Biophysical profile because of AMA? - Mothering Forums
I'm Pregnant > Biophysical profile because of AMA?
jemar's Avatar jemar 12:01 AM 09-01-2006
My dr. wants to do biophysical profiles each week from 37-40 weeks because I'm of "advanced maternal age." I'm 40. I'm 36 weeks right now and have had no problems at all with this pregnancy (my first). Do I really need 3-4 biophysicals? I'm thinking of doing one and skipping the rest. I had six ultrasounds in early pregnancy to watch cervical length and don't want to expose baby to more ultrasounds than necessary....

ChristieB's Avatar ChristieB 05:55 AM 09-01-2006
What is a biophysical profile and what info. does he say he will get and how will it help you and him make decisions about care? That would be my question. Most likely, he doesn't have a good reason (showing my bias here).

And just remember, you can decline any test. If you don't feel comfortable with it, don't do it. I'm declining everything (and I'm 39), unless something seems important to ME, which seems highly unlikely.

Christie
CookieMonsterMommy's Avatar CookieMonsterMommy 06:01 AM 09-01-2006
That's freaking insane. Refuse it--there's nothing special to worry about at this stage with "AMA".

Sonos (esp when performed in dr's office by dr)=$$$
xenabyte's Avatar xenabyte 03:43 PM 09-01-2006
Geez, had my first at 35, second at 37 and am having my last one now at 40. No problems and the midwife says my body/health is better than alot of the young moms she sees....

I say it's excessive testing and silly. Unless you are having some problems other than normal 'aches' and such from the pregnancy, refuse it....a Dr. would have to give me ALOT of evidence I needed it, before I'd do more sonograms and what not...

Anyway, you are close enough to the 'safe' delivery date of 37+ weeks to not worry if you go into early labor. Unless he could find something that was preventable/treatable by the test, I would not do them if it's not something you are wanting to do anyway.

But I refuse most tests and allow for only 1 ultrasound at week 20....but that's me...
BusyBeeMom's Avatar BusyBeeMom 04:15 PM 09-01-2006
I'd say that's way over-the-top. If nothing else, do you really want to devote a 1/2 a week to this?!

I have agreed to do a BPP if I go more than a couple of days past-dates. This is to reassure the midwife and birth center that all is still well. Before your due date, it sounds crazy.

I'm guessing this doctor is a high-risk specialist?
bamamom's Avatar bamamom 04:19 PM 09-01-2006
ummm say no. he sounds like a high risk loving freak. ugh

sounds like he WANTS to induce you for some reason..maybe he has a vacation scheduled??
wombat's Avatar wombat 09:37 PM 09-01-2006
I had my last one at 39 and no one ever suggested those tests to me.

I agree with ChristieB - ask that OB some questions!
jemar's Avatar jemar 12:49 AM 09-02-2006
I know. It sounds weird to me. The only thing I can think of aside from being "old" is that I'm hypothyroid, but that has been controlled with medication and monthy visits to the endocrinologist. I conceived naturally (first try) and have had absolutely no problems. My friend in Massachusetts is my age and didn't have this done. I'm wondering if it is something about New York State, being sued or something. And my MD does not specialize in "high risk." I wish I had gone with a midwife but I didn't know pregnancy would be this easy. Now I'm feeling overwhelmed at the idea of battling it out with my M.D.
DreamsInDigital's Avatar DreamsInDigital 01:10 AM 09-02-2006
It sounds like a test your doc will eventually use to bully you into either induction or c section. I'd decline. Advanced maternal age is not a reason for that much exposure to ultrasound.
If I were you, I'd agree to one if I went beyond 41 or 42 weeks but that's it.
ChristieB's Avatar ChristieB 05:19 PM 09-02-2006
Quote:
Originally Posted by jemar
I wish I had gone with a midwife but I didn't know pregnancy would be this easy. Now I'm feeling overwhelmed at the idea of battling it out with my M.D.
I've heard of people switching providers this late in pregnancy. I know it's not ideal, but if you're feeling bad about how things are going, you could call around to midwives and see what they think. I'd still suggest talking to your dr., though, too. This may be what he recommends, but he may be open to you declining the tests, too.

Good luck.

Christie
angelpie545's Avatar angelpie545 11:10 PM 09-02-2006
Quote:
Originally Posted by DreamsInDigital
It sounds like a test your doc will eventually use to bully you into either induction or c section. I'd decline. Advanced maternal age is not a reason for that much exposure to ultrasound.
If I were you, I'd agree to one if I went beyond 41 or 42 weeks but that's it.
Yes, my sentiments exactly. Also, I'd personally want to limit my baby's exposure to ultrasound as well. Recent studies have found that it can affect brain development.
gardenmommy's Avatar gardenmommy 11:29 PM 09-02-2006
Quote:
Originally Posted by jemar
I know. It sounds weird to me. The only thing I can think of aside from being "old" is that I'm hypothyroid, but that has been controlled with medication and monthy visits to the endocrinologist. I conceived naturally (first try) and have had absolutely no problems. My friend in Massachusetts is my age and didn't have this done. I'm wondering if it is something about New York State, being sued or something. And my MD does not specialize in "high risk." I wish I had gone with a midwife but I didn't know pregnancy would be this easy. Now I'm feeling overwhelmed at the idea of battling it out with my M.D.
It's not too late to switch providers. At the very least, you could check around and see what else is available.
jemar's Avatar jemar 09:54 AM 09-04-2006
Thanks all. I'm waiting to hear from a friend's midwife. I have an appointment with my MD this week and have conviently NOT scheduled an ultrasound this week (I'm to get them at the hospital). DH will come to my appointment. If the doc really freaks out, we will have to decide what to do. For those of you who suspect she'll induce, you're right. She threatened to induce at 41 weeks. I sort of ignored it... figured I'd face that battle at the time. Baby is already pretty low so I don't think I'll go that long but you never know. When I first went to this dr. at the beginning of pregnancy (my previous m.d. had just retired), I said I wanted to do this as naturally as possible and she agreed. Now I feel betrayed. I hoping I'll be pleasantly surprised by her reaction this week.
DreamsInDigital's Avatar DreamsInDigital 10:53 AM 09-04-2006
Your doc cannot force you to be induced. She can threaten to induce you, but you don't have to show up. Just show up at the hospital when you do go into labor and because of the EMTALA laws they have to treat you whether you followed your doctor's nonsense or not.
ChristieB's Avatar ChristieB 08:05 PM 09-04-2006
Good for you! I know it can be hard to buck the system. This child is lucky to have you for a mom! I'm glad you're looking into alternatives, and I'm really glad you're taking your dh with you to the appt. If you're anything like me, you'll be more self assured and self protective (can't think of another way to say that ) with him there. Maybe your dr. will surprise you.



Quote:
Originally Posted by jemar
When I first went to this dr. at the beginning of pregnancy (my previous m.d. had just retired), I said I wanted to do this as naturally as possible and she agreed. Now I feel betrayed. I hoping I'll be pleasantly surprised by her reaction this week.
I would guess that one of two things was going on. Maybe she was just humoring you, or maybe she has a different idea of what a natural birth is (or some of both).



Quote:
She threatened to induce at 41 weeks.
This would concern me. Going to 41 weeks isn't even uncommon. A due date could easily be off by a week or two (sometimes more). And 41 weeks, in and of itself, is no reason at all to induce. It seems to indicate that the reason for the biophysical profiles was to collect "evidence" for induction. I hope you hear from the midwife soon.

Christie
jemar's Avatar jemar 02:48 AM 09-07-2006
Well, we saw the doc today. DH is convinced she doesn't like us. Sigh. Anyway, we asked *why* I would need a biophysical and she said well, you're over 35 and your placenta might "poop out" sooner and she wanted to watch that. I'd never heard of that. Anyway, then the doc said "And you're hypothyroid." And I said, "so how does that affect the baby?" And she sort of didn't reply. It was all very weird. I'm meeting with her partner next week because the partner might end up delivering me because of scheduling. At this point I hope so. I got around the biophysical temporarily by saying I couldn't schedule an appointment at the hospital until 38 weeks. The doc didn't seem too concerned about that. In the meantime, I'll be chugging my red raspberry leaf tea in the hopes I don't have to deal with the inducement fight. There aren't that many midwives that deliver at my hospital AND take my insurance so I'm sort of stuck.
roslyn's Avatar roslyn 07:42 AM 09-09-2006
I've never heard of this either and I had my first at 39, and am pregnant with my second at 42. Granted I had a scheduled c-section at 38 weeks because I had previously had fibroids removed and there was a risk of uterine rupture, but my doctor didn't seem to treat my pregnancies any differently.
jemar's Avatar jemar 10:30 PM 09-12-2006
The update is I really like my dr.'s associate. Saw her today and she's much more laid back. There is a good chance I'll deliver with her. In the meantime, I've put off the first two sonograms.
DreamsInDigital's Avatar DreamsInDigital 10:41 PM 09-12-2006
Being over 35 does not mean your placenta will poop out sooner. That's a load of crap.
jemar's Avatar jemar 03:26 PM 09-14-2006
I think it's a load of crap too.
wildthing's Avatar wildthing 04:09 PM 09-14-2006
I am 39 and had my thyroid removed 2 years ago, so I also take replacement. If you are on replacement and your levels are good, then you are not hypothyroid. A risk if your levels are really low is mental retardation of the baby, but if you have been seeing your endocrinologist regularly, then I would assume you are fine.
I have had 2 babie after age 35, and this is number 3 (baby #9 total). It sounds like you are in good health, and are taking care of yourself. I hope the other doctor is more reasonable than the first one.
ChristieB's Avatar ChristieB 04:13 AM 09-15-2006
Quote:
Originally Posted by jemar
The update is I really like my dr.'s associate. Saw her today and she's much more laid back. There is a good chance I'll deliver with her. In the meantime, I've put off the first two sonograms.
Wonderful!! So glad to hear it!

Christie
jemar's Avatar jemar 02:20 AM 09-17-2006
Yes, I go to the endo once a month to have my levels checked and I'm on replacement meds. So I'm not technically hypothyroid. I just don't understand where all this is coming from. I'm a runner, have low cholesterol, excellent blood pressure, gained 28 pounds while pregnant, tested negative for diabetes and strep... There is nothing wrong with me or the baby! Luckily, I know enough to take care of myself and resist interventions, but it's tiring, I'll tell you.
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