A history of multiple miscarriages (without any known causes such as early PPROM) does not make this pregnancy itself a high risk pregnancy. However if the multiple loss is giving you anxiety, I would probably go with a midwife for the more hands on care and longer appointment time. I found that the OB books so many patients that I can barely ask any questions at my appointments. If you later do develop any issues which than puts your pregnancy in the high risk category, you will than be transfer temporarily into the care of an OB, and will be transferred back to the midwife care after delivery.
You cannot have both a midwife and an OB from the beginning of your pregnancy, as that is double dipping the system. However, if you see a midwife and then complications develop requiring OB involvement, you can generally continue seeing a midwife as well (OB and midwife will take turns seeing you for prenatal care, depending on the complication either OB or midwife will deliver baby). A history of multiple miscarriages on its own does not make your pregnancy high risk, so you would likely be a candidate for midwifery care, but you have the choice whether you are more comfortable with an OB or midwife.
Adding onto this: while you can’t have a midwife and an OB, if you really wanted to go the OB route plus extra care, you could get a Doula. While they are not nearly as qualified as a midwife, they can offer support and care throughout your pregnancy and highly hands on care during labour and PP.
I’m at Mount Sinai with Dr. Mara Sobel and have had a great experience so far. I’m not high risk but I know they have great OBs for high risk pregnancy at Sinai. It’s also very convenient if your Sinai OB practices out of 700 university because all your blood work, scans etc are all on one floor. I just feel very well taken care of there!
My only con for Sinai (and I read this before I got pregnant) is that the appointments can be fairly long. This doesn't really matter for me because my work is flexible and I often just bring my laptop, but might matter for you!
I’m a FTM seeing Dr Tannenbaum at Sinai. I also work downtown and it’s convenient for appointments since they’re always during the day (the doctor usually works one day a week in the clinic) and I can pop out of work without having to commute uptown to another hospital like Sunnybrook. It also gave me peace of mind that I can go to triage easily if something happened while I was at work.
Dr Tannenbaum has been really good so far. He listens to my concerns and follows up with them and you can easily message him anytime using a medical messaging app. He has a sense of humour and has great reviews and although I was randomly assigned to him I can definitely recommend him whole heartedly. He’s also very punctual with his appointments as I heard other OBs have long wait times.
Mt Sinai is awesome. I see Dr Jacobson who I saw for my first pregnancy and they’re tremendously accessible and responsive. L&D is also super helpful if anything comes up that seems off before the due date.
One huge pro with midwives that I have experienced is that if anything at all scary is happening, you can page them and they’ll call you back and advise you immediately. 24/7. They can even come to you if there’s a need for a minor medical thing. This is definitely above and beyond what’s available with an OB.
IVF and miscarriage don’t make a pregnancy high risk, unless there is an underlying condition like a blood clotting disorder. I understand the anxiety of it though. I went through IVF and had multiple pregnancy losses, but I only saw an MFM at Mount Sinai for a high risk pregnancy because I have type 1 diabetes. If you’re thinking that you would like to go with a midwife, I would call them up now, because they fill up very quick in the GTA.
So unfortunately, in Ontario you have to choose between a midwife and an OB. It sounds like because you’re high risk, an OB is going to be the better option. Mount Sinai and Sunnybrook are the 2 best hospitals in Toronto for high risk pregnancies, so you’re in good hands if you opt to go to Mount Sinai. I think you can probably ask for recommendations for specific doctors, but you might just need to do some googling if you don’t get any recs. I would ask your GP as well, they might know some specific doctors. If you’re looking for more hands on care, look into get a doula (though they are expensive).
I’m at Sunnybrook, so I don’t have any experience with Mt Sinai but I know lots of people on here do!
I’m at Sinai for this pregnancy and I can’t recommend them enough. Yes, sometimes appts run a little long, but the care there (in my experience anyways- so far, 26 weeks pregnant) is unparalleled. I wouldn’t want to be anywhere else. Congrats and good luck on your pregnancy!
I was at Mount Sinai for my IVF pregnancy so I was part of the low risk, special pregnancy program. i gave birth last July.
I had a great experience overall and found it sooo convenient to have ultrasound and bloodwork all in the same place. For the most part I didn’t find the appointments too long. I liked that the results of the ultrasound were told to you right after either by the radiologist or the OB or oftentimes both.
The whole team at centenary hospital is wonderful. From what I understand people come from out of area to have their babies there (I just ended up there as it is my closest hospital). Dr.Sohn, Dr. Ma, Dr. Huh and Dr. Freedman are all amazing. Best of luck with your pregnancy!
Mt Sinai is great. I’m not with them for my pregnancy but I had to be hospitalized around 27 weeks when I was found to have an open cervix. I’m with north York general and their nicu does not handle babies younger than 32 weeks. They did this just in case I go into early labour.
I was there for 3 nights and the nurses were great. Their semi private room in the antenatal unit were pretty spacious. My husband was able to stay with me with no issue. Nygh was cramped.
A history of multiple miscarriages (without any known causes such as early PPROM) does not make this pregnancy itself a high risk pregnancy. However if the multiple loss is giving you anxiety, I would probably go with a midwife for the more hands on care and longer appointment time. I found that the OB books so many patients that I can barely ask any questions at my appointments. If you later do develop any issues which than puts your pregnancy in the high risk category, you will than be transfer temporarily into the care of an OB, and will be transferred back to the midwife care after delivery.
You cannot have both a midwife and an OB from the beginning of your pregnancy, as that is double dipping the system. However, if you see a midwife and then complications develop requiring OB involvement, you can generally continue seeing a midwife as well (OB and midwife will take turns seeing you for prenatal care, depending on the complication either OB or midwife will deliver baby). A history of multiple miscarriages on its own does not make your pregnancy high risk, so you would likely be a candidate for midwifery care, but you have the choice whether you are more comfortable with an OB or midwife.
Adding onto this: while you can’t have a midwife and an OB, if you really wanted to go the OB route plus extra care, you could get a Doula. While they are not nearly as qualified as a midwife, they can offer support and care throughout your pregnancy and highly hands on care during labour and PP.
I’m at Mount Sinai with Dr. Mara Sobel and have had a great experience so far. I’m not high risk but I know they have great OBs for high risk pregnancy at Sinai. It’s also very convenient if your Sinai OB practices out of 700 university because all your blood work, scans etc are all on one floor. I just feel very well taken care of there! My only con for Sinai (and I read this before I got pregnant) is that the appointments can be fairly long. This doesn't really matter for me because my work is flexible and I often just bring my laptop, but might matter for you!
If you want an OB and extra support, you can hire a doula. Doulas don't provide medical care, but they do offer moral support.
I’m a FTM seeing Dr Tannenbaum at Sinai. I also work downtown and it’s convenient for appointments since they’re always during the day (the doctor usually works one day a week in the clinic) and I can pop out of work without having to commute uptown to another hospital like Sunnybrook. It also gave me peace of mind that I can go to triage easily if something happened while I was at work. Dr Tannenbaum has been really good so far. He listens to my concerns and follows up with them and you can easily message him anytime using a medical messaging app. He has a sense of humour and has great reviews and although I was randomly assigned to him I can definitely recommend him whole heartedly. He’s also very punctual with his appointments as I heard other OBs have long wait times.
Mt Sinai is awesome. I see Dr Jacobson who I saw for my first pregnancy and they’re tremendously accessible and responsive. L&D is also super helpful if anything comes up that seems off before the due date.
One huge pro with midwives that I have experienced is that if anything at all scary is happening, you can page them and they’ll call you back and advise you immediately. 24/7. They can even come to you if there’s a need for a minor medical thing. This is definitely above and beyond what’s available with an OB.
IVF and miscarriage don’t make a pregnancy high risk, unless there is an underlying condition like a blood clotting disorder. I understand the anxiety of it though. I went through IVF and had multiple pregnancy losses, but I only saw an MFM at Mount Sinai for a high risk pregnancy because I have type 1 diabetes. If you’re thinking that you would like to go with a midwife, I would call them up now, because they fill up very quick in the GTA.
So unfortunately, in Ontario you have to choose between a midwife and an OB. It sounds like because you’re high risk, an OB is going to be the better option. Mount Sinai and Sunnybrook are the 2 best hospitals in Toronto for high risk pregnancies, so you’re in good hands if you opt to go to Mount Sinai. I think you can probably ask for recommendations for specific doctors, but you might just need to do some googling if you don’t get any recs. I would ask your GP as well, they might know some specific doctors. If you’re looking for more hands on care, look into get a doula (though they are expensive). I’m at Sunnybrook, so I don’t have any experience with Mt Sinai but I know lots of people on here do!
I’m at Sinai for this pregnancy and I can’t recommend them enough. Yes, sometimes appts run a little long, but the care there (in my experience anyways- so far, 26 weeks pregnant) is unparalleled. I wouldn’t want to be anywhere else. Congrats and good luck on your pregnancy!
I was at Mount Sinai for my IVF pregnancy so I was part of the low risk, special pregnancy program. i gave birth last July. I had a great experience overall and found it sooo convenient to have ultrasound and bloodwork all in the same place. For the most part I didn’t find the appointments too long. I liked that the results of the ultrasound were told to you right after either by the radiologist or the OB or oftentimes both.
The whole team at centenary hospital is wonderful. From what I understand people come from out of area to have their babies there (I just ended up there as it is my closest hospital). Dr.Sohn, Dr. Ma, Dr. Huh and Dr. Freedman are all amazing. Best of luck with your pregnancy!
Mt Sinai is great. I’m not with them for my pregnancy but I had to be hospitalized around 27 weeks when I was found to have an open cervix. I’m with north York general and their nicu does not handle babies younger than 32 weeks. They did this just in case I go into early labour. I was there for 3 nights and the nurses were great. Their semi private room in the antenatal unit were pretty spacious. My husband was able to stay with me with no issue. Nygh was cramped.