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Why hasn’t my doctor done an ultrasound yet?
Q: I’m 33 weeks pregnant with my second child. My doctor has not done an ultrasound to find out the baby’s measurements. When he measures my stomach with a measuring tape, he tells me that it measures large—as if I’m at 38½ weeks gestation. How do I go about changing doctors?
A: The central concern is not the medical issue you mention. It’s your lack of trust in your doctor. I can’t tell you how important it is to be able to communicate effectively with your practitioner and their staff. How can an obstetrician ensure the best outcome for you and your pregnancy without your input and observations? In turn, we need to do our job, monitoring your health as well as the baby’s.

In your case, an ultrasound may be in order to determine if the baby is growing large or if there is an excessive amount of fluid around the baby.

It seems that both you and your doctor need to get on the same page. At 33 weeks pregnant, it’s difficult to change doctors but not unheard of. I had a patient transfer her care to me in the last two weeks of her pregnancy. I only accepted her as my patient after having a long discussion with her. It turned out to be a good experience for both of us, and I’d consider other patients under similar circumstances. If you desire to change doctors, you better do it ASAP. I have written an article at this web site titled “Where Will Your Baby Be Delivered? Important considerations for choosing a hospital and doctor.” It’s a guide to help women select a doctor who will meet their needs.

In your case, the local academic hospital (affiliated with the medical school) might be a good choice at this late date. You will find a high level of care offered to every patient delivering there, which should lessen some of your stress.