NT 2.9mm NIPT(Harmony) 1 in 10,000 — The Bump
October 2017 Moms

NT 2.9mm NIPT(Harmony) 1 in 10,000

We had the NT scan today and were brought in to the doctors office to discuss the elevated NT number. Follow up with Genetic Counselor in two days.  A little nervous. Anyone else going through the same thing? 
cactusblossum

Re: NT 2.9mm NIPT(Harmony) 1 in 10,000

  • I'm sorry you are going through this. I hope you get some answers. I am not going through this but I did discuss with DH that if we got a reading about 2.5mm for the NT then we would do the Harmony test. Please update us when you have your follow up. Until then, stay off google and take it easy mama.

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    canonmom413
  • I second what @buttercream_frosting said about staying off Google. I found out after our NT scan that I have low PAPP-A, and googling gave me horrible anxiety. Sending good thoughts your way. <3
    buttercream_frosting
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  • @griesemer I'm also sending good thoughts your way. FWIW, our doctor told us anything under 3 was considered normal, so you're either on the high end of normal or extremely low end of concerning. I wouldn't let them scare you too much. (Easier said than done, I know)



    canonmom413
  • The most concerning thing is why they are even asking us to go see a counselor. The Harmony came back 1 in 10,000. Not even sure why the NT matters at that point.
  • @griesemer you definitely have a valid point there. I wonder if its some protocol they have to follow for NT tests above a certain number. Just a precaution or dr being overly cautious. Hang in there and try to stay positive. 
    Me: 30 DH: 32
    BFP#1: 9/9/2014 DS born 4/7/15
    BFP#2: 6/16/2016 MC/D&C: 7/29/2016
    BFP#3: 10/14/2016 (fingers crossed for a sticky bean)
  • Are there any OBs on these boards that can weigh in?
  • No advice but wishing you good luck 
  • When I had my NT scan they were looking for the measurement to be under 3 and the presence of a nasal bone. These results plus the blood test results provided them with my overall risk and they didn't call me until they had both. I'm not sure if this is standard practice everywhere but I think it gives a better overall picture. With your harmony test coming back with such low odds, it would be hard to think your NT scan increased your odds that much esp since it was technically within limits. Maybe it's their protocol like @Maksim's Mom said. Wishing you luck and hoping for good news!
    Pregnancy Ticker
  • So your harmony results were 1 in 10000 for what? I thought it gave different results for different conditions, not just one overall result. I've never had one so please correct me if I'm wrong on that. Did you have your NT bloodwork done prior to the ultrasound? If so, they should have given you another set of odds to go over.
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  • griesemer said:
    The most concerning thing is why they are even asking us to go see a counselor. The Harmony came back 1 in 10,000. Not even sure why the NT matters at that point.

    You are right, high risk is considered anything greater than 1 in 150 and 2.9mm is actually still within normal range. 90% of babies in this range are healthy and normal.

    During the NT scan they do also measure something else to do with the nose. I don't know what exactly it is for and I also forget what it is called but perhaps that's where they found something? Do you have any paperwork showing the results of the whole test?

    **June Siggy Challenge: You Had ONE Job!**

    LO#2 EDD October 18th 


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  • Thanks for the replies. We are going to call and get the complete results of the NT today. We were 1 in 10,000 for all three chromosomal deficiencies according to Harmony. Unless there is something in the NT scan that the Harmony test does not check for, I really don;t understand why they freak Moms out over this.  
    buttercream_frosting
  • I would try to not think too much into it, I know I know-easier said than done, until you speak with the GC. I wanted to just let you know im thinking of you. Hugs!

    Pregnancy Ticker
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    BusinessWife
  • I dont have any insight. Just wanted to say hang in there and I'm sure everything will be fine!
    ShreyaR
  • I resent doctors and medical professionals who scare moms whether FTM or seasoned mamas. It causes unnecessary stress and anxiety. Ugh. Sometimes I wish I could just tell them to keep their mouth shut unless it's a real issue. 

    Side rant: my thyroid levels were slightly elevated per testing last month, and my OB sent me to the PCP who then sent me to an endocrinologist. The dr proceeded to tell me I could have Graves' disease! This is without any proof other than the slightly high levels...which BTW are very normal in 1st trimester! *slap!*
    Me: 30 DH: 32
    BFP#1: 9/9/2014 DS born 4/7/15
    BFP#2: 6/16/2016 MC/D&C: 7/29/2016
    BFP#3: 10/14/2016 (fingers crossed for a sticky bean)
    ShreyaRBusinessWife
  • Ok, so here is the deal, there are more syndromes/diseases/conditions than most people realize.  Testing 1 in 10,000 for 3 of them is nothing. My son's syndrome is one that is not tested for until after birth (unless they have a reason to). We had all testing come back clear, including an amnio, and he still has a syndrome. If the only concern was the one measurement (which isn't even outrageously high) then I'm assuming all they'll want to do right now is keep a closer eye, probably give a more in depth anatomy scan, and just overall be a little more cautious. Most of the time, the anatomy scan will show at least 3 markers if there is cause for concern. Not always, and ultrasound techs are human and make mistakes (ours was screwed up 4 times), but usually you'll know more after that. Prayers your babe is healthy as can be, I understand how scary this all can be.
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    ShreyaRBusinessWife
  • Keeping you in my thoughts. I hope everything is ok, it sounds like it will be! Take care of yourself and try not to worry too much (I know that's easier said than done).
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  • griesemer said:
    The most concerning thing is why they are even asking us to go see a counselor. The Harmony came back 1 in 10,000. Not even sure why the NT matters at that point.

    You are right, high risk is considered anything greater than 1 in 150 and 2.9mm is actually still within normal range. 90% of babies in this range are healthy and normal.

    During the NT scan they do also measure something else to do with the nose. I don't know what exactly it is for and I also forget what it is called but perhaps that's where they found something? Do you have any paperwork showing the results of the whole test?

    Agreed! That's what I was told as well. My NT was 2 mm and ration 1 in 650 and was told that's perfectly ok. Anything below 3 is ok? Like many ladies said above, it's probably protocol? 
  • @griesemer I'm so sorry your'e going through this stress!

    It's my understanding that seeing a genetic counselor is protocol when a red flag comes up (no matter how small it may be) They just want to equip you with all of the information available, and the proper tools to handle everything once baby arrives. 

    Most likely seeing the genetic counselor will put your mind at ease.

    sending you good vibes today! xoxo
    \


    ShreyaR
  • @griesemer that's really good! Be prepared for a long anatomy scan because they are going to want to be really thorough
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    ShreyaR
  • Thanks for everyone's thoughts. I will keep you posted. 
    lola4411bluejeanbabi05buttercream_frosting
  • @griesemer I hope your next few ultrasounds go well!
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    bluejeanbabi05yasandson
  • @griesemer I hope everything goes well! Keep us updated!
    yasandson
  • @griesemer hope that helped calm your nerves a bit. Hope everything goes well the next NT scan. 

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    Oct. '17 June S.C. "You Had 1 Job"

    yasandson
  • @griesemer Thank you for the update! I'll be keeping you in my thoughts and praying that your next scans go well!
    yasandson
  • @griesemer thanks for updating and thoughts and prayers for your next scan! I hope all goes well! 
    yasandson
  • OB wants $250 to redo the scan. Looks like we are going to use a third party Ultrasound Tech. 
  • @griesemer Have you shceduled it yet? Hope next one gives better, clearer results. 
  • That's so ridiculous, they should redo it for your reassurance. Honestly though, the anatomy scan will show so much more than the NT scan ever could, might be worth it so save your money and just wait for that.
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  • @griesemer just wanted to weigh in as I'm going through something similar.  We found out about 3 weeks ago one of my twins had a 3.0mm on NT scan.  We had the CVS testing done because I'm the geneticist said our chances were given my age (37) about 1 in 20 for downs.  We have been waiting for results and just today learned that the cvs sample was too small to learn anything conclusively.  So Monday I go in for an amnio and hope to get the rapid results testing so we can get more testing.  I also had the non invasive done with both times it came back inconclusive, apparently harder with twins.  So we are still trying to get answers but it's something we really want to just know. Sounds like your odds are much better do I hope it all works for you and the baby is normal!  ♥️
    Married to DH since 8/15
    TTC since 5/15
    PCOS, 35+, diagnosed with pre-diabetes
    TI for 4 cycles: 1 round of femara; 2 rounds femara/ injectables: all ended in BFN. 
    3 IUI Cycles: letrozole/Follistim with HCG Trigger,all resulted in BFN.
    FET #1: Baseline appt 4/28/16, Gonal-F/Menopur stims, Centrotide 5/4/16, ER 5/11/16; 6/8/16 ET, BFN
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    FET #3: Baseline appt 12/28/16, Estrace/PIO shots: 1/17/17 ET, 1st beta 1/27/17: 146 BFP, 2nd beta 1/29/17: 336, 1st U/S: 2/16/17, 2 healthy twin babies measuring 7w0d.  EDD: 10/5/17
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  • @griesemer thinking of you as well and I hope that things turn out to be all normal in the end.  Hang in there...the waiting is never fun.  <3
    Married to DH since 8/15
    TTC since 5/15
    PCOS, 35+, diagnosed with pre-diabetes
    TI for 4 cycles: 1 round of femara; 2 rounds femara/ injectables: all ended in BFN. 
    3 IUI Cycles: letrozole/Follistim with HCG Trigger,all resulted in BFN.
    FET #1: Baseline appt 4/28/16, Gonal-F/Menopur stims, Centrotide 5/4/16, ER 5/11/16; 6/8/16 ET, BFN
    FET #2: Baseline appt 6/22/16, Estrace/PIO shots: 7/12/16 ET, 1st beta 7/21/16: 83 BFP, 2nd beta 7/23/16: 315. 1st U/S: 8/4/16 empty sac.  2nd U/S: 8/10/16 yolk sac appeared, everything stopped growing. Office D&C: 8/11/16, MC.
    FET #3: Baseline appt 12/28/16, Estrace/PIO shots: 1/17/17 ET, 1st beta 1/27/17: 146 BFP, 2nd beta 1/29/17: 336, 1st U/S: 2/16/17, 2 healthy twin babies measuring 7w0d.  EDD: 10/5/17
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    yasandson
  • It is 2019 now, but I want to let you know your post has brought comfort to me. We had a 2.8-2.9 NT measurement, and are now waiting for genetic tests to come back. Doctor said "technically, you are under the border of 3.0 mm, but we want to be extra careful so want to send you to a specialist just to get a second opinion." There was a prominent nasal bone, which lessens the chance of DS. They are also sending me off to a heart specialist just in case. Think they will be doing a more extensive Ultrasound, but waiting on specialist to call me to book.

    I am nervous and of course looking up many forums to see how others handled this, and what steps were taken. Thank you very much for providing updates throughout your situation, it has helped with my anxiety tremendously. 
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