GP could just cast an eye over your notes and check that the guidance is being followed as looking back you aren’t sure the GP registered that are you pregnant. Or ask your midwife to help. Squeaky wheel, and all that.

Oh, and when I was pregnant, my goal was for my waist meaitesment to exceed my height. I didn’t manage it, but it was a lot of fun trying!!

The GP is clearly useless yet there are posters here that are slamming OP for being negligent

Unfortunately OP you need to be proactive and assertive in advocating for yourself, especially in pregnancy.

Sometimes you will be given bad advice and if it's wrong you need to try another avenue. This includes after the baby is born.

I had a tooth infection and went to A&E, called 111 over 10 times, and begged to be referred to an emergency dentist and was refused care by all because I was 'fine' and needed to 'wait'. Eventually I saved my life by calling an ambulance and spending a week in hospital for sepsis. If I had just shrugged and said 'They told me to wait' I would be dead.

Does your hospital not have a maternity A&E? That's where I've always gone when I've had a UTI in pregnancy and the GP would have taken too long.

You are aware covid has dramatically changed most GP practices? They also just aren’t all the same, mine doesn’t work like that. You’ve dealt with a handful out of thousands you don’t no everything.