I'd like to talk to a doctor about TTC #2, while breastfeeding, after a csection, with an infertility diagnosis, and a blood clotting disorder. I just feel like I should have my ducks in a row before peeing on a stick.
I'm not sure what to do or who to make an appointment with, but the way I see it I have 4 options:
1. General Practitioner.
I must admit that although I HAVE a doctor, I don't really know her. I've been to her office approximately three times since January of 2007. I actually haven't seen her since she gave me the diagnosis of PCOS since after that I was seeing the RE or midwife, and I haven't needed to go to the doctor since I had Hannah.
So I don't really KNOW her, and the last time I met with her and asked for an obgyn referral she was utterly useless, I just don't think she's the best bet. Also, she's not affiliated with the hospital that I delivered Hannah at, although I'm not 100% positive that I want to deliver there again.
2. Fertiliy Clinic.
I know them, I like them, but I feel like it may be jumping the gun a bit.
The bonus is that they are with the affiliated with the hospital and were great at giving referrals once I conceived Hannah. But should I really just head back to the fertility clinic when I'm only on my third post partum cycle?
Ideally I'd love to just go to the midwives. I love them. I truly loved working with them.
Since they're affiliated with the hospital they'd be able to direct me to a hematologist or OB if need be, and really - who else is more familiar with the post partum body? But I'm not pregnant. Can I make an appointment with the midwives BEFORE I'm pregnant?
4. Find an OBGYN
An OB would be a good resource to discuss my concerns with VBAC and the Factor V Leiden blood clotting disorder, but I don't HAVE an OB. Do I just look one up and go in to talk to them? Plus if I start working with an OB at the hospital, wouldn't I have to find a whole new OB if we switch to a hospital closer to home?
See, we originally chose OHSU hospital because it had the fertility clinic.
Then we stayed with them because they had the midwifes, water birth, NICU and hospital I was looking for (and should really HAVE given my likelihood of complications).
But there are other hospitals in the area that are closer (which would make it easier with Hannah during birth #2) and still have midwives, and since a waterbirth isn't an option in hospitals after a csection, that shouldn't factor in.
My gut is telling me to make an appointment with the midwives, but I'm wondering what other women do in this situation.
Who did you talk to before trying to conceive baby #2?