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  1. #1
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    Default echogenic focus

    I have just come back from a doctors appointment and i feel so confused, worried and i just cant stop crying. Ive read all the info i can on the echogenic focus and it all seems very positive, i just cant see past it at the moment. I wouldnt have even found out until around 29 weeks when my actual appointment was due, but having a little issue with varicose veins so thought an earlier appointment would be good, no so good apparently...My doctor didnt even explain what it is and what it could mean, i usually hate looking things up online because you often dont get the full picture.Ive had the downs screening and was told that the baby was in a low risk category and the morphology at the 20 week scan was normal. Im 37 years old and this is my fisrt baby, i feel very alone as my partner isnt around as he works away from home......who do i tell?? Cant tell grandma thats for sure, shed be beside herself. I dont want to worry hubby but i feel absolutely sick thinking that i have to wait for another 5 weeks before i can have another scan to check this...just hope my stress level doesnt harm the baby in any way...feel sick

  2. #2
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    Default echogenic focus

    Hugs!

    I don't have experience with this but just wanted to show support.

    Hopefully some other Hubbers can share some positive experiences to help ease your mind.

    I can't imagine how tough it would be to hold on to stressful news when your partner is away.

    Also feel for you that the Dr has not been more informative.

  3. The Following User Says Thank You to giggle berry For This Useful Post:

    ava12  (15-08-2012)

  4. #3
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    Default echogenic focus

    Hi just wanted to let you know that my bub had an echogenic focus on left ventricle at 20 week scan. They also thought there might be a focus on the bowel too. We had a follow up scan with a specialist and he ruled out the focus on the bowel - it did not exist but the one on the heart was there clear as day. I had done the nt screening with great results so I was very worried and couldn't stop crying. The OB tried to tell me that the one focus on the heart on its own usually means nothing but they cannot 100% rule out a condition such as DS for example. I was at 20 weeks and opted for the amino as it was the only real way to know - I am highly strung. Results came back fine but I was still worried about bubs heart. Well she was born 4 days ago and there is nothing wrong with her heart and she does not have any other chromosomal abnormalities. Hope everything works out for you. I found talking about it with my partner was the only way to cope and ask as many questions of your OB until you understand exactly what the focus means. Usually it will dissolve before birth or just after. It is a build up of calcium also referred to as golf balls. The paediatrician I am seeing now has said that she wished that the echogenic focus didn't need to be reported because it generally means absolutely nothing and needlessly worries expectant mothers. Hope this is the case for you. I know exactly how you are feeling right now so don't feel alone - apparently it is more common than you would think.

  5. #4
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    Hugs...
    I am 32 weeks pregnant and at 20 week scan they found an echogenic focus in the left ventricle of my babys heart.
    I did the NT scan and the bloods at 12 weeks and everything was fine. The chances of Downs was 1:11000. I am 29 and no family history of Downs.
    During the 20 week scan the sonographer said everything looks perfect. He didnt mention a thing about the echogenic focus. Then at the midwives appointment a week later, after I asked for a copy of the scan report, only then she mentioned that there was an isolated echogenic foucs in the heart. Isolated meaning that theres no other soft markers apart from the echogenic focus. She said that if theres not other soft markers on the scan and that my NT and bloods came back fine, then she wouldnt worry about it at all. Apparently its a very normal variant, its just a deposit of calcium. She was not concerned enough to do another scan immediately and did not refer to me genetic counselling. She said she sees it all the time and of the 10 years she worked there theres been no babies born with Downs as a result of it.
    She did recommend for a growth scan at 30 weeks and she thinks that it would dissolve by then. At 28 weeks I went for the growth scan at a specialised clinic (they have better equipment) and they sonographer said that its no longer there.
    Echogenic Focus is when theres is a white spot as bright as the bones on parts of your babys body. The bones of a baby on the scan comes up as white. The fluid and etc comes up as black. If theres a spot as bright as the bone then its Echogenic Focus, also referred to as Calcium Deposit. It is apparently very common and is considered as a normal variant. More often seen in Asian mothers. Some tests say it increases the chance by 1% but a lot argue if it affects the Downs percentage at all. Many doctors now days doesnt want to tell the patient because it will just cause unnecessary stress. But for legal reasons they have to disclose it.
    Also the result of the scan depends heavily on the sonographer and the equipment used too, hence why I went to a specialised place the second time round for a more detailed scan.
    I did a LOT of googling for weeks! From the 20 week report I looked at the nasal bone measurement too, and at the 30 week scan they can look at your babies face and body parts in more detail, can give you a pretty good picture.
    My baby is due in 8 weeks and I have all my fingers and toes crossed. But DH and I have decided that if its meant to be its meant to be.
    Try not to google so much, I know its hard, but it doesnt actually make things better.
    I did not get an amnio because it was too late to terminate if its positive and I didnt want to risk the chance of losing the baby if shes all healthy, after all the chances of having complications are higher than her having Downs.
    Good luck with everything
    I will keep you updated with the result if you like~

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    Thanks so much, would love to hear how things go for you. I have actually spoken to another doctor who has reassured me that it is generally nothing to worry about and has offered another scan with some specialists if i still feel worried, feel so much better about things now, you have to rely on what the doctors say and sometimes what they dont say so much.......

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    thanks, its really comforting to know that others have been through the same thing and come out on the other side smiling....i didnt last long holding it back from hubby, he made me ring another specialist who was kind enough to review the results and ease my mind....congratulations hope you and your baby are doing well.

  8. #7
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    Hi, i thought i should give you an update had my beautiful girl yesterday and shes perfect!
    I asked the pedeatrcian at the time about echogenic focus amd down syndrome, he pretty much said its a load of cr*p in his mind ( hes very old and experienced). He says that just because research shows that people with down syndrome tend to have echogenic focus too doesnt mean theres a relationship between the too.
    Also one of my friends daughtet had 3 echigenic focuses! Brain, heart and lung, she still turned out perfect!
    Good luck! And dont stress!

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    ava12  (17-10-2012)

  10. #8
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    In my experience the mildly echogenic bowel (not as bright as bone) that showed on my 20 week scan was not there at all on my 32 week scan. The Dr at the hospital said it was most likely faulty equipment at the ultrasound or the person who viewed the ultrasound and typed the report "thought" it looked echogenic. Either way it caused my DP and I a lot of sleepless nights and worry, as well as further blood tests etc to rule out a whole host of genetic problems.

    there is absolutely nothing wrong with my beautiful DS. So hang in there, there is a very good chance that there is nothing wrong at all.
    Last edited by Taiyed; 16-10-2012 at 08:39.

  11. #9
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    Congratulations!! Im only 6 weeks away from due date now so not long to go. I went to see a specialist in melbourne last week who performed another scan and was very lovely and told me that these things are so common that if they checked every single one they would have people lining up down the street for blocks to be scanned. She could still see the spot but she sid it was of no concern, and certainly did not mean that there was a heart problem, she seemed quite bemused that i had also been reffered to have my babys heart specially tested after the birth. She told me that these "bright" spots can be a soft marker for downs syndrome, but that on its own it means nothing, and is definatly more common in slender or asian women (seeings im a skinny minny it made sense!!). So good to have a second or third opinion on something that is quite stressful. Hope you are adjusting well, and that your little girl is thriving!.


 

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