Pregnant after a Loss

NT Scan Results - WWYD

So I got the results of my NT scan yesterday.  Trisomy was 1:10,000.  Awesome.  Downs was 1:370.  I am 24 years old, will be 25 when baby is born.  What they said is that really it is negative because their cutoff is 1:220.  However, for someone my age the average risk or whatever is 1:720, so I'm about twice as likely for someone my age.  So now I have to decide if I want to go any further and talk to a genetic counselor and do 2nd level u/s or amnio.  I will not do the amnio for sure, and right now am leaning against not going any farther with it.  During the u/s the tech said she definitely saw a nasal bone, and the measurements were around .15 - .17 so I feel good about that.  Besides, 1:370 is .27% chance of the baby having Downs.
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Re: NT Scan Results - WWYD

  • Hmm, Honestly, I would probably do the level 2 u/s just so I could see the baby again and it would be covered my ins....  Devil

    Even though it is a higher risk than the ave 25 y/o it is still neg and all those tests show a chance not that the baby has it, so I think your chances are still pretty darn good that baby is healthy esp since you saw the nasal bone and had good NT measurements.

    m/c April '08
    DD#1 born June '09
    DD#2 born April '11
    TTC #3 as of July '14


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  • Those are almost identical to my results and I'm not doing anything more, although we did opt for the test with the two blood draws. ?So we still have to do that. ?Give it a few days and if you are feeling unsettled by it, go for the level 2.
  • I would do the level 2 u/s and the combined bloodwork.  Then take it from there.  Although your numbers are elevated for your age, your % is still quite low.  The fact that there were no markers on your u/s should also increase your numbers.

    We went through this with my last pregnancy.  We did not have the NT scan done and it was not until the big u/s that we learned of our increased risks.  My bloodwork was 1:25 for down syndrome, when the 6+ echogenic markers that were found my my risk increased to 1:10.  On the flip side a close friend of mine had a 1:4 (yes four!) risk for down syndrome, she opted to have a cvs done and her son did not have down syndrome. 

    You will be in my thoughts, sorry you have some additional stress.

  • I am going through a similar situation with my NT scan results.  My Down's risk was 1:730 (not as high a ratio as I'd like, but still less than the average risk for my age) but my risk for Trisomy 13 and 18 was 1:200.  (significantly worse than the average for my age).  Even though it's still less than a 1% chance.  I'm going to have the Level II u/s done in a few weeks to see if there are any markers visible.  I am hoping that they will find nothing and that will relieve my anxiety and then that's the end of it.  If they do find any markers, I will have to decide about the amnio but I haven't gotten there yet.  I don't think there's any harm in doing another u/s, unless you think that it would be more stressful for you than not doing any more testing.  Good luck with whatever you decide.
  • I wouldn't worry about it. I think those odds are pretty high, and if the doc didn't see any other markers, it sounds like you're fine.
  • I wouldn't worry about it either!  Your odds are still very low! :)
  • I would the level 2 u/s. It is non invasive and it will give you piece of mind. The odds are still very much in your favor but really the level 2 u/s doesn't hurt anything. I had a level 2 u/s last week and it wasn't really different than my big u/s with my previous pregnancies, just a few more measurements taken.
  • As you said, your risk of Downs is very low.  You can always wait until after your big u/s, where they will check for any signs of downs.  If you see anything problematic there, you can arrange for an amnio.
    DD1 is 3, DD2 is 1.
  • having just gone through this for trisomy 18 -- I will tell you what we did and our plan is.  We had a 1 in 8 chance for t18.  I went in for the level two u/s -- which was completely clear of markers.  And based on that we decided to NOT do the amnio.  We will be having another level 2 u/s at 20 weeks and will reassess then.  If there are still no markers, we will not have the amnio.

    If it were me and I was worried -- I would get the level two u/s.

    Good luck!  Your numbers are still less then 1% chance though!!!

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