I have experienced a miscarraige 8 months ago. I know first
time m/c is fairly common, but why can't you take an active
role in prevention as to having to wait for the third one?
I was upset by the casual way my current OB/G just shrugged it
off saying it was probably chromosomal difficulties (which
might be the case, but I felt like I was hanged out to dry)
Does anyone have information on, or experience with a caring
and understainding OB/G that is more supportive and involved
after a first time miscarraige. And which shows an interest in
prevention, natural and non interventional aproach to
Someone that does perhaps strike me as such a person is Dr.
Albertine Omani and the East Bay Perinatal Medical Associates.
Any recent recommendations and/or experiences with Dr. Omani
and the group?
I had an experience with Dr Albertine Omani (which I think
relates somewhat to your situation) I'd like to share with you.
If you'd like to email me about it please feel free.
I offer you support and sorry to hear of your loss. After two
miscarriages, I had to push myself to finally talk about it with
other women. I learned so much and wished I hadn't kept silent
for so long. I learned there are tests that can be done to make
sure everything is working as it should to support subsequent
pregnancies (HCG & progesterone levels for example).
I, too, was frustrated with the rule of three most doctors
follow before investigating more aggressively into the cause for
miscarriage. After my second m/c, I told my doctor I didn't
have time to wait for a third (I am 41). As he reached for his
pad to write out a Rx for Clomid, I told him I obviously didn't
have trouble conceiving and didn't think that was the answer.
With his fingers laced on top of his desk, he asked, ''Then what
do you want from me?'' I asked about progesterone which he
didn't seem to support. After I left this consultation, I knew
I would not be returning.
I switched to a doctor who immediately ran lab work to check my
hormone levels (results all were normal). I also made an
appointment with Dr. Katz in SF. His office seemed in favor of
uncovering causes (auto immune factors, uterine factors,
bacteria factors). As fate would have it, I took a home
pregnancy test three days before my appointment with Dr. Katz
and cancelled my appointment. My new OB put me on progesterone
as a ''can't hurt might help'' measure.
Please contact me if you have any specific questions. I wish
you all the best.
I've checked the website several times, and all the advice is very old. I
formerly used Dr. Heather Irwin, and really loved her, but she retired last
fall. I've heard really mixed feedback about Dr. Chin, who is taking Dr.
Irwin's patients: many have said he's very arrogant and they really didn't
like him, but that he was good at what he did. I know that I don't do well
with arrogance, so I've been looking around. All the women ob/gyn's that
I've called are not accepting new patients, and I think I'd prefer a woman,
though I also realize my husband is probably more comfortable with men (and
his comfort is also important). I've seen Dr. Streitfeld, and sometimes I
like him (obviously very smart, and he does seem to care, and I can usually
get him on the phone if needed, and his nurse is great), but sometimes I
feel like he's just too disorganized for my comfort (always late for
appointments, sometimes forgetting what we've already looked into). I've
lost two pregnancies in the last four months, and I'd just like to talk to
some other Drs. to find out how they'd approach the problem. I lost them
both at 6 weeks, and I don't want to go through this several more times
without more information or trying to find out what the problem is (other
than just bad luck, which I realize is a possibility). Does anybody know
of other ob/gyn Dr. that they love? I'm pretty analytical, and do best w/
a Dr. who's willing to tell me exactly what they are doing and why, and
what my other options are. I'm also happy to do more research if pointed
in the right direction (e.g., reading books to figure out what other
factors can be going in to the problem). Or are my frustrations just kind
of the way it is with any dr.? I'm also considered an older mom, so
waiting around for the next 5 years is not an option. Also, do others out
there have experience w/ multiple miscarriage, and do they have advice or
recommendations about that? Books? Experience? Thanks.
Please consider giving Dr. Streitfeld another chance. It's in the nature of OB/Gyn's to be late... (see Hank Streitfeld recommendations).
From everything you wrote, it sounds like you'd love Dr. Susan Willman....
Just wanted to let you know that I am currently seeing Dr. Heather Irwin, she is back in practice ....
I highly recommend Dr. Amy Huibonhua at Omni OBGYN ... One other thing.....since you have had a few miscarriages right at 6 weeks, maybe a visit to a fertility specialist is appropriate (even before seeing an OBGYN)...it could be that there is something going on that a fertility specialist could diagnose and as you said that you are "older" why not go directly to a specialist??? Just a thought!! Ruth
I'm so sorry to hear of your losses. We have personal experience with
infertility and wanted to recommend the website www.inciid.org especially the section on miscarriages which describes the immune issues which might be involved in multiple losses. There is a doctor on the bulletin board who answers questions as well.
This page has the bulletin board/forum for miscarriage and immune issues:
This has helpful fact sheets which describe the basic issues pertaining to
I am new to the area so do not have any doctor recommendations, but my own
experience has been that Reproductive Endocrinoligists (as opposed to regular OB/GYN's) were very knowledgeable and compassionate about reproductive concerns.
I'd like to recommend Dr. Mickie Adams at
Alta Bates Perinatal Group... Heidi
I was sorry to read about your miscarriages...that's so hard. It happened
to me too. I found it very helpful to go to a compassionate fertility
doctor to discuss possible causes and strategies for getting pregnant
again and having it actually work. The doctor I chose was Louis Weckstein
of San Ramon. I recommend him without reserve. Also I found it very helpful to join Resolve, an infertility support group. (They're probably online and I think that they're also in the phone book.)
Resolve of Northern California:
I am currently in my last month of pregnancy at the practice where
Heather Irwin and Dr. Chin are ...
I just gave birth to a beautiful baby girl last month after three early
miscarriages in a row, and I am sure I have Dr. Streitfeld
to thank for
it! ... Marguerite
If you can switch insurance to be able to use the high-risk ob team
at Alta Bates, I highly recommend them. Dr. Marinoff was my doctor
who I went to in parallel with my excellent ob. I did not suffer from
pre-term labor, but was a high-risk patient.
I have the perfect OB/GYN for you. Her name is Kimberley Fillmore...
As far as advice about multiple miscarriage, all I can say is they
suck and do what you can to avoid them. I've had three miscarriages
and one pregnancy that ended in disaster, so that is one area where
I'm very experienced. I am constantly anemic because I lost so much
blood during the miscarriages that it's taking forever to get my iron
reserves back to normal, not to mention I think I had/have some form
of post-traumatic stress disorder. The emotional demands are enormous.
I am so sorry to hear of your losses. The book "Motherhood After Miscarriage," was very helpful to me. I believe I found it at Amazon. We love or OB/GYN practice, OB/GYN Partners for Health in Oakland ...
You might want to skip the OB/GYN route and go straight to an infertility
specialist about miscarriages just to be safe. I saw Dr. Robert Taylor at UCSF....
The INCIID website contains a wealth of information (but try not to let it scare you) on infertility, miscarriage, conceiving. Contacting RESOLVE is also a good place to start. The book 'Take Charge of Your Fertility' can help get you started observing your cycle to see if everything is OK there.
As far as OB/GYNs are concerned I've found Katarina Lanner-Cusin to be
compassionate, careful and conservative in dealing with miscarriage....
With several recommendations, I began seeing Dr. Amy Huibonhoa ...
You need to see a reproductive endocrinologist, not just an Ob-Gyn, although many of them won't tell you that. Most will give you a referral, however. If not, switch to one that will refer you right away. You could have an immunological problem such as anti-phospholipid antibodies or natural killer cells. Check Dr. Beer's work on the web. Even if the tests (which only a few labs, including one called something like Reproductive Immunology Associates, can do) come up negative, it never hurts to take one baby aspirin a day. Also check for celiac disease -- test for antiendomysial, antigliadin and antireticulin antibodies. A search on the internet, including medline, for "recurrent miscarriage," will turn up a wealth of information. Good luck.
I really like Dr. Betsy Matlock at OBGYN medical group. (She may well be one of the many women OBGYNs who is not taking new patients.) I saw every doctor in that practice at one point or another when I spent 3 months in the hospital with preterm labor (which FINALLY resulted in a healthy child). Some didn't seem to take the issues seriously, but others were knowledgable and sympathetic. When my own doctor retired from the group, I switched to Matlock.
Also, there used to be a support group at Alta Bates Hospital called SAND, standing for Support After Neonatal Death. I found this group EXTREMELY helpful after losing one child through premature birth and then experiencing subsequent infertility and a miscarriage. It was a great place to get info on different doctors and their approaches.
I agree with all the people who suggested you see a Reproductive
and investigate possible immunological problems. In the short term,
you might want to talk with your OB-GYN about taking one baby aspirin a
day and continuing it through week 13 of your pregnancy (it's available
from your pharmacist without a prescription). Infertility-related
newsgroups provide a place to share information with other patients
about the latest treatments
and the best REs. I'm not sure how you subscribe to newsgroups-- though
on AOL it was as easy as clicking a button. In any case, a key word
search for the name of my favorite newsgroup, alt.inferility, led me to
this source: http://www.fertilityplus.org/faq/infertility.html. It
lists all the infertility newsgroups and provides a lot of useful
information. Another avenue you may want to try
is acupuncture. My RE actually used acupuncture as part of his
protocol, and you'll find many great acupuncturists in the Bay Area.
My final piece of advice is to keep trying to find a doctor who helps
you. If your gut feeling is that it's time to move on, then do it. My
total time in treatment was 5 years, but it wasn't until I found RE#3
(through the recommendation of other patients on alt.infertility) that
we got results. My beautiful "miracle baby" is now 2 years old.
In the previous newsletter, two people recommended Dr. Katerina Lanner-Cusin ...
I want to add my voice to the accolades for Hank Streitfeld. ...
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