32.5 and 33.5 week appointment

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Clarkton's picture
Joined: 01/07/08
Posts: 1972
32.5 and 33.5 week appointment

I haven't been updating consistently on check-ups. There are so many these days and not much to report but I thought I'd tell you ladies about my last 2.

So a week ago Wednesday I had my 32.5 week check-up. I was expecting routine and short...they did the regular weight, bp check and send me to PIAC. Told me when I was done to go to exam room 2 and doc will come see me, which is normal...he listens to her with the Doppler and asks if I have any questions then sends me on my way. When I come out of the restroom the nurse is like, change of plans come in here and we are going to do a NST. So I have a moment of concern about why the sudden change of plans but turns out they realized I was at the gestation that they start this as routine due to me being AMA this time. It hadn't been mentioned before so I wasn't aware of the plan. Whatever...so anyway have to sit on the monitor for a while and doc comes in to say all looks good then says we'll see you next week. I'm like wait, why next week...thought I was still every 2 weeks at least one more time. But no, again since I'm AMA they start weekly appointments already and will be doing the NST at each.

Fast forward to this Wednesday...it was pretty boring but took forever. I did loose weight this week after holding steady the previous 2 so I'm pretty happy that has finally slowed down. I have packed it on since the beginning at like a lb or lb and a half per week so it's about time I slow down. Again baby looked good on the NST. I think she doesn't like the monitor b/c she is constantly running away from it and then they keep me on longer. :rolleyes: So doc tells me that next week they'll be doing a BPP b/c they like to sprinkle those in every so often for the AMA mamas as well. It's a bit overkill IMHO but I'll be the compliant patient. My doc is one that likes to do a lot of checks but I've always found him to be reasonable with his assessments and not the alarmist (especially bad when they use scare tactics).

My next appointment is Monday at 2:30 and I have the BPP, which is an u/s mostly I believe. Guess I'll look it up to be sure I understand.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

What is AMA and the BPP?

Clarkton's picture
Joined: 01/07/08
Posts: 1972

AMA just means I'm old, haha Wink It's advanced maternal age which means you're over 35. BPP is a biophysical profile. Found this description on WebMD:

A biophysical profile (BPP) test measures the health of your baby (fetus) during pregnancy. A BPP test may include a nonstress test with electronic fetal heart monitoring and a fetal ultrasound. The BPP measures your baby's heart rate, muscle tone, movement, breathing, and the amount of amniotic fluid around your baby.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

Oh right, I'm AMA too then. I'm 37. My midwife doesn't treat me any different though. Seems a bit like overkill to me but the US medical system is so different.

mom2robbie's picture
Joined: 01/20/07
Posts: 2541

:lurk:
BPPs are no big deal. Here they are totally by u/s. I had them every 3 days for 2 weeks before Robbie was induced and finally born at 36w1d (and 73 hours of labour Sad )

Clarkton's picture
Joined: 01/07/08
Posts: 1972

Yes, and it also varies greatly between different caregivers. It's not a standardized thing that all OB's use this protocol. I really like my doc but he has always been u/s happy.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

Do you have the right to refuse it? I'm just not sure I'd want so many u/s. Sad

mom2robbie's picture
Joined: 01/20/07
Posts: 2541

"Heatherbella" wrote:

Do you have the right to refuse it? I'm just not sure I'd want so many u/s. Sad

For me no, because we knew he was going to have to come out early. They were waiting for the "best" time for Robbie to be a preemie. Gallstones and pregnancy really suck. I was having u/s pretty much every other day, some for the gallstones and some for Robbie.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

Obviously it depends on the pregnancy. I was 33 for most of my pregnancy with DD and had no problems. This time I'm 37 and don't really have any problems this time. The AMA thing is silly to me...someone arbitrarily picks 35 as the year but everyone is different at 35 and every pregnancy is different. I like more of a 'case by case' approach.

Joined: 10/12/04
Posts: 961

"mom2robbie" wrote:

For me no, because we knew he was going to have to come out early. They were waiting for the "best" time for Robbie to be a preemie. Gallstones and pregnancy really suck. I was having u/s pretty much every other day, some for the gallstones and some for Robbie.

Uktrasounds when you behave gallstones hurt so much. Ugh... I had the same situation. Made it to 37 weeks exactly and then they induced me. Thankfully my full induction only took 16 hours start to finish. They said that means I probably would've gone on my own within a few days because they'd expected it to take 3-4 days for her to be born.

mom2robbie's picture
Joined: 01/20/07
Posts: 2541

"PCCGirl813" wrote:

hey said that means I probably would've gone on my own within a few days because they'd expected it to take 3-4 days for her to be born.

they didn't tell me that! and the labour pains were worse then Robbie kicking my gallbladder! After 70 hours the OB said she was calling a c-section in 2 hours - I was still at a 3, 45 minutes later I was pushing.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

"mom2robbie" wrote:

they didn't tell me that! and the labour pains were worse then Robbie kicking my gallbladder! After 70 hours the OB said she was calling a c-section in 2 hours - I was still at a 3, 45 minutes later I was pushing.

And THAT is how the brain works. Motivation to not have the c-section made you dilate! Good work!

mom2robbie's picture
Joined: 01/20/07
Posts: 2541

"Heatherbella" wrote:

And THAT is how the brain works. Motivation to not have the c-section made you dilate! Good work!

At that point I was so exhausted that I would have had a section then if offered.... my body tried fighting the induction for a long time and I was on the highest amount of pitocin recommended for 12 hours... not fun but Robbie was worth it (or he is most days Wink )

akpufa's picture
Joined: 01/31/08
Posts: 3078

"Heatherbella" wrote:

Obviously it depends on the pregnancy. I was 33 for most of my pregnancy with DD and had no problems. This time I'm 37 and don't really have any problems this time. The AMA thing is silly to me...someone arbitrarily picks 35 as the year but everyone is different at 35 and every pregnancy is different. I like more of a 'case by case' approach.

Couldn't agree more. I think there are plenty of other risk factors aside from AGE that they tend to overlook. Buuuut that's JMHO Wink

Lynn: glad your appointments are going well. If nothing else, at least you get a few bonus u/s!

Clarkton's picture
Joined: 01/07/08
Posts: 1972

"Heatherbella" wrote:

Do you have the right to refuse it? I'm just not sure I'd want so many u/s. Sad

Yes, I always have the right to refuse...I'm really not bothered by doing the one BPP, which is the actual u/s next week. Assuming it shows no signs of any problem I plan to deter having another one until at least after 37 weeks. I'll probably deliver fairly soon after that anyway. I feel like the biggest risk of this type if testing is The results being interpreted to show an issue that isn't there and therefore leading to undue alarm. But if something really were wrong I'd want to know too. But I really do trust my doc and have found him to be reasonable and not quick to jump to unnecessary invasive stuff. He always listens to my feelings too and is willing to talk through any concerns I have.

elleon17's picture
Joined: 01/26/09
Posts: 1981

I'm AMA too Wink That's why they sent me to the high risk OB until my anatomy scan and I 'graduated' from there.

OB hasn't mentioned anything yet, but I wouldn't be suprised. It cracks me up that all of a sudden when I turned 35 I'm not advanced maternal age (ps just turned 35 2 weeks ago, lol!)