While there are routine ultrasounds that almost every pregnant person gets. There are specific ultrasound that are ordered if there is an issue seen. Today we’re going to go through those issues and what they might be interested in.
Today’s guest is Marybeth. She picked up an ultrasound probe for the first time in 1998 and has really enjoyed every minute of it. She has a Bachelor’s of Science degree from Southern Illinois University, and has worked in Hospitals, Outpatient imaging centers, OBGYN offices, and now in a private Perinatology office. She started in general ultrasound and slowly found her way into high-risk OB. Marybeth is certified in Ob/GYN, Fetal Echocardiography, Nuchal translucency screening, Nasal bone, Uterine artery Doppler, and CLEAR. She is a huge advocate for patient education and teaching new sonographers tips and tricks of optimizing their scanning.
Big thanks to our sponsor The Online Prenatal Class for Couples — if you’re looking understand more about pregnancy and labor, this is the class for you. I’ll take you and your partner through each step, both explaining and simplifying it — so you can have the confident birth you’re hoping for!
Don’t miss out on my Free Birth Prep Kit that gives you a FREE lesson on this testing and what to expect during it.
In this episode
What type of testing we are talking about, and what they are for.
- Fetal Size
Other things that might interest you
At Home Pergnancy Ultrasounds Pro’s and Con’s
Producer: Drew Erickson
[00:00:00.190] – Hilary Erickson
Okay, guys, it is part two about ultrasounds because March is the month of ultrasounds. Here at the Pulling Curls podcast today we are talking about ultrasound testing. Let’s untangle it.
[00:00:21.030] – Hilary Erickson
Hi, I’m Hilary Erickson, the curly head behind the Pulling Curls Podcast; where we untangle, pregnancy, parenting, home, and even travel. We know there’s no right answer for every family, but hopefully we can spark some ideas that will work for yours. Life tangled, just like my hair.
[00:00:43.090] – Hilary Erickson
Okay, guys, before we get started, remember, you can subscribe, right? That means every single episode will come to you on your favorite podcast player. You will not miss a thing. Be sure and subscribe.
[00:00:53.170] – Hilary Erickson
All right, if you don’t remember her from last time, today’s guest is my friend. Our daughters are friends from school and she works at a high-risk perinatologist office as an ultrasound tech. I want to introduce my friend, who is also Sono Eyes on Instagram and TikTok, Mary Beth.
[00:01:11.570] – Hilary Erickson
Do you feel prepared for your delivery in just three short hours, you can be prepared for the competent, collaborative delivery you want. You’ll know what to expect and how to talk with your health care team. And there are no boring lessons in this class. I’ll use humor stories from my 20 years in the delivery room to engage both of you. I love how Alyssa told me that she found herself laughing at things that used to sound scary. Most of all, you guys are going to be on the same page from Bump to Bassinet. Join the online prenatal class for couples today. You can save 15% with coupon code UNTANGLED. You can find the link in the show notes.
[00:01:47.010] – Hilary Erickson
Hey, Mary Beth, welcome back. We’re going to part two of ultrasounds here in Ultrasound Month.
[00:01:52.270] – Marybeth Tomory
[00:01:53.120] – Hilary Erickson
Sounds great because this is the month where it’s black and white, guys.
[00:01:58.590] – Marybeth Tomory
It’s all about ultrasound. All about it.
[00:02:01.160] – Hilary Erickson
Yeah. So that’s why we’re talking about testing. So this is going to happen usually in your third trimester. Your doctor is going to be see something at your prenatal appointments. Last time we talked about congenital defects or whatever, and that’s like separate. These are something usually related to your health.
[00:02:15.890] – Marybeth Tomory
Mom’s health, right. This is called antenatal testing. We do typically start it in the third trimester, but normally it started around 32 to 36 weeks. And it’s just monitoring. It’s a well being check of your baby is what it is. And we just want to make sure that for fetal factors, maternal factors that you and your baby stay as healthy as possible up until delivery. That’s really what it’s for. But these are typically done. It’s typically an ultrasound, which is called a BPP or a biophysical profile, and then a non stress test or we call it an NST. So there’s many variations of how to do this. Some people do twice weekly antennatal testing, which is a BPP on one day, and then a non stress test on the other day. So you would do Mondays and Thursdays or Tuesdays and Fridays. And the concept is that somebody is touching your baby every couple of days just for their well-being, so some doctors just do nonstress tests. Some do just measure the amniotic fluid and do a nonstress test. Some just do a BPP, some do NSTS and Bpps on the same day. There are many variables of antenatal testing, and it just depends on the patient, the provider.
[00:03:26.440] – Marybeth Tomory
All these can be changed and adjusted as need be.
[00:03:29.710] – Hilary Erickson
Yeah. And we hand out Bpps like candy.
[00:03:31.900] – Marybeth Tomory
Oh, my gosh. Bpp for days. Yes. And I know you had said at your hospital you did them always together.
[00:03:38.280] – Hilary Erickson
Well, because they’re only there for it. A lot of times somebody comes in, they have a headache. We do the BPP to see where we’re at. And part of the BPP is the NST. Right. We’re one of the numbers, I think.
[00:03:50.350] – Marybeth Tomory
So, yes. You can do a BPP separate. You can do an NST separate. You can do a measurement of the amniotic fluid separately. You can do them together. There are many variables and there are many variations of antinatal testing.
[00:04:04.510] – Hilary Erickson
Yeah, that’s true. Sometimes they just order an AFI, or sometimes they actually just order a fetal presentation. Is it head down?
[00:04:10.370] – Marybeth Tomory
Yeah, that would just be like a limited like, oh, are we just looking? Let’s see. So yeah, there’s many things that we’re doing on that one.
[00:04:17.470] – Hilary Erickson
Yeah. But this would be the main one that people get. And I actually have a free prenatal class where we go into this more. I’ll put the link in the show notes as well. Okay. So what does the BPP show us?
[00:04:26.720] – Marybeth Tomory
Well, the BPP is a 30 minutes timed test, so that means that your baby has 30 minutes to complete their exam. So if your baby does everything in five minutes, in theory, we’re done in five minutes, but we have up to 30 minutes to complete everything in. So each piece that we’re looking for give baby two points. And the test itself is eight points total. That’s our goal. So we are looking for what we call fetal breathing. So fetal breathing is a motion of the diaphragm. This is different than hiccups. Hiccups. Are also a diaphragmatic motion, but practice breathing. Is that breathing motion of the diaphragm. So the breathing babies practice in clusters. So if a baby feels good, they will do this breathing on and off. But they’re not really breathing. Right. They live in a bubble, eat, drink, pee in the bubble. So they’re not breathing like we would breathe it. But breathing monitors a baby for hypoxia. So think like a coma like state. So if a baby feels good and they’ve got good oxygen in their brain, they’ll do this little practice breathing. So for the biophysical profile, we want the baby to breathe continuously for 30 seconds or more.
[00:05:37.210] – Marybeth Tomory
We also want to see gross body movement. So we want to see three big body movements. So like stretching, elbow, kicking, we want three separate movements. We always also look for fetal tone. That’s the next thing. So tone can be opening and closing of the baby’s hand or one big extension inflection of the spine.
[00:05:58.050] – Marybeth Tomory
[00:05:58.810] – Marybeth Tomory
And then we also look for amniotic fluid. So we want you to have a pocket of amniotic fluid, more than 2 CM. So breathing, gross body movement, fetal tone, amniotic fluid. Each one is two points for a total of eight. And then your baby has to do it within 30 minutes.
[00:06:14.680] – Hilary Erickson
Yeah. Now keep in mind, your doctor may order more than the BPP, and sometimes it takes a little bit from when they come in. So the actual BPP probably takes about 45 minutes in total because they have to input your crap and then turn on the machine.
[00:06:28.190] – Marybeth Tomory
It kind of depends, too. Like, are you there for growth at the same time? Oh, we’re going to add growth into that. So I mean, you can typically expect this test to be about 30 minutes, but it’s also like what happens if the baby doesn’t pass, right.
[00:06:43.690] – Hilary Erickson
So if the baby doesn’t pass, then you would go to labor and delivery or we would just assess what’s going on. We may order you another BPP. We’re going to take a harder look at that NSC. We may monitor your baby longer with the fetal heart rate strip. They may call a perinatologist, most often.
[00:06:59.090] – Marybeth Tomory
Right. But I think the important thing is it depends on why they don’t pass. So if your baby is moving and you have good amniotic fluid, but we just don’t catch one of those clusters of breathing, then we would put you on the NST to monitor it. And as long as the NST is good, then that negates the breathing and the BPP. Now if you have a BPP and there’s no water around your baby, it’s time to have a baby. So we would send you right to the hospital. If your water has broken or you ruptured, you have a leak. So it kind of depends on what part. Right. And this is kind of how we escalate it.
[00:07:32.090] – Hilary Erickson
Depending on what part well and how far along you are. That’s honestly, that because if you’re 39 weeks and stuff looks sketchy. We’re like, we’re done.
[00:07:38.990] – Marybeth Tomory
Let’s go have a baby. Today’s your baby’s birthday, you’re 34 weeks.
[00:07:43.550] – Hilary Erickson
And we’re like, oh, we’re just going to think about it a little bit longer. That’s when you get the long fetal heart rate monitoring, the doctor making phone calls.
[00:07:51.250] – Marybeth Tomory
Sensitive monitoring, just to make sure. Absolutely. This all depends on your gestational age. Absolutely.
[00:07:57.080] – Hilary Erickson
And what’s going on with mom, because let’s say then your blood pressure is like through the roof and you have a big old headache, and then your labs come back because a lot of time it’s a BPP plus PAH labs. And so we’re doing all this. We’re doing a work up on you. We’re doing serial blood pressures. We’re just watching you for longer than they’d watch in the doctor’s office. So they likely saw something Askew in the doctor’s office or you have a risk factor, advanced maternal age, diabetes, high blood pressure, and then they’re just ordering this test, and then we would advance it with a longer fetal heart rate check or all those different things. Yeah. So it’s just a test.
[00:08:27.660] – Marybeth Tomory
Yes. And I mean, for antenatal testing, there are many reasons why we recommend this. Right. So for maternal, if you have high blood pressure, if you’re diabetic, if you’re overdue, you’ve gone over 40 weeks, if you have a history of a stillbirth, if you have lupus, if you have a starting BMI over 40, or if you’re AMA, this is all just monitoring because of maternal reasons. Now, some of the reasons that we monitor because of the baby or fetal complications, this is like fetal growth restriction. That’s one of them. If the baby is smaller, if your amniotic fluid is really low or if your amniotic fluid is really high, if your baby has an abnormality or if you have multiple babies in there, we monitor or if you’re just not feeling the baby as much, we just want to make sure that you and the baby are as healthy as possible for as long as possible.
[00:09:15.400] – Hilary Erickson
Yeah. And there’s reasons behind all of that, like a previous still birth. It just reassures mom and you. And we don’t know maybe why it happened last time. Yeah. All of it can just be really reassuring because the BPP shows that baby in the next day or so, it’s doing okay.
[00:09:29.450] – Marybeth Tomory
Right. And this is what this is for. We want to make sure that your stress level is low, that we have done everything we can to take care of the baby. And mom always.
[00:09:39.370] – Hilary Erickson
Now at your clinic, do you guys buzz the baby sometimes with the BPP, I never can tell if that’s in the rules or not.
[00:09:45.070] – Marybeth Tomory
Yes. The acoustic stimulator. Yes. That’s what it’s called my kids to simulator. Yeah. We have a buzzer. We are not afraid to use it. However, I want the baby to move on its own. So there’s a lot of times we’ll move the patient to her left side, drink some cold water. I want to see at least 15 minutes. And I want to give the baby a chance to work out. And I might be kind of tapping the baby. Mom might be tapping the baby, but after 15 minutes, if the baby hasn’t moved, then I’ll typically go get the weather. But some places don’t use it. Some places use it a lot.
[00:10:16.030] – Hilary Erickson
Half the time we can’t find it.
[00:10:17.710] – Marybeth Tomory
Oh, my gosh. Right. We’re always like, where is it? Anyone got these stems? Come on. So, yes, we’re always looking for it. We have one place in the office. Everyone puts it in that one spot. Like, just put it back.
[00:10:28.270] – Hilary Erickson
Or I’ve been like, could she just put her phone on vibrate?
[00:10:31.180] – Marybeth Tomory
Right. You actually can. You can. There are some people, they’ll put their phone on vibrate. One patient told me that their doctor had metal spoons, and they’d put the spoon up and then tap the spoon and it would send the vibrant. Brilliant, brilliant. I mean, it’s all about an acoustic stimulation and that reverberation of the spoon. Wake the baby up.
[00:10:51.120] – Hilary Erickson
Yeah. So the idea there is just to wake the baby up because obviously if you were in a dead sleep, people might think you were dead, too, because the middle of the night.
[00:10:58.730] – Marybeth Tomory
Well, and that’s the thing. Like, you’re rolling on your side. If I buzz that baby and that baby is not waking up, I’m starting to get a little nervous.
[00:11:05.890] – Hilary Erickson
[00:11:06.240] – Marybeth Tomory
So anytime it’s meant to startle them, it’s meant to startle them awake. And if it doesn’t, then we have to say, why isn’t it? Why isn’t that the baby waking up? And then do we escalate our testing? It could just be the babies in a deep sleep. But again, we do not assume. Right. We don’t assume that they’re sleeping. If we’ve done everything we can to wake the baby up, we buzz them and they’re still not awake, then we need to escalate it to labor and delivery.
[00:11:28.790] – Hilary Erickson
And I start every BPP energy with ice water. Like, I just walk in your room with a big thing of ice water because it’s going to show me what I need to see on the NST. It’s going to show the ultrasound tech what they want, and ultimately, it’s going to get you out faster if that’s the outcome that happens. Totally.
[00:11:43.850] – Marybeth Tomory
I always tell people, do not whirl out of bed and come to your BTP and NST. Like, get up, have something to eat, have something nice to drink. Like, your baby likes that. And we want them awake. We want them moving, we want them active. And if they’re just sleeping, then all this testing takes much longer if you’ve not prepared for it.
[00:12:01.720] – Hilary Erickson
Yeah, same for an OB appointment, too, because people will just show up and they’re in their pajamas and you’re like, when did you last eat? And they’re like, 07:00 p.m. Last night. And you’re like, oh, great, right?
[00:12:12.620] – Marybeth Tomory
We need you to be awake. We need you to put food in your system, preferably protein with a carb. Your sugar levels are good, your baby’s awake and you feel good. Yeah, that’s what we always want. That for testing. We want you awake. We want baby moving. That’s what we want.
[00:12:28.010] – Hilary Erickson
Yeah. And if your doctor does Bpps in the office versus at the hospital, aim for the office because of the hospital, you then have to see the nurse. We then go through the entire admission process.
[00:12:37.280] – Marybeth Tomory
[00:12:38.790] – Hilary Erickson
Their ultrasound tech probably aren’t as good. You didn’t hear that from me. And it’s just nicer in your office because you’re just going to walk in that room, they’re going to throw that ultrasound on you, and then you’re going to be done. It’s not going to be you feel safe in your home environment.
[00:12:51.520] – Marybeth Tomory
And I would tell people with antenatal testing, too, if there’s any way that you can do your ultrasound and then see your provider, you get antenatal testing if it’s twice a week. That’s already two appointments. So if you can couple one of those appointments with your provider’s appointment in office, then you’ve narrowed it down to just two days a week versus three separate appointments. So I always tell people grab one of those appointments if you’re going to your OB office, see your provider at the same time so that you’ve minimized your appointments because really with antenatal testing like you’re diabetic, you’re going twice a week, you’re seeing your OB every other week. You may see a dietician to go over your sugar lock. Just a lot of appointments. I don’t know how we as moms work and do anything and then have five appointments for their pregnancy a week right now. So any time you can kind of piggyback one to the other and go through your OB office and have that, that’s the best way to do it right there.
[00:13:45.470] – Hilary Erickson
Yes, I totally agree. Because sometimes doctors just like spaces. They’re like and I’ll just see her on Wednesday and I’m like, she’s already here on Monday and Thursday. And then you’re going to throw a Wednesday in. And then they’re like, oh, good point. And you’re like, where are you? But they just don’t think the same way.
[00:14:01.600] – Marybeth Tomory
They’re not thinking. They’re like, just have her come back next week. Well, I think she’s coming back on Thursday. How does Thursday sound? Okay. Sounds good like that. They just want to see you at some time. So unless it’s very specific, you as a patient can kind of dictate these and you have to be Proactive in that because some offices won’t see that you’re already scheduled. So you have to be Proactive know when your appointments are know why you’re having your appointment and when you can adjust time, things like that. And we in that office. We appreciate when patients say, I’m already here on Thursday. Could we add that either before or after? Yes. It’s so much easier. We appreciate that on the scheduling and absolutely.
[00:14:40.210] – Hilary Erickson
Yeah. I think people are always like, oh, I don’t want to bother them.
[00:14:42.850] – Marybeth Tomory
But we are here, we are here to be bothered. That is our job. We want you an active participant in your pregnancy, in your appointment. So we prefer that for sure.
[00:14:52.400] – Hilary Erickson
Yeah. So the VPP, it just gets ordered a ton. When I said we give it out like handy, like most people, especially if they’ve headed into past 39 weeks, have seen a BPP, right? I mean, I didn’t on my first two because I was young and healthy, but with Paige, I was past 40 weeks, got a BPP. So it’s nothing to be concerned about. It’s just extra monitoring.
[00:15:11.940] – Marybeth Tomory
And don’t you feel like if you’re coming into the hospital because of decreased fetal movement or you think you’re leaking, that’s like the first thing that you would order in the hospital. Okay, well, let’s see how much fluid you have. I mean, that’s something you would order if they come in for anything like that with labor and delivery, right?
[00:15:27.890] – Hilary Erickson
I mean, it depends on the doctor. It depends on the patient. If they come in six times this week.
[00:15:32.640] – Marybeth Tomory
[00:15:33.070] – Hilary Erickson
Have we done a BPP two days ago, but a lot of times we order a BPP just because it just makes everyone feel safer, especially decreased fetal movement. If you’re not feeling the baby move and this is your first time, you haven’t felt it several times. We will probably order a BPP just to be on the safe side and make sure the baby is getting those movements in.
[00:15:50.870] – Marybeth Tomory
So, I mean, you could get a BPP and not be antenatal testing. That’s what I mean. The BPP is not only because you have these complications, it is really a well being checked. And it’s the best tool in our toolbox. So we want to monitor that baby. We want to monitor fluid. And if you’re at labor and delivery because you can’t feel the baby move, that’s what we’re going to do. We’re going to do our wellbeing check on the beach.
[00:16:11.080] – Hilary Erickson
Yeah. And your end, you’re still doing kick counts, so don’t let the BPP take over. Your kick counts because you still need to be doing all the things on your end to make sure that you’re healthy and you’re feeling the baby move. This is just a good technological way. It really is a lot like a kick count, really, just with an ultrasound machine, really.
[00:16:26.510] – Marybeth Tomory
And you’re non stress test. And I think you can talk more about this. But your non stress test, you can see if there’s low fluid on the non stress test. You can see if you’re contracting. You can see how well the heart rate is. There’s a lot that we put together with NST and BPP. That’s a lot of information for us.
[00:16:42.410] – Hilary Erickson
Yeah. So the NST is called a non stress test. It’s just when you’re relaxed, meaning you’re not contracting or working, we monitor the baby just to make sure it’s doing fine. Just in the womb, you can actually do a contraction stress test, the CST, where we make you contract, and then we see how the baby tolerate contractions. But it’s pretty rare. Most of us just do the NST. And that’s what your nurse has spent hours and hours and hours of training to read fetal monitoring strips like that’s their one superpower. So that’s what we’re there for. It’s just a monitor. And they say that if you have a reactive NST, which is like a good NST, then baby is good for 24 hours, right? That’s what they say.
[00:17:18.680] – Marybeth Tomory
Basically, yes. Now the NST, is that’s what you’re wearing while you’re in labor the whole time? That’s your fatal monitoring strip, right?
[00:17:26.930] – Hilary Erickson
Yeah. We’re basically just doing an NSC over NSC the entire time.
[00:17:30.240] – Marybeth Tomory
It’s not like it only is used in this world. Like, when you go into labor, they’re going to hook those belts onto you, right. Are you contracting? How is the baby doing? We’re constantly monitoring the baby all throughout delivery. It’s basically like the world’s longest NST, depending on your delivery, correct?
[00:17:47.540] – Hilary Erickson
Yeah. And an NST is only supposed to last. I think it’s half an hour. Also, if we’re not seeing the baby move, then and of course, we’ve given them water with ice and moved them all over the place. But if we’re not seeing the baby move, then we need to probably get a BPP or extend from there. The thing is, it’s just the total picture because a lot of it depends on how many weeks you are, your health, what other issues you have going on, any issues you’ve had with other pregnancies. Yada, yada. So every person is different because a lot of people will be like, well, my sister in law, they order BPP’s from 38 weeks on. And I feel like I should be getting an ultrasound. And I’m like, yeah, but you’re 24 and she was 38. Very different.
[00:18:23.740] – Marybeth Tomory
Very different. And then you have some doctors that just like them on a lot of people and some that just don’t. So really, this is kind of individual in practice. Acog has come out and they do have recommendations. Like anyone who’s over 35 should get antinatal testing from 36 weeks until you deliver. So there are certain parameters, but your OB might say you’re feeling baby move. Let’s do an NST a week. And I’m fine with that. There’s so many variables in this.
[00:18:51.170] – Hilary Erickson
So many variables and your ability to pay because they’re not cheap.
[00:18:55.050] – Marybeth Tomory
They are not cheap. But if you’ve met your deductible, then you’re good. Yeah.
[00:19:00.220] – Hilary Erickson
And you’re likely going to meet your deductible. But I’ve had cash pay patients who have said before, what else can I do? Because this $500 a week is going to kill us, right?
[00:19:09.910] – Marybeth Tomory
They’re expensive. And if they’re not covered, like if your doctor wants them but they’re not covered, it is tricky. It’s hard. And I hate that as parents, as long as we have to balance that. But I understand that sometimes we do.
[00:19:22.150] – Hilary Erickson
Because feeding yourself would be the hierarchy of a BPP.
[00:19:25.530] – Marybeth Tomory
It’s important to have shelter and it’s important to have power. I get it. I do. So I think a lot of providers are willing to work with a patient. Like, okay, well, maybe we just do one BPP a week or we do one NST and we don’t go to the hospital because it’s more expensive. We do it outpatient things like that. I know a lot of providers are really good about that working with patients. Yeah.
[00:19:48.260] – Hilary Erickson
So if it is an issue getting to the office, paying for it, talk to your provider because they want to work with you and they want to do something that’s as safe as they can be.
[00:19:55.440] – Marybeth Tomory
Yeah. Because as providers, we want you and your baby to be healthy. That is ultimately the number one goal. So we’ll do whatever it takes.
[00:20:02.810] – Hilary Erickson
Yeah, for sure. All right. Awesome. Hopefully everybody understands ultrasound a little bit more. And I will say that when I go in for that dating ultrasound, I am a basket case, probably because I’ve just read a lot of ultrasounds, but it is a whole lot more than gender. But it’s so exciting to see your baby and just revel in how exciting it is and especially for your partner. I always felt bad during quarantine when partners weren’t able to come to ultrasounds. That was heartbreaking.
[00:20:25.410] – Marybeth Tomory
So heartbreaking. It really was so heartbreaking. I hated that part. Yeah, I really do.
[00:20:29.840] – Hilary Erickson
Hopefully that never happens again and we’ve never figured something out. Yeah. So involve your partner in it because it’s exciting for you, both of you, and for you. You might have felt the baby kick, but that’s really their moment to be like, wow, it has a face and fingers, and this is real.
[00:20:45.470] – Marybeth Tomory
And it really every time I don’t get sick of doing ultrasounds at all because it’s like a miracle every single time. And it’s lovely. I just love it. So it’s for patients like that’s your time to really feel connected. The first trimester, there’s really a baby in there. I mean, it’s exciting and it’s amazing. And I want everyone to have a healthy pregnancy and a good experience, and they’re ultrasound because that’s what it’s there for.
[00:21:10.320] – Hilary Erickson
Yeah. And ask all the questions you can they may not answer. They may be like, hold on while they’re working. Right, right.
[00:21:16.710] – Marybeth Tomory
Again, some people talk a lot. Some people don’t.
[00:21:20.490] – Hilary Erickson
And the tech may not be able to answer all the questions.
[00:21:23.000] – Marybeth Tomory
Right. If you go into a hospital, they can’t give you all the information. If you go into the Er, you really can’t get they’re not supposed to tell you we’re not physicians, and that is essentially giving a result. So we’re not able to do that. But we want you to have a good experience no matter what.
[00:21:39.470] – Hilary Erickson
[00:21:40.260] – Marybeth Tomory
Our goal is always the same. Healthy mom, healthy baby. That’s always our goal.
[00:21:44.280] – Hilary Erickson
And they can always just say, I’m sorry, I can’t tell you that. But your doctor will let you know.
[00:21:48.720] – Marybeth Tomory
Absolutely. Most are really good about it. Absolutely.
[00:21:51.320] – Hilary Erickson
All right. Thanks for coming on. This was awesome.
[00:21:53.600] – Marybeth Tomory
All right. Thanks, Hilary. I appreciate it. All right.
[00:21:56.120] – Hilary Erickson
I hope you guys enjoyed that episode. I have to say, so many people come in for a BPP and literally have no idea why their doctor is ordering it. So if your doctor orders a test make sure you ask them why or what they’re looking for all those different kinds of things so that you can be a little bit more informed about your care. In my free birth prep pack there is a whole lesson on third trimester testing and what your doctor is looking for so you guys could really enjoy that as well. It also talks about warning signs that should make you come into labor and delivery. I also have some birth plan information and labor movement and postpartum information. Be sure and grab that free birth prep pack it is available at Pulling Curls, if you just type in free birth prep pack or go to the show notes and the link will be there also.
[00:22:33.950] – Hilary Erickson
Thanks so much for joining us on today’s episode. We know you have lots of options for your ears and we are glad that you chose us. We drop episodes weekly and until next time we hope you have a tangle free day.