I'm 12 weeks and have a wonderful midwife, but at about week six I developed hyperemesis and SEVERE constipation. Things went past the point of our natural remedies and I considered it to be a medical situation...fearing that I could have a bowel obstruction. So I went to see my OB. The nurse I dealt with was very cool, telling me she had a VBAC with a midwife for her second birth and that she thought as long as the baby and I were healthy that I was doing the right thing. The OB didn't say much but repeatedly mentioned that I needed to make an appointment and become an "OB patient" He didn't take me all that seriously when I said I really hadn't had a good bowel movement in over a month. He made jokes and said to use metamucil and that it would take up to 10 days for results. 10 days??? I was there because things were urgent already!!
Seven days passed and the metamucil wasn't working at all, in fact it seemed to be making things worse. I was bloated and in a lot of pain and still NO bowel movements. I called their nurse line for help and began a round of phone tag trying to get the "cool" nurse. Finally the receptionist let it slip. She said, "Have you been seeing us for your prenatal care?" I said, "No, I have a midwife and only saw the doctor because I felt things with my digestive system had crossed a line into needing medical attention." I got a huff and a grunt and she promptly told me that they couldn't help me. Nice.
Forget that I may have had a bowel obstruction, and that toxins build up in your body after nearly a month of little or no bowel movements. They couldn't help me.
To wrap this story, I stopped the metamucil and I ended up using a combination of tricks recommended by my midwife and a good friend who is an RN and herbalist. It wasn't pretty, but I got some relief. I'm doing better now and even thought the OB keeps calling to "check on me" I'm not answering the phone.