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36 wk Doctor appt


Forum: April 2013 Playroom

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  #1  
March 5th, 2013, 09:28 AM
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We did the group b strep test this week and then I was checked for dialation. I'm at 2 cm yay.. That's 2 cm I don't have to deal with come d-day! Lol THEN my doctor tells me he just got back from a conference where they insist on mothers who are AMA need weekly NSTs. So that's where I am now, hooked up to monitors. He also said he doesn't want me to go past 39 weeks I said uh I really don't want to be induced this time, it's too painful. He says well since you are AMA I really don't want you to go that long and the previous doctor must have did it wrong because it's not supposed to be more painful!! Whatever! He then goes on to describe how HE induces, which is the exact same way I was induced last time.... So he says I don't have to induce if I don't want to and then proceeds to pencil me in for March 25th because he will be out of town on the day of my 39th week lol... Yeah you don't want me to get to 40 weeks, yet you schedule me for 4 days before my due date? What a strange guy...
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  #2  
March 5th, 2013, 09:32 AM
anjawb's Avatar Super Mommy
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oh my goodness. how annoying! stay strong and dont let them talk you into something you really dont want!!! (it also kinda sounds like he wants to induce you before he goes away...)
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  #3  
March 5th, 2013, 09:44 AM
ThaiSpice's Avatar Platinum Supermommy
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Yeah...odd. I'm AMA too, and haven't heard a word about weekly NSTs or induction. I can certainly understand not wanting to be induced!
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  #4  
March 5th, 2013, 09:53 AM
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I am AMA and have had weekly NST since 34 weeks. My Dr wanted to do c section at 39 weeks but she is out of town for my 39th week plus a couple days. She has me down now for almost 41 weeks (April 2). So I guess she is ok with me going longer even with AMA. I am pretty sure I will go into labor before that tho. I have not heard of AMA to be reason to not go past 39 weeks unless you have another reason I would say to stick to what you want to do.
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  #5  
March 5th, 2013, 11:25 AM
Mel_Kay's Avatar Mega Super Mommy
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Maybe if the Dr. does a membrane sweep closer to 39 weeks that will be all you need to kick start labor? Induction DOES hurt! Much more than your bodies natural contractions.
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  #6  
March 5th, 2013, 12:08 PM
HalfDozen's Avatar Formerly Number5OnTheWay
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That doctor is a piece of work, in my opinion. I would definitely steer away from induction, unless you're already past your due date, and I don't mean 1-2 days. I've been induced twice and had 2 start on their own. The first induction wasn't bad, but she was 12 days late. The second was the most horrific experience of my life.

And by the way, I'm the same age as you, and my midwives have not said a word about AMA. They have actually been much more laid back than they were with my last pregnancy, but I was having severe swelling starting 3 1/2 - 4 months before I had her and high blood pressure at the end. Also, my mom was just talking to her own doctor last week, and the doctor told her that they are moving the AMA definition to 39.

I say stay strong in fighting to be induced!!
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  #7  
March 5th, 2013, 12:28 PM
Purple_cat's Avatar Mega Super Mommy
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I haven't heard that about AMA. I think I am considered AMA (is it over 35?) and I won't get a NST until I am 41 weeks.
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  #8  
March 5th, 2013, 12:42 PM
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What is AMA?
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  #9  
March 5th, 2013, 12:49 PM
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Quote:
Originally Posted by kary4 View Post
What is AMA?
Advanced Maternal age.

I was just thinking about your post again and I am not sure why they would want you to deliver by 39 weeks. I had several appointments with high risk OB due to my age (I think I am at least 7 years older than you) and they had no problem with me going as long as it takes. I would hold my ground on induction if you don't want one unless medically needed. Sounds like he wants to work it with his schedule.
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  #10  
March 5th, 2013, 01:04 PM
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AMA- advanced maternal age. I'm 36 and I am really healthy, just have tail bone and spinal cord issues and the only pregnancy related problem I've had is where they've said I have low magnesium and malnutrition, which I think is a bunch of crap but whatever.. So basically I just get dizzy and passed out 2 times. The passing out they've never had a problem with for some odd reason. My age? They are convinced it will cause something wrong with my baby. At first they were convinced she had downs but the specialist gave me the all clear and told me there was no need to see him. Then they were convinced she will have failure to thrive because she weighed less than 3 lbs at 30 weeks now he's convinced she will have something wrong with her if I go over 40 weeks. GMAB!!! My 6 yr old was 11 days late and I did agree to induction with her because that, in my book, was long enough lol.. This time I really think they are off on the dates and they are a week off. I think I'm due about a week later. We shall see though!!
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  #11  
March 5th, 2013, 06:34 PM
HalfDozen's Avatar Formerly Number5OnTheWay
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I take no issue with induction, particularly at 11 days late, but to induce simply because of your age is absurd. I haven't heard any medical reason why you would need to induce. Is he your only option???
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  #12  
March 5th, 2013, 08:24 PM
plastikmom's Avatar Super Mommy
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I turn 35 15 days after my due date. My OB tells me that there is a different protocol for moms 35 and over which includes NSTs. The past few weeks I have been asking them to treat me in the same category because I don't think anything will magically change in 15 days when I turn 35. My baby hardly ever moves, so I'd love a weekly NST just to ease my mind. But an induction, not so much....
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  #13  
March 6th, 2013, 02:45 AM
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For me, the NSTs aren't necessary at all. My baby is a wiggle worm and I feel her move all the time. I don't worry about her at all, I know she's doing great in there. And yeah I really would like her to make her own appearance. I plan on giving her a week or so after her due date, in case I'm right about the dates. I wasn't keeping track of LMPs or anything but the date my doctor came up with for LMP was the day after my bday which I KNOW wasn't right because I would have remembered that for sure!
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  #14  
March 6th, 2013, 04:16 AM
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I personally would have fired that doctor months ago. What an A**! My docs do weekly NST for AMA over 40 not over 35 which yes technically is AMA but it is really shifting away from that, it is all too common for women over 35 to have babies!
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  #15  
March 6th, 2013, 06:41 AM
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I know that my doctors (I have serveral OBs that I see) told me early on that AMA mothers need NSTs weekly after a certain point. The issue of induction didn't come up however until I started having secondary problems. Then they said that they would induce at 39 weeks and well.. we know whats happening now where I am being induced at 37.

At my childbirth classes I did learn already that pitocin makes your body have way higher contractions than your body normally produces. I did talk to my doctors about that and they said that they don't wait to give Moms who are being induced an epi because of that. If I wanted to try natural then it would be something I would need to be well aware of. (But Im not doing natural) Hopefully they will do it right and all will be well for both of us if that happens.
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  #16  
March 6th, 2013, 08:24 AM
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Quote:
Originally Posted by kitt View Post
For me, the NSTs aren't necessary at all. My baby is a wiggle worm and I feel her move all the time. I don't worry about her at all, I know she's doing great in there. And yeah I really would like her to make her own appearance. I plan on giving her a week or so after her due date, in case I'm right about the dates. I wasn't keeping track of LMPs or anything but the date my doctor came up with for LMP was the day after my bday which I KNOW wasn't right because I would have remembered that for sure!

While I don't at all agree with the plan for induction because you're AMA.. I do agree with the weekly NST's. Just because you feel baby moving doesn't mean the baby is fine. The NST doesn't test baby's movement.. it tests baby's oxygenation levels, reaction to stress, and ability to recover from something like a contraction (if you have them while having the NST). Plenty of babies move, but don't have any accelerations in the heart rate which would indicate they're not oxygenating. A BPP (biophysical profile) is an ultrasound that rates the baby on multiple things and movement is just one. The baby can be moving but not breathing, or have low fluid levels and fail the BPP. Women of advanced maternal age are at a higher risk for placental breakdown and failure late in pregnancy. As long as your NST's are fine there's no reason to induce at 39 weeks however.
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  #17  
March 6th, 2013, 09:05 AM
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I still don't agree with being labeled AMA but I go along with the stuff he sends me to do. Just not induction unless absolutely necessary. How does it test oxygenation levels if the only thing they have me hooked up to is a heart monitor and contraction monitor? I asked the nurse what they were looking for and she said they were just looking at heart rate so that's why I figured it wasn't really necessary when they had just checked the rate at my doctor appt half an hour earlier.
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  #18  
March 6th, 2013, 09:17 AM
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Quote:
Originally Posted by kitt View Post
I still don't agree with being labeled AMA but I go along with the stuff he sends me to do. Just not induction unless absolutely necessary. How does it test oxygenation levels if the only thing they have me hooked up to is a heart monitor and contraction monitor? I asked the nurse what they were looking for and she said they were just looking at heart rate so that's why I figured it wasn't really necessary when they had just checked the rate at my doctor appt half an hour earlier.

Accelerations in the heartrate indicate adequate oxygenation. An acceleration has a specific definition of a certain amount of beats over a certain amount of time. If the baby's heartrate only goes up let's say... 5 beats.. for 5 seconds.. the baby would still fail the NST. A baby with a heartrate that doesn't go up or down.. is not doing well at all. On the opposite end, it also detects decelerations which could indicate something is wrong with the baby.
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  #19  
March 6th, 2013, 09:41 AM
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Oh wow ok.. I had no idea.
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