So, I've been sitting here reading the Mayo Clinic Guide to a Healthy Pregnancy. I go to the doctor tomorrow and have to decide if I want to do the Triple Screen Test/Multiple Markers Test. I'm leaning towards no because we will not terminate, out of the 7% that come back as potentially having problems 4-5% of the time things are fine... worry for nothing. Also, I'm not comfortable having an amniocentesis at the risk of losing my baby. It only detects downs 60-70% of the time & at the 18/20 week ultrasound 95-97% of the time they can detect spina bifida. I'm a worrier anyways so I don't think I could handle worry for nothing.
That said, I was just on facebook and found a friend has updated her page. She had a baby last week & has been at our state's childrens hospital as they knew the baby had a problem with it's esophogus. Because of that problem, the baby has several other issues that are commonly associated with the esophogus defect. He has several holes in his heart and has to have open-heart surgery this week (after having surgery last week to correct the esophogus issue).
They also found out he has downs syndrome. The mother is in her late 30's/early 40's or so, so she was in the higher risk group. It just breaks my heart. I'm sitting here reading over some of these things & then read this. It brought tears to my eyes. This woman has several other healthy children but lost a baby several years ago. Her daughter's brain didn't fully develop and she had to carry her to full-term knowing she wouldn't survive. I can't fathom that pain. I feel bad for her & her family having to go through difficulties. Right now, I'm so emotional anyways... this doesn't help me!
Re: Testing & Friends Baby Has Problems...
I am a worrier, so I agree with you- I don't want to worry any more than necessary during the coming months before baby arrives. I want to enjoy my pregnancy, not get a false positive on a test and be worried sick. That false positive would cause me so much worry and I wouldn't enjoy the pregnancy I would be consumed by the "what if's". Before being pregnant I never thought about the ultrasound being worrisome at all. It is glamorized as just being exciting and as just being to find out what you are having. I CAN'T wait to find out if we are having a boy or girl... but I am also nervous, just praying all looks good at the ultrasound!
I am totally cool with people deciding not to test but it really bothers me when people say it is because they are not going to terminate. Thinking that the only reason people test is so they can terminate is ignorant (not that this is what you are saying - I am just venting). With certain defects there are drugs that can help the baby's lungs develop faster because they are at high risk for early delivery. With others there are important things that can be done as soon as the baby is born, medical help that they are going to need immediately that, if you don't know there is an issue, it might take a while to pull together.
Some friends of ours decided not to test. They also decided on a home birth. Their daughter had some pretty drastic birth defects and did not get the medical help she needed immediately.
I had the Quad screen done, for the simple reason that my Dr. gave, which is...regardless of if you would plan or not plan to terminate (we would not) the results of these tests could change the way he allowed me to deliver and other treatments.
I did actually get a false positive for Spina Bifida because of an incorrect calibration of the screen. I am a total worrier, but they got me in for my ultrasound early and found that everything is fine. However had it been correct I would have gotten on the schedule with a genetic specialist who only comes to our area 1 time a month.
In retrospect, I am not sure if we will do the test with futher DC's but I can see both sides of the argument.
One thing that worries me is that I read if they are wrong about your DD and you are less far/farther along than they think it can screw up the results. I have not yet had an USound & my dr. just calculated my DD based on my LMP. I charted & am sure I didn't ovulate on the typical day 14. Based on my chart I ovulated on day 24, but my dr. doesn't care about my chart. If she is off on my DD by 10 days it could really mess up my results (from what I've read in Mayo Clinic). I do wonder about the testing and having the right doctors there, but from my understanding this test is just for downs & spina bifida (correct me if I'm wrong), which can be detected via usound.
I was unaware the test had to do with the baby's lungs? From what I read it focuses on Downs & Spina Bifida. Please correct me and if you can explain the lungs thing? My doctor didn't really go into any details. That is sad about your friend. I would never do a home birth just because I want to be right where help is immediately.
I went back and forth over the testing for the same reasons as you. I decided not to get the test, and a large part of that was because my doctor told me that the results of the test would not change how he handled my pregnancy or delievery. I have heard people here before say it would change the delivery but that's not the way my doctor explained it, so you should ask your doctor and see what he or she thinks the value of the test is in terms of planning or changing treatment.
On the other hand, I do sometimes wish I had done the testing. They found one soft marker (choroid plexus cysts) on my u/s and while everyone has assured me it is meaningless, it would be a lot more comforting if I had good test results to lean on too. Of course, I could have been a false positive and then I'd be just as worried, if not more. I think with some things in pregnancy, you just can't win.
CDH, born 10/26/09.... now I see a family, where there once was none.