Additional Screening?

FeistyMom

3 DDs, 1 DS & Preggers
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So I had my first ob appt today, and my doc talked through the screening options for us. With my previous pregnancies, I had gone ahead with the typical blood screens. With both DDs, they were totally normal. With DS, it was a VERY high risk indicator for trisomy, but when we did the ultrasound to prep for the amnio, the baby looked so fine the ob said unless we REALLY wanted the amnio, he did not see a reason for concern. We opted no (I am so scared of needles it isn't funny; I was thinking about asking for a sedative).

So he said that 'mature' women can have some more comprehensive screening early on that combines bloodwork and ultrasounds in first tri with the standard 2nd tri test and scan to give a better indication of risk factor. In order to qualify, your ob has to diagnose you with 'mature pregnancy' or 'advanced age pregnancy' or something like that.

My ob also explained that there is nothing magic about the additional risk at 35 and that the increase in risk just goes up as you get older, but that at 35 its something like 1:200, which is the same as the risk of losing a baby due to amnio so the odds even out. He said for someone right at 35 he neither recommends or dissuades from the extra scanning, but since we had the high risk blood results but such normal scans with my son that it would probably be good for my peace of mind, since it is more effective at ruling out false risks.

At this point I plan on doing it. I would rather do a bunch of scans and bloodwork than have an amnio, but wondered if this is something other moms are thinking about too?
 
I did this test. I actually fave the second blood test tomorrow (I'm 36). The thought of an amnio scares me too!
Good luck!
 
My quad screen came back with elevated chances for Down's a few weeks ago. We opted for NIPD (non invasive prenatal diagnostic) test, which is a blood test that checks DNA for several trisomies. It's 99.1 accurate and only took a week to come back (we were cleared luckily). We did this in lieu of amnio, and very happy with the ease of it.
 
I had two amnios and they were fine. I looked into CVS as that seems to be the test my hospital favours now, but to be honest I think I would prefer an amnio again.
It's a personal choice for each I guess.
 
I just did this screening last Thursday. I was really on the fence about it, because no matter what they told me, it would not change my mind.
In the end, I opted to do it. Selfishly because I knew it would give me another peek at my baby before the 20 week US.
Also, my doc made a good point. I was so focused on not wanting to get negative news for fear it would affect the pregnancy. I have been such a nervous wreck! She pointed out that once I got good results and was assured everything looked great, imagine how relieved I would feel, and perhaps it would help me relax more for the rest of the pregnancy.
So I did it. And I'm so glad I did. I have been able to breathe since Thursday, finally!! I don't have the blood results yet, but all measurements looked great and tech said she saw absolutely no cause for concern.
I think it is a personal decision for everyone, but those are my two cents.
Good luck!!
Hillary
 
Sorry to chime back in so late, but wanted to share some additional info!

When I went through the mandatory genetic counselling portion of the appointment, I learned about a new blood test for early screening. It seems even better than the integrated (ultrasound, 2 blood test) screen that I was there for, but there was some question as to whether or not insurance pays for it fully yet. The new test is called Harmony and had a lot of promising results in trials but the trials were not particularly robust. If insurance doesn't cover it, the company putting it out is only charging ~$250 (they want folks using this test).

My initial scan looked great and measurements were fine. But if the second blood test and final results show a much elevated risk, we will probably opt to do the Harmony test instead of/before doing an amnio.

All in all, I am glad I did it - the genetic counselling was more helpful than I expected, and seeing the baby in the full detailed scan was marvelous (about a full hour!).
 

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