OBGYNDoc
Minneapolis, MN
Female, 36
I am a practicing Obstetrician and Gynecologist, providing care for women in all stages of life. Approximately half of my practice consists of pregnancy-related care, including routine prenatal care, high risk obstetrics, and delivering babies at all hours of the day. The other half consists of gynecologic care, which ranges from routine annual check-ups to contraception and menopause. I perform many surgeries, including laparoscopies and hysterectomies.
Assuming the person has 28 day cycles with ovulation occurring on day 14, the estimated day of conception would be October 24.
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In our practice, as in most practices, patients may choose who they see throughout their pregnancy for outpatient care. However, when they are in the hospital for delivery, we have one doctor assigned to take call. The reality of this profession is that in order to maintain a healthy personal life, we simply can't be available 24/7. Instead, we've opted to maintain a call schedule in which one physician is available for deliveries and emergencies at all times. Without such a system, it would be impossible for Ob/Gyns to maintain any sort of healthy lifestyle. The consequence of this is that patients don't get to choose who will deliver their baby. Almost all patients are understanding of this and are willing to get to know all of the physicians throughout their pregnancy so they are not meeting us for the first time on the big day.
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An ultrasound is never the confirmatory test for pregnancy. Reasons for a positive pregnancy test with a negative ultrasound can include a very early pregnancy that is too small to detect by ultrasound, an abnormally developing pregnancy (i.e. evolving miscarriage), an ectopic pregnancy (a pregnancy developing outside the uterus, which can be life threatening) or a rare antibody that causes false positive pregnancy tests. If your friend is unclear about what to do next, she should speak with her doctor immediately. She may need a blood test to confirm the pregnancy and may need to be followed closely by her doctors to rule out anything dangerous.
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I find this is true of most professions- when you meet a lawyer or an electrician or a physical therapist, people liine up with questions. It's pretty common and not a big deal at all. Actually, most people have their own ObGyn already, and find the topic too personal to discuss in a social situation.
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400 mcg of folic acid is the recommended dosage in pregnancy unless you have other underlying medical issues such as twins, use of certain anti-seizure medications or history of a baby with a neural tube defect.
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It is unlikely that your partner would be able to tell if you have had intercourse before. There are subtle signs, but they are subtle. If you have specific questions, I would ask your provider to examine you.
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You will need to discuss this with your physician. This forum is intended to answer questions about the profession of OBGYN, not to answer specific medical questions.
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