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  1. #1
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    Default Lost with decision. Please, help!

    Hello, ladies!
    Had my 1 trimester screening and while ultrasound did not show any abnormalities (NT was 2 mm, nasal bone present) blood test was too bad so my risks of chromosomal problems are VERY high. Same time I did Harmony test and it came negative (1:10000), low risks. Nevertheless the doctors I've seen suggest me to do amnio (seems Harmony test&ultrasound less important than 1 screening blood test). I do not want to have a risk of mc because of amnio taking into consideration I have 2 good tests out of 3. I am lost anyway and too stressed. Will appreciate any comments/suggestions/experience.
    Thanks in advance,
    Ella

  2. #2
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    Not every medical test is equal so '2 out of 3' doesn't really mean anything. I'd listen to what your doctor has recommended. If in doubt, maybe schedule another appointment to discuss why they feel it is needed to make you more confident with their recommendation.

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    Why there are ultrasounds and harmony tests are performed if they do not mean anything? Only 1 screening blood test is informative then and the most important one cos actually they recommend amnio only taking into consideration this blood test? Seems strange to me.

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    I had an amnio. I was terrified. When you see the needle coming at your belly you just want to run. But I stuck it out. Afterwards I had a pain in my side, which grew worse during the night, but oddly disappeared when I peed. It was great to know there was nothing else to worry about when I got the results.

    Harmony only covers a few genetic issues. Maybe your doctor wants to make sure it's not one that harmony doesn't cover.

    However it all depends on what you would do if your baby did have genetic issues. Would you keep it or abort? If you would keep it anyway I wouldn't worry about the rest.

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    Ultrasounds and harmony tests look for a small number of the most common abnormalities. Blood tests can screen for a wider variety and your test clearly indicates that further screening is required. This is why your doctor wants you to have amnio as it is a far more sensitive test that looks at more things. If all tests had come back as low risk then fine but it doesn't sound like yours did. Ultimately it's your decision but I would strongly recommend you discuss further with your doctor. While this forum can be wonderful, it does not replace expert advice from a medical professional so you should really be talking with them if you are uncertain or don't understand why they have recommended amnio. Good luck.

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    Also when I did research the risk from an amnio isn't much higher than losing the baby naturally anyway. I went to a private clinic with an experienced doctor. She had done about 10,000 and hadn't had any miscarry.

    Talk to clinics about your fears and find out facts.

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    I had an amniocentesis last pregnancy. The standard quoted risk is 1 in 200 chance of miscarriage. We very carefully picked our specialist he had done 900ish amniocentesis that year and had one miscarriage (that baby had severe chromosomal abnormalities). As @WiseEnough said it's important to pick the best specialist not just anyone.

    I was really scared about it but in all honesty it really wasn't painful except for the local.

    I guess it also depends what specific risk has been highlighted and what you would do if you got a positive amniocentesis. For example If you wouldn't terminate the pregnancy it may not be worthwhile testing.

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    I had a very high risk after my blood tests and NT (1:7). I went straight to cvs because they said the blood test (Harmony) wouldn't be good enough as it only tests for a few things. The CVS or amino will test all the chromosomes. Mine was fine, the doctor was very good and quick.

    I would ask more detail from your doctor about why they are recommending the amnio, and think about what you would do with the result, so you can decide whether to go ahead or not.

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    Quote Originally Posted by mummymaybe View Post
    I had an amniocentesis last pregnancy. The standard quoted risk is 1 in 200 chance of miscarriage. We very carefully picked our specialist he had done 900ish amniocentesis that year and had one miscarriage (that baby had severe chromosomal abnormalities). As @WiseEnough said it's important to pick the best specialist not just anyone.

    I was really scared about it but in all honesty it really wasn't painful except for the local.

    I guess it also depends what specific risk has been highlighted and what you would do if you got a positive amniocentesis. For example If you wouldn't terminate the pregnancy it may not be worthwhile testing.
    May I ask where u did your amnio? Would appreciate any advice regarding Adelaide specialists.
    Thanks a lot

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    Whether or not to have an amnio really depends on what you think you'd want to do if the results came back bad. If you would still keep the baby, then I wouldnt bother. If you think you'd want to terminate then the sooner you find out the better.
    I've had amnios, they really arent bad, you feel a little nauseous when they pull the needle back out, but that is it. They dont hurt and they guide it by ultrasound.


 

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