I had an Ob who did u/s all the way through my last pg given our history of loss. But they are not diagnostic, and he sent me to a proper u/s clinic for my 12 week nuchal and 20 week morph scan. They are qualified to operate a machine but not for formal diagnosis. He should have sent your wife to a sonographer.
I'm not normally a litigious person, but I would be considering seeing a lawyer. I'm not saying you would have terminated at the 12 or 20 week scan had you known, but you should have had that right to choose by having correct info.
And congrats on your son, I'm sorry it has been so bittersweet
I had an OB/gyn do my nuchal scan and was able to advise on her findings. I think an ob/gyn with the necessary training can perform ultrasounds and advise on their findings. the one I saw was much more highly qualified than just a sonographer.
we lost our daughter at 28 weeks due to Trisomy 13. So our final round of IVF it was suggested that we do PGD on any embryos to ensure as much as possible we were transferring a healthy embie.
Luckily we had one normal embryo which we thankfully fell pregnant with. Our OBS then took over from our IVF Dr and we were booked in for fortnightly scans with one of Melbourne's top scan Dr's.
Thing is with a history already I cannot believe you were not in the hands of another Dr for scans.
Seek legal assistance. I am sorry this has happened.
I agree that you should pursue this, at least for the seeming negligence over the scans in your ob's office.
I'm sorry this has happened. You and your wife have been through a lot and I'm sorry that the birth of your much longed for baby is not as happy a time as it could be. I think you've been given some good advice so far. Some of what you mentioned, like PGD testing of embryos and the blood test is not standard practice unless there is some indication for it. Depending on the reason you lost your first baby maybe it was indicated and I think that's a valid question to ask both your FS and your OB.
Re the scans, I'm surprised your OB did them all in his rooms. My OB had extra qualifications in ultrasound and I think the machine in her rooms was reasonably good but I still had to go to the ultrasound place near the hospital for my 12 and 20 week scans. My OB was in the room for my 12 week scan though and interpreted it along with our 10 week bloods right away to give us our risk for trisomy 13, 18 and 21. But I think even though the machine in her rooms was good, it was still not as good as the ones at the other place and I don't think she ever would have dreamed of doing those ones in her rooms. Especially with a history like yours.
I think having a discussion with your doctor about all your questions and concerns is a good start. Possibly also talk to some of your baby's other doctors to get an idea of if/how often conditions like your sons are picked up during pregnancy. And having a chat with a lawyer is not a bad idea either - doesn't mean you have to take legal action but it will give you an idea of how to best proceed. If you aren't happy with your OB's response then I think a complaint to AHPRA is warranted.
It most definitely is medical negligence and should most definitely consult a lawyer. Try Maurice Blackburn lawyers who do a lot of plaintiff work.
I am very sorry this has happened to you. These things would absolutely have been picked up at ultrasounds performed by a trained sonographer or radiologist. At least you would have been forewarned about the issues rather than blind sided as you have been. Your OB should have referred you to a pregnancy ultrasound practice at least for the 19/20 week scan. The scan machines in most OBs rooms just aren't of the necessary resolution to see everything on Bubs properly. However experienced your OB may be, he/she is not an obstetric radiologist which is someone who is an obstetrician who has gone on to do the additional qualification as a radiologist. My DH is a specialist ( not an Ob) and I know he never interprets scans and ultrasounds himself - this is done by a specialist radiologist. I would talk to your OB about this first if possible and then go to AHPRA. I would also seek legal advice, just to be fully informed as to your rights if nothing else. Good luck to you and your family with this.
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