by Jen on November 8, 2007

in Does this baby make me look fat?,Rant of the Week

A few days ago I scheduled my first trimester screening (nuchal translucency scan and bloodwork). I didn’t have this done with the Monkey, mainly because it wasn’t very common yet two years ago and it wasn’t offered. It still wasn’t actually offered to me by my doctor, but I found out that the genetic counseling department at the hospital where I delivered now does them, so I asked for one. Last time, we skipped the triple screen and went straight for the amnio (done by the same place where I’ll have my NT scan) because I just had to have a definitive answer. We’ll still have an amnio done, because the first trimester screening is just that — a screening where they determine your risk of a defect. An amnio is an actual test. But I have to admit, since it’s covered by my insurance, I can’t pass up the chance for another early ultrasound. (It sounds so shallow and paranoid when I write it, though).

When I called to schedule this appointment, the genetics department still had most of my medical information in their system. I did have to update it and answer some questions about the current pregnancy, though. Most were the usual, “What was the first day of your last menstrual period?”-type medical history questions.

However, the question that caught me off guard was, “Is this a natural pregnancy?” I knew what she meant, but it still gave me a moment’s pause before I could figure out how exactly to answer. “No, I took Clomid.”

It’s similar to when parents of twins are asked, “Are they natural?” I’ve told my twin-mommy friend OldChristine that she needs to start answering people with, “One is. The other was made with an unknown glowing substance which fell to Earth, presumably from outer space.”

I understand why the question is asked. However, it’s the semantics of the question that got me. The language is deliberately vague in an attempt to be polite (like when people say someone has “passed on” rather than died). But I was answering questions about my medical history for Pete’s sake. Less vague wording could have been used. How about, “Was this pregnancy the result of any fertility treatments or medications?” I expect precision from the medical community. I’d rather they be straightforward and accurate than condescend in an attempt to spare my feelings. Frankly, we’re all smarter than that. (Or at least, I know I am and I hope they are).

{ 2 comments… read them below or add one }

1 Artblog November 8, 2007 at 2:22 pm

its funny that one, they always ask me the same thing. I’m not sure what difference it makes but if there is one I’d be interested to hear about it!Good luck for the amnio. are you waiting till 14 or 16 weeks to have it?

2 Jen November 13, 2007 at 12:36 pm

Last time I had my amnio at 16 weeks, but the PA mentioned “around 15-16 weeks” the last time I saw her. I’m going to ask my doctor when I see him next week. The sooner, the better, as far as I’m concerned!

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