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Conception

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Am I supposed to see my GP straight away? What do I do next?

25 replies

VJONES1985 · 12/12/2013 20:55

Hi all. Do I need to tell my GP about my pregnancy asap? What normally happens at this stage? Thanks.

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Feelingfatty · 12/12/2013 21:00

Hi v jones! So I happened to be at the doctors today with my husband and we have same doctor and mentioned we had conceived and he gave me a prescription for prenatal vitamins and booked me in for a scan. That's it now! Not seen until scan! So yep book a gp appointment so they can get the ball rolling xxx

Feelingfatty · 12/12/2013 21:00

(Unless you are deemed high risk ten they see you sooner)

VJONES1985 · 12/12/2013 21:02

Did he do another pg test? Think I will call the surgery tomorrow. Not sure if I'm high risk, but I have type one diabetes.

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BikeRunSki · 12/12/2013 21:03

I think it varies from region to region. Here (W Yorks) my GP told me to book in to see the community midwife asap. She visits the surgery once a week. Saw her a couple of weeks later and she set up everything with hospital, scans etc. GP was not involved.

Feelingfatty · 12/12/2013 21:07

Ohh bike sky that's interesting as that's what happened with dd and that's what I expected! But do live in a different region now! I would ring gp office and they will tell you Smile and no pregnancy test Smile

Feelingfatty · 12/12/2013 21:07

And I'm not expert but I think you will be classed as high risk

Feelingfatty · 12/12/2013 21:08

Bike ski sorry!!

VJONES1985 · 12/12/2013 21:10

Right. Think I will call tomorrow then and see what they suggest.

Also, am confused - I conceived two weeks ago but medically I'm classed as four weeks, is that right?

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MrsSpencerReid · 12/12/2013 21:14

Have you had pre conception care? If so contact them and they should book you in ASAP, I didn't bother with my gp, just rang the diabetes nurse who is also a midwife and she booked me in with the consultant ASAP, are you on 5mg folic acid? If not you'll prob need to see GP to get that. Good luck, pregnancy and T1 I a pain in the bum but worth itGrin (am 32w with dc2)

VJONES1985 · 12/12/2013 21:18

No, I haven't had preconception care. I don't think my diabetes nurse is a midwife but I don't know if I need to call my consultant and midwife separately? Or would my consultant also arrange scans, etc?

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VJONES1985 · 12/12/2013 21:19

And yeah, have been on 5mg folic acid daily for seven months now.

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Showy · 12/12/2013 21:20

I've been pregnant in a place where they ask you to just ring the midwife at 8 weeks and a place where you have to ring for a GP appointment first and they refer you to the midwifery team. Just ring your surgery and the receptionist will give you the procedure for you (mention that you're T1 and therefore high risk I think).

The GP won't do a pregnancy test. And yes you're 4 weeks. Pregnancy is dated from 2 weeks before ovulation when the average woman started her last period.

Congratulations.

VJONES1985 · 12/12/2013 21:22

Thank you,showy. Sorry for all the questions - I literally have no idea!

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PacifistDingDong · 12/12/2013 21:22

You will be considered high risk because of your diabetes.

Contact your surgery - in a lot of places you self-refer directly to the community midwife who will 'book you in' and organise blood tests, scans and consultant care for you.

Are you taking Folic acid and Vitamin D?

Your diabetes nurse may get involved in managing your blood sugars during pregnancy, but not in antenatal care. Your diabetes should be very tightly controlled during your pregnancy which may involve more frequent testing and injecting of insulin.

And yes, your pregnancy will be dated from the first day of your last menstrual period. Once you've had a dating scan you'll find everbody will go by scan dates. And the baby will appear whenever it's ready Wink.

Congratulations! Thanks

PacifistDingDong · 12/12/2013 21:23

x-post with showy Smile

MrsSpencerReid · 12/12/2013 21:23

I would ring your diabetes nurse and ask her what the procedure is now you are pregnant. I think I'm lucky that one of my diabetes nurses is also a mw! I've only seen a mw for my booking appt and am totally consultant led as am high risk, I imagine you would be too. I guess it varies from area to area but I def think your diabetes nurse is the best bet, I've found my GP to be a bit rubbish with diabetes things when I'm not preg!!Smile

VJONES1985 · 12/12/2013 21:24

I'm already insulin dependent so that doesn't bother me. Will continue to control my diabetes as well as I can, of course.

yes, am on vit d and 5mg of folic acid daily.

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MrsSpencerReid · 12/12/2013 21:25

By consultant led I see the diabetes consultant and obs consultant in a joint clinic, it's not the same diabetes consultant I see when not preg. Hope that makes sense!!

VJONES1985 · 12/12/2013 21:26

MrsReid - any advice on diabetes during pg? How are you looked after throughout? Is it scary/stressful?

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CooCooCachoo · 12/12/2013 21:33

I called my surgery at about 4 weeks to get the ball rolling as had done this in previous pregnancy. I was told this time (different surgery) to call back after 6 weeks to make a booking in appointment for when I was at least 8 weeks. They wouldn't make an appointment earlier for 'practical reasons'. I couldn't decide whether their approach was tactless or not......

They were perfectly lovely at the booking in at 8 weeks though.

MrsSpencerReid · 12/12/2013 22:03

It's hard work, especially towards the end when insulin requirements shoot up! They will prob keep a close eye on you, I've been seen weekly or fortnightly since 25ish weeks. Had extra scans to check growth/placenta function and they are extra cautious if something isn't perfect. If you don't already try an keep a blood glucose diary, I found the first trimester I hardly needed any insulin then started increasing from there. I think there is a thread somewhere for pregnant T1's I'm not on it though, sorry. My top tip would be to try your hardest, it won't always go to plan and don't beat yourself up when it doesn't!!

VJONES1985 · 12/12/2013 22:10

Okay, thanks. So is the condition potentially dangerous to me or baby at any point? Would you recommend I call my doctor asap, even though it's still early days?

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MrsSpencerReid · 12/12/2013 22:41

Well there are increased risks with diabetes, but it's prob best not to concentrate on them!! DS was early and my placenta was giving up but there is no way of knowing if that would have happened without the diabetes! You'll also need extra retinal screening as pregnancy can speed up problems and towards the end they keep an eye to make sure baby isn't too big with the extra sugar!! Also, most places like to deliver at 38w I believe. This might help www.diabetes.org.uk/Guide-to-diabetes/Living_with_diabetes/Pregnancy/
I also found the diabetes support website/group really helpful and friendly. Just keep asking questions Smile

MrsSpencerReid · 12/12/2013 22:47

This group www.diabetessupport.co.uk/

Nia80 · 16/12/2013 00:01

CONGRATULATIONS VJONES1985 !!!!!!!
I sent you a PM a while ago about TTC and Type 1- would love to hear from you if you can find it in your inbox.
Nia

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