Pregnant after IF

BPP vs. Growth Scan vs. NST?

Just wondering - if your Dr. is concerned about the placenta functioning for whatever reason (pre-E, GD, or in my case low PAPP-A), anyone know why do they do a growth scan or NST over a biophysical profile or vice versa? 

I'm having monthly growth scans and weekly NSTs for monitoring but was just curious.

TTC in 2008. Stage II/III endo, Hashimotos hypothyroid, low morph (3%).
2 cycles Clomid/Ovidrel/TI/Crinone=BFN.
IUI #1 - 4 Follistim/Ovidrel/IUI/Crinone = BFN.
IVF #1 - Antagonist w/ ICSI 4/10. 17 retrieved, 5DT of 2, BFN :(
IVF #2 - Long Lupron w/ ICSI 6/10. 15 retrieved, 3DT of 2, BFFN!!
Lap 7/21/10
IVF #3 - Clomid/Antagonist w/ ICSI 10/10. 14 retreived, 3DT of 3, BFP 10/20 but m/c. No HB 11/15/10 - D&C 11/17/10.
FET - 2 blasts, 1 survived the thaw. Transfer 2/19. Beta #1 3/1 375, Beta #2 3/3 885, Beta #3 3/8 4261, Beta #4 3/11 9005. U/S 3/8 1 sac 1 yolk, U/S 3/16 1 heartbeat 114bpm!

 

James born Oct. 24th 2011 via c-section at 38 weeks!

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Surprise BFP - Jack born April 28, 2013 via VBAC after PTL at 33 1/2 weeks!

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Re: BPP vs. Growth Scan vs. NST?

  • I am having twice weekly NSTs and fluid checks with growth scans every 2 weeks. I only had a BPP done when she failed her NST. It seems like if everything looks good with the initial testing that you don't really need BPPs as often.
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  • I'm getting 2 NST's and 1 BPP a week due to being on insulin for diabetes.  I think the main issue they are looking at with the BPP is my fluid levels, but they also check for baby's movements, tone, and his "practice breathing"  Babies born to diabetic mothers tend to have more fluid (they pee more) so this is why I think it is the most concerning to them.  They are concerned about my LO's size, but will only do a growth scan for me every 4 weeks because he is on the large side of things.  Hope this helps!

    TTC Child #1 Sept '08, Dx: Unexplained, DOR 2 IUI's = BFN, m/c, IVF 1 = 0 embies to put back, IVF 2 = BFN, IVF 3 = cancelled, IVF 4 = BFP with 1 embie. Our son came into our life on 9/28/11. We are in love! Baby Birthday Ticker Ticker
  • I'm doing 2 BPPs a week and 1 Growth Scan every 4 weeks due to marginal cord insertion. I just started the BPPs last Tuesday, but when I came back on Friday they didn't do the ultrasound portion because the NST was excellent. My Growth Scan 7 weeks ago showed that the baby was in the 50% and 3 weeks ago at 57%, so peri said I don't need to come back unless I want to. I said I want to so we go see him again one more time next week.
    TTC Since 01/09
    Unexplained IF
    Clomid cycle 1-3 - BFN IUI 1-3 - BFN 
    IVF 1 - BFP 4/4/11 - It's a boy!
    FET 1 - BFP M/C 6/14
    IVF 2 - 33R/19F 12 PGS resulted in 5 normal embies
    FET 1 scheduled 12/10/14
      Baby Birthday Ticker Ticker
  • BPPs are usually done if you fail an NST
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  • My MFM wants to do weekly BPP after 32 weeks, but my PAPP A was borderline and we are ok on growth so far (knock on wood). So if all looks good at the first one, I may not want to do them weekly.

    ETA: they only do BPPs because they don't perform NSTs in their office.

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