First Trimester Downs "Risk Assessment" Question

If this doctor is acting like you're high risk b/c of being 29, get another doctor.


My thoughts on such tests are...if you wouldn't do anything about it, then why do you need to know ahead of time? I'm 40, still trying for more babies, and I won't be having such tests done. I see no point, as I wouldn't DO anything about it.

I'm with you on this one. We never had any of the "screening"tests done except those fro which something could be done in utero to prevent problems like Rh incompatability ect.. If something could be done with the results to help my baby I was all for it, but I figured if there was nothing that can be done I am just going to deal with what God gives me.
 
I agree with everyone that it is totally your choice and your decision. If you are feeling pressured, then maybe you ought to find someone else to have the conversation with.

I only wanted to add two things:

1st one is just nit picky, but it bothers me.....Its not Downs Syndrome....it is Down Syndrome.

2nd...I have a DD with alot of special needs. Don't forget that just because your testing comes back that there isn't Down Syndrome, there could be something else, if your results of some of the testing are indicating "questionable results".

A very large amount of these results are what most people are referring to as "false positives". BUT, there are alot of genetic syndromes etc. that aren't tested for with the common testing. I will preface the following by saying this is very rare......the majority of children are born perfectly healthy!!!

My daughter has Noonan Syndrome. I delivered her 16 days after my 30th birthday. No risk factors at all. 3 previously perfectly unaffected pregnancies and children. Brigitte has a sporadic mutation. The only reason I moved forward with testing after my quad screen was off (it was a 2 point difference from being normal) was for the reasons a PP mentioned. Being prepared. It was a good thing I did that. My daughter was born with multiple congenital heart defects, bilateral pleural effusions, and wasn't breathing. I had had TWO fetal echocardiograms at Boston Children's Hospital both of which were normal. It was one radiologist (who I hated at the time) that was insistent on the fact that my daughter had pulmonary stenosis, and an ASD. Despite the fact that I didn't care for this Dr., my perinatologist and I both agreed that it would be in the best interest of the baby to be delivered under a controlled setting in a hospital where they were able to give her the care she needed if it was necessary. It was the best decision I have ever made. That radiologist was absolutely correct in every observation she made. She needed surgery ASAP. Had I delivered her in a local hospital or elsewhere...she wouldn't be going on her Make a Wish Trip in April!!!

I am in no way saying this to scare anyone who may be pregnant....just sharing my experience. Tests are tests. They are right most of the time, they are wrong some of the time. My daughter is 3 1/2. She has spent upwards of 275 nights in Boston Children's Hospital. One of the things that I have learned on this journey is to trust my instinct. It has been the most reliable. I have had Harvard educated doctors walk out of the room scratching their heads, but telling their fellows, residents and interns "listen to Brigitte's mom, she knows what she is talking about and knows Brigitte better than anyone, she calls the shots."

If your gut tells you to have the testing, then have the testing...and don't feel badly about it. If your gut tells you everything is fine.....then trust your instinct and don't feel badly about it.

Congratulations!!! Enjoy!!! Good Luck!!!
 
No advice, but a happy mom to a 3 and 1/2 year old princess with Down Syndrome.
I had the standard triple screen 1/5000 chance of DS, no indicaters and 27 yrs old, surprise on delivery day for us but she is a fighter and has taught me more in 3 years than I learned in 27!:goodvibes

My Little Tinker-Belle, AnnaBelle!

dis08001.jpg

OMG, your little Annabelle is so beautiful. I am the mom to a down syndrome princess, Rachel. She is the light of our lives. I do not understand how someone could consider murdering a baby before she/he is born just because she/he may have down syndrome. Rachel is 5 and has taught us so much also. She is my reason for living, for getting up each day, she is the sunshine in our family!!
 
I am not yet a mom but I have opt out of all of the Downs Screening b/c there is another one in the second trimester. The reason I opted out was bc I know of a few people who have done them and worried all thru there preganacies to then find out they were wrong and there was nothing wrong. I know that if it happens to us we will deal with it after she is born. It is a personal choice tho... between the parents.

Also my OB is really good and I LOVE her... she really cares... my second trimester ultrasound they saw a small whole on my little girls heart and they sent us to another office with a more in-depth ultrasound machine... at that office they informed us everything was good but the reason for the second ultrasound was babies with a whole in their hearts are more likely to have downs, so they wanted to check for any other signs... so if your office is like mine... they will check if they think something might be wrong.
 

I had the blood screening with dd and the doctor told me that my chance of having a baby with downs was low. I was 36 at the time. We also did a level 2 ultrasound. Everything look fine.

With ds, I had the blood test again and the ultrasound, but this time the perinantologist (Sp?) did more measurements. He also told me that I had a low chance of having a baby with down syndrome. This time I was 40.

If in either case was I told the my baby did have downs or a high chance, I would like to be prepared, but I wouldn't matter in the end to me.

Good luck. Keep yourself healthy.
 
I turned down the assessment for DD. I'm young, healthy, no family history... so why worry? :confused3

The day after DD was born, the on-call pediatrician came in my room and said that upon his initial check-up, we needed to have her tested for Down's and Turner's. Her physical appearance raised some red flags and they wanted to run a DNA test. It was the LONGEST 6 weeks of my life. Everything checked out fine in the end, but I sat with terrible guilt :sad1: that I didn't have the test run while I was pregnant. I would have rather been prepared to care for her ahead of time vs. finding out after delivery (I'm an OCD planner and want to know all of my options).

Be careful about this post... I made mention of my "scare" on here once and actually had someone accuse me of being "one of those people who probably would have aborted my child had I knew" :scared1: which couldn't have been further from the truth. The conversation with the doctor was so shocking to me and took my entire family by surprise.

I guess the moral of the story is, does it really hurt to find out so you at least know your post-partum (sp?) options of care? Find out where the best resources are to help you raise a healthy, happy baby? It may cause a little bit of stress now, but at least you can formulate a plan of action to optimize the learning and care for your baby.

Many hugs and prayers your way. Your heart will tell you the right answer.
 
I also had all the tests and knew that I would keep the pregnancy no matter what the results. The only reason I did it for was so that the doctors and nurses could be aware of anything they need to be prepped with at childbirth like a neonatologist for example. That is the only reason for me to go ahead with all the tests that were recommended for that. Sometimes these tests are not only for you-they are more information for the doctors so they can be ready for all difficulties that may come along w/ downs ect.
 
I see alot of these discussion in other forums. The triple screen (which was 3 with my oldest 4 with my youngest) is one of those tests that a false positive is an indicator of possible development with PE.

You have to do what your comfortable with.

We chose to do the triple/quad screen and the nuchal test was done automatically (my chances were 1:160+ from the results) because we wanted to be prepared for what we may have to deal with.

It allows you some time to prepare yourself, have resources in place, and to be in the hospital which will best fit whats going on. Having a special needs child, we lost 3-4 important months of just getting things in place and resources going (my son was referred in November to First Steps, tested in January and therapy didn't start until April). This was despite the fact that we kept a close eye on him due to my pregnancy (he was 2.5 at the time and I just had my youngest when we got referred)
 
If it's a Triple Screen, I'm surprised they are still recommending that. It was on its way out 5 yrs ago around here. The Serial Sequential Screening is now being recommended by most doctors here for anyone who can afford it, because it is much more accurate. However, that is still only a probability test. If you want to know for sure, a CVS or Amnio are still the only really reliable options.

Doctors are recommending the sequential screening to younger women because younger women are the moms who most often actually carry Down children to term, and thus the ones most likely to be caught unawares. My city has 3 neonatal intensive care units, 2 of which adjoin obstetrical facilities. Most physicians will prefer that babies with trisomies be born at one of those hospitals if possible, because they have better outcomes if there are serious complications.

I'm one of those women who have been on the unfortunate end of the long odds: 5 years ago, at age 42, I came close to dying because of a Trisomy21 pregnancy. (My daughter was stillborn at 17 weeks, a victim of a couple of conditions caused by T21: cystic hygroma and hydrops.) The screenings I had (starting with an early L2 ultrasound) probably saved my life, or at very least saved my kidneys, and made it possible for me to go on to have a healthy pregnancy 2 years later. While my situation was unusual, it wasn't by any means really rare, and with DD2 I didn't want to have to worry and wonder about having it happen again, so I went straight for the CVS at 11 weeks. Ten days later I confirmed that it wasn't going to be an issue that time around.
 
I had the nucaltranlucency (sp?) with both DS and with my current pregnancy. This was a more detailed US where the measured the nucal fold plus did the blood work. We then did the Quad screen at 16 weeks with both. For me, I just would want to be prepared if there was some issue - make sure I would be at a hospital with a neonatoligist (sp?) as sometimes there can be more complications at birth that may need a specialist. Also, so I could plan post-birth care, etc. I work full time, so a special needs baby would result in some changes to my work, and that would be best to plan in advance (esp. financially).

It's a non-invasive test that does not put baby or me at risk. So, overall, for me, it's just better to know what to expect and plan accordingly. Everyone has to make the choice that suits them best though.
 
The only test I would have if I was pregnant are test that could help the baby, or be fixed....like gestational diabetes....etc. Anything other than that I try to avoid. I'm at the age now that I know they'll push a lot more test if I'm able to conceive....I just plan on practicing the words "no thankyou" LOL

The points in some of the above post about testing for the doctors are prepared....that's another instance in which I guess I'd test.
 
No advice, but a happy mom to a 3 and 1/2 year old princess with Down Syndrome.
I had the standard triple screen 1/5000 chance of DS, no indicaters and 27 yrs old, surprise on delivery day for us but she is a fighter and has taught me more in 3 years than I learned in 27!:goodvibes

My Little Tinker-Belle, AnnaBelle!

dis08001.jpg

OMG, your little Annabelle is so beautiful. I am the mom to a down syndrome princess, Rachel. She is the light of our lives. I do not understand how someone could consider murdering a baby before she/he is born just because she/he may have down syndrome. Rachel is 5 and has taught us so much also. She is my reason for living, for getting up each day, she is the sunshine in our family!!

Annabelle and Rachel are both so beautiful!!!

I was 35 when I got pregnant with my blessed healthy baby Kaitlyn. We did not have any of the testing done because we were told about so many false positives, and that the chances of them finding something that could be corrected in utero were slim, and frankly nothing that would turn up was going to change our minds about having our baby and I did not want to have to deal with "continuing with the pregnancy" type conversations, which would have been moot. I also did not want to risk any chance of miscarriage with an amniocentesis. We just prayed and trusted God.

Stick to your guns and don't let anyone pressure you into any testing you are not comfortable with.
 
I am so sorry that you are feeling pressured by your doctors/nurses. It is a very personal choice and unfortunately I think they sometimes force the issue to cover their butts because of liability.

My oldest DS who is almost 10 has Down syndrome and he was born when I was 26. When I was pregnant they wanted to do the standard triple screen blood work and for some reason I decided that there were too many possibilities of false positives and I would not terminate a pregnancy just because a birth defect. I didn't want to have to go through the rest of my pregnancy stressing about the "what ifs". I did have a level 2 ultrasound to just make sure that "structurally" the baby was ok (no heart, organ or limb problems) & everything did check out ok.

We actually didn't find out he had Down syndrome until he was a few months old. Luckily he is a very healthy boy that breastfed with no problems for 1 year and had no heart or health issues. If I had to do it all over again (which I did when I had 2 other kids after him!) I would not do any of the screenings. All I did was the ultrasounds to make sure they were "healthy". Even if you are told that yes your child will have Down syndrome, there are still a mountain of uncertainties to deal with and I would rather deal with them once the baby is here and you have a better idea of the special needs that you may be facing. All children are different and may require different levels of extra care.

Also, I know other parents who have children with Down syndrome who were given a prenatal diagnosis and they were extremely pressured by the doctors/nurses to terminate. It is sad to me that parents aren't given the freedom of choice and are pressured by the medical "professionals". I bet those medical "professionals" have never even met a person with Down syndrome and realized what great kids they are and how much potential they truly have!!

I wish you the best of luck with what ever decision you choose and with the rest of your pregnancy!
 
Since I said we'd keep the baby no matter what, my dr said not to do the tests. We had a false positive with our first (different dr) and it was scary.
 
The only test I would have if I was pregnant are test that could help the baby, or be fixed....like gestational diabetes....etc. Anything other than that I try to avoid. I'm at the age now that I know they'll push a lot more test if I'm able to conceive....I just plan on practicing the words "no thankyou" LOL

The points in some of the above post about testing for the doctors are prepared....that's another instance in which I guess I'd test.


This is how I went into my first pregnancy until my doc sent me for a routine blood typing which I first originally refused to do because we KNEW my blood type, it was all over my birth records, on my donors card etc. I even had surgery and had not needed to be typed because the evidence of my bloodtype was so crystal clear. My OB insisted I have it done and I finally caved.

Well, they wrote down the wrong blood type for me at birth :sad1: (they wrote down my mother's blood type for my blood type) so everything was wrong and since I was a negative instead of a positive now, DH had to be tested (he was A+ and we knew that but after my results, which my OB did run mine twice to be sure, he had to do the test anyways) it was Rhogam for me! Though I got out of one shot with my youngest since he's a neg too.

You are tested at every OB visit (blood pressure,urine dip) and they aren't really optional (it would be some pretty serious malpractice for the doc to let you out of them).

The best thing I can say is that you need to have a good working relationship with your doc and if your not comfortable with them or if you feel they are pressuring you then you need a different doc. My doc was wonderful and she knew there were tests that no matter what our answer was no (I would never do an amnio and told her so), but I had PLENTY of other testing done during my pregnancy (multiple US, dozens of NST's, bloodwork twice a week or more for thirteen weeks, I went to delivery in the big city hospital looking like a drug addict from all the draws and my first nurse treated me like one :sad2: her comment to me and my family about having to deal with unwed, uneducated drugged up teenage mothers really pissed my mom off especially considering I was 23, married, not an addict, and college educated from a top ranking school :laughing:). When the complications hit, I HAD to trust my ob. She was making decisions not only about my life but also about my child's. Some of those decisions were NOT going to be my choice because we were at times were the choice would have been to save my life and he would have little to no chance of survival or we both die.

These decisions become easier when you trust your docs advice and your doc trusts your decisions. My doc had no problems with me drawing a line at no amnio. SHe asked on my first son if I would do one to check lung development, I asked her if the result would make a difference in her choice to deliver, she said no, and I said why take the risk? She didn't even ask on my second child (and his lungs weren't mature when they delivered). But we did have other options (steroid shots, surfactant etc). I have talked with women who's doctors still insisted on the amnio despite the results not mattering and almost always those women have a long list of complaints about how the doc treated them (my advice is always the same, new doc)
 
I believe that knowledge is power. At 40, I had the amnio, which would give me the best genetic look at some of the issues we could be facing because of my age.

And protestations on this board aside, statistics do show that about 90 percent of people who find out about a Down syndrome diagnosis don't continue the pregnancy.

Unlike so many of you, I don't know what I would have done given test results that showed Down Syndrome. But I always knew that I wanted as much information as possible before my child was born.

Edited to add: I wouldn't have bothered with the earlier tests, because they seem so statistically unreliable. That's why I went right for the amnio.
 
I believe that knowledge is power. At 40, I had the amnio, which would give me the best genetic look at some of the issues we could be facing because of my age.

And protestations on this board aside, statistics do show that about 90 percent of people who find out about a Down syndrome diagnosis don't continue the pregnancy.

Unlike so many of you, I don't know what I would have done given test results that showed Down Syndrome. But I always knew that I wanted as much information as possible before my child was born.

Edited to add: I wouldn't have bothered with the earlier tests, because they seem so statistically unreliable. That's why I went right for the amnio.

JodiFla...that is because you are one of the few people who are being completely honest. It is very easy for someone to say "oh, of course I would have the baby and love it no matter what"...while that is probably true in the majority of cases....people don't understand how difficult it is to raise a child with special needs....whatever needs they might be. There is alot that comes with having a baby, and even more when they are sick.

My daughter is absolutely the best thing that has happened to ME, but she and her issues have also been the hardest thing I have EVER done in my entire life. As I said before, I have 3 other children. Every time my daughter is sick and in the hospital, I leave those 3 kids home without their mother. Is that fair?? Do we make it work, certainly. But our choice to continue on with our pregnancy wasn't one that just impacted me, my husband and the baby. It also affects all of the family that I have to rely on to take care of my other 3 children so my husband can continue to work to keep the health insurance that we so desperately rely on now. It also affects every single taxpayer in the state of NH who now finances my daughters health care through the Katie Beckett waiver which allows us to care for her at home, rather than put her in an "institution."

While I personally would make the same choice all over again, thats not to say that we haven't struggled tremendously because of it. Our lives are FOREVER changed. I can't work anymore because she needs 24hr care. That in turn leaves my husband working countless hours. It affects our personal relationship in many ways. I am angry because I am "mom, nurse, doctor, advocate, chef, taxi driver, etc." He is angry because he just works all the time and although would like nothing more than to help out in the previously stated situations, he can't. We struggle to pay common household bills due to a lack of a second income and an unmanageable amount of medical expenses. Not just hospital bills, I still have to keep a household running while she is inpatient, but I have to pay 9.00/day for parking, $25.00/day at minimum so I am fed while there, gas back and forth to the hospital that is 100miles RT for appointments etc...My other kids now have to see a counselor because they are so afraid of their baby sister dying, or "Mom are you sure your going to get us off the bus today?? You promise" Then 3 o'clock rolls around and I'm not here, but there Grammie is...and they won't see mom for 2wks because we are back in the hospital...and no, they can't visit becasue of the new visiting policies due to swine flu.

This is not me "complaining" this is me explaining all of the things that having a "sick child" does to everyone in the family. I haven't even commented on all the pain that a 3yr old has dealt with in her life. The same 3yr old who is petrified of flashlights because that's what the nurses use in the middle of the night before they stick you with needles, or the same 3yr old who thinks of gloves and syringes as "toys"...and on and on... Not to mention the hours and hours spent on physical, occupational and speech therapy. The tears that start when you pull into the parking lot and she realizes where she is. This is just a start.

Now, there are many, many, many blessings that Brigitte has bestowed on us. Despite all of the heartache, my husband and I know that if we can get through this, we can get through anything. That old saying "that which doesn't break us, only makes us stronger"....very true. She has taught us that it isn't because there are DSi's and Ipods under the Christmas Tree, that we got all we wanted for Christmas, rather the fact that we were able to wake up and all 6 of us be under the same roof on Christmas is the biggest gift anyone could have received. Brigitte has a way of bringing family members who hadn't spoken in years, back together. She can walk into a room and EVERYONE is smiling. She has taught my other 3 children not to point and stare at the little boy in the wheelchair, rather to go and ask him if he wants to play.

So, in my mind this is not a question of whether you should/shouldn't have a child with special needs. It is a matter of preparing yourself for a lifetime commitent. One that will not only include the "normal" baby, kid, teen stuff...but all of that PLUS some. Are you a strong enough person emotionally to handle it? Is your husband/partner? Are your other children? Is it fair to the baby that you are bringing into this world? Now, we are supposed to be this very up and coming PC country, everyone love each other kind of place.....guess what?? Thats just not true. This world is still very bias. I am treated differently because we have "medicaid"...(its a supplemental insurance, we do have primary healthcare as well)...my daughter is stared/pointed at (not by kids, but parents)...my older kids don't get invited to parties/playdates because "umm, we might catch something"....other kids ask them "is your sister a retard?" Brigitte doesn't get invited to playdates or birthday parties either, lets face it, rolling her in, in her adaptive stroller and having to manipulate central lines, tube feeds etc. doesn't make you want to "bust out the balloons"...

On the other hand, the friends that I have managed to keep, or have made...now those are women that you can call a friend. We bend over backwards for each other. We don't talk behind each others back about what the other is wearing, in fact most days we celebrate if we are able to squeeze in a shower sometime during the day....if we're lucky, might even get to "do" our hair instead of throwing it up in a clip!!

So, while the rest of you sit around and point fingers at someone else for trying to make a decision on whether or not they should first test to see if their child is healthy or not...I empathize with that woman. She is doing what is right for her. Now, the question comes when you do find out that something is wrong. What do you do? There is no right or wrong answer. As PP said, 90% of people choose to not continue on with the pregnancy. I don't fault them for that. Maybe they just weren't strong enough. Don't say they should put the baby up for adoption...go to www.reecesrainbow.com People don't adopt these babies. Don't start on me about "well, I do" You know that you are in the minority and are to be applauded for that....but we all know that most people who are looking into adoption aren't actively seeking out children with special needs unless they have been impacted by a sibling, or another child.

The point is that whatever decision you make whether it is to test or not to test...to continue along with a pregnancy or not is completely individual. We all have different opinons on it...and we all have a right to those opinions...that is why we live in America, right?? If you want someone else to tell you what to do, then go live somewhere else.

Sorry if I was on my "soapbox"!! It just always seems that nobody is willing to talk about this stuff. I have a date with Mickey Mouse Clubhouse...and I should probably empty out my inbox, because I am SURE that there is going to be plenty said about this.
 
OP here.. I'm still pretty back and forth on it. I'm like 85% no, 15% yes. Maybe even 90/10... it's just that "what if" factor... not like it would even change anything. I called the insurance company to see if it's covered, but they need a procedure code. SO then I called the R.E., and hopefully they'll call me back before tomorrow's appt. I wish this darn decision wasn't so hard. I'm reading all of your responses, and even took some time off from thinking about it, and I haven't gotten anywhere!! Gah!
 
pnutallergy mom.................:thumbsup2 That was a very thought provoking and honest post. I really admire you.:flower3:
 
When making any decision in life no matter what it is always better to make an INFORMED decision.

Testing doesn't mean you have to do anything different than if you didn't have the testing but it does allow you to have all the facts you can and make an informed decision. What if in the testing you found out something that could be corrected easily but if not corrected would cause serious problems how would you feel for the rest of your life? (not saying this particular test but just in general) I have a hard time understanding why/how people don't want to do everything they can to be as knowledgeable and informed as they can be before deciding something.

pnutallergymom thank you for sharing and telling it as it is. Too many people want to look at this thru rose colored glasses and need a dose of reality.


Forgot to add how does your DH feel about the testing, he does have a say in this also, does he want to know?
 


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