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  1. #1
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    Default Nuchal translucency test

    I used to be an active member of bubhub but for one reason or another i lapsed and now cant remember my user name or password lol

    I am currently 13w 1 day pregnant with no.2 and suffering from bleh morning sickness. cant believe i forgot how awful it was. Anyway I had the NT scan done today and it came back as 1/278 chance of Downs syndrome. The technician recommended that i have an amnio in 2 weeks to rule out anything further. The actual NT on the scan came back as excellent but one of the hormone results on the blood test was low which can be an indicator of an abonormality but can also be a sign of high blood pressure.

    Well my DD5 i had pre-eclampsia and the high blood pressure never went away. I am currently on medication for it.

    I guess what i am looking for is someone who has gone through an amnio with no issues. The chance of miscarriage through the clinic i am going through is 1/600-800.

    Thank you for any replies

  2. #2
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    Personally I'd get a second opinion on the results. 1/278 is not incredibly bad as I understood it, and if the result is mainly because of something that could be perfectly different (ie the blood pressure) I would not be willing (again, personally) to risk my baby for that without getting another professional opinion. Perhaps there's some way they can do a different test to somehow narrow down the hormone thing on the bloods?
    I guess this would also depend on what kind of abnormality the hormone result possibly indicates. If it's something horrific and fatal, that would of course influence the decision.

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    I agree with PP. Get a second opinion. And third if u must. Personally for me, any chance of miscarriage is too high, so I'd only do it if absolutely necessary.

    Having said that, would the results affect whether u would want to have the baby? If no, then I'd definitely not risk it.

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    Agreed...with your risk result numbers I'd get another opinion first before doing the amnio
    I had an amnio last week as my risk result was 1 in 5 for Down Syndrome..due to my age and the nuchal fold measurement...with my risk being so high there was no way I could go through the pregnancy not knowing. The procedure wasn't painful though I did feel a sting when the needle went all the way through but that only lasted a second. I rested for the next 2 days and did not have any cramping or bleeding. I asked for the FISH (fast) results and got them back next day...thankfully all clear. Good luck!

  5. #5
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    Hi there, I have had an amnio and a cvs- both were fine- the procedure feels a little weird, but I wouldn't say painful. I recommend closing your eyes during the procedure, and having someone with you so they can chit chat to you about Masterchef or what's for dinner to take your mind off it. It is over quickly. Tightness in the stomach later, which is normal. I have chosen to have these procedures so I can have a diagnostic result, rather than an estimate result, so I could know for sure. All the best

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    I feel for you because I was in exactly your situation 3 months ago.
    I would presume the blood test level you are referring to is PAPP-A. Low PAPP-A has been found in groups that are at higher risk of hypertension/pre-eclampsia and small sized baby (IUGR) in third trimester, but it is not guaranteed that these things will happen. I too had a low PAPP-A in the bloods done for the first trimester screening. My NT measurement was fine, just as yours is. I was given a Downs syndrome risk of 1/282. Given that the NT measurement was good and it was the PAPP-A alone that caused the "high-risk" result I opted not to have an amnio done due to the risk of miscarriage from amino (even though the doctor I could have it done with has a very low incident rate). They will always offer you an amnio if you have a risk greater than 1:300 because that is the current level chosen. They should not be "recommending it". The choice is always yours.
    I was actually told by the sonologist ( the doctors who specialise in ultrasound diagnosis and the ones who do the amnios) that the cut-off score for high-risk is soon to be lowered nationally to 1:150 and so you and I would never have even been given a high-risk score in the future classification!
    Im not saying your decision to have an amnio done is not the right choice (there is never a wrong/right choice because it always got to be a choice that you alone can make).

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    Hi Trix, can you ask for the bloods part or the whole test to be redone in a week or so? Indeed, 1/278 is not that high, especially if you are over 25 or so. The bloods can fluctaute but the nuchal measurement tends not to so much ~ but try get it done again (if that's the route you take) fairly soon, as it becomes less accurate as the pg progresses. There is also a 2nd trimester screen, and other screening tests available (look them up ~ there's lots), and I wouldn't be too concerned about that result ~ but I'm not in your pos.

    You also need to ask yourself 'If the baby has Downs syndrome (worst case scenario), what would we do?' If your answer is love the baby whatever probs arise, then maybe an amnio is superfluous anyway. If you really have to know, then a CV (which I think has a smaller time window than amnio) or amnio are there as options once you think it through.


    All doctors have different ideas on how to interpret the results, so a second, or even third opinion is definitely a great idea. Good luck, I really hope it turns out just fine.

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    Thanks so much for all the replies. All very informative. I have been thinking further on it and decided not to have the amnio( in consultation with my DH). I have a pretty good chance everything will be okay and I'm not going to risk a healthy baby with the amnio. . I'm starting to get excited now. I just wish the morning sickness would go grrrr

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    I'm glad you made this decision. Good luck for the rest of your pg, I hope everything turns out just fine and your bub is beautifully healthy.

  11. #10
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    I wish you all the best for a healthy pregnancy and the outcome you want


 

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