Pregnant after 35

NT results

I am a wreck.  I feel like my world just came crashing down.  I got a call this morning that the results came back high risk.  I am 40 my u/s looked good 1.6 - 1.8 neck measurement saw the nasal bone and s/he was moving everywhere.  Blood work came back Pap A: .4  HCG: 4.2 which brought my risk of having ds greater than 1/10. 

Going for a CVS in two days.  sick to my stomach.  Any one have a risk for downs worse than 1/10 and have a normal healty baby?

what else can cause a low PapA and high HCG?

I need positive support right now... I am a mess.

Re: NT results

  • I am so sorry you are going through this right now, I can only imagine the stress bubble in your brain :( Here's hoping that the CVS comes back w/great results and this bloodwork is a distant, bad memory. ((hug))
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  • I'm so sorry you didn't get better news.  I don't have any advice yet since I'm only at 10 weeks.  We will be going straight to a CVS in two weeks.  I hope you get great results from your CVS, hang in there (I know hard to do right now).

    Me:40 AMA, DH:36 0% morph, TTC#1;
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  • My OB's risk was 1/8 from Quad Screen and her son does not have Down Syndrome. Good luck to you!
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  • I do not have experience with this as I am still waiting for my nt results. I can imagine how scared you are but remember these are just odds and not a diagnosis.  I'm hoping your cvs goes well and you can breate easier soon! 
    TTC since Dec. 2010. Me: 37, DH: 38...unexplained RPL
    BFP #1 - missed m/c 4.18.11 found @8w3d, d&c @13w 
    BFP #2 blighted ovum found 8.2011 @8w, misoprostol
    BFP#3 - missed m/c 6.11.12 @ 9w3d, d&c revealed extra chromosome 15
    BFP#4 8.10.12, DD born 4/26/13
  • There are other reasons your HCG and PAPP-A can be out of whack other than an abnormality. Also, remember that the first tri screen has a pretty high false positive rate. I am so sorry you have to endure the stress of waiting until your CVS and then biting your nails until you get results. I did read about someone on another board who was given 1:2 odds and had a healthy baby. I hope that you are one of those "false alarms" and that everything is fine, but having to wait even one day with the possibility of something wrong hanging over your head is terrible. Lots of :::hugs::: headed your way. Please update as soon as you have news.
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    Over-40 parents...what we lack in vigor, we make up for with cunning.
  • There are false positive test with those.   There is a new test MaterniT21 which is 98.9% accurate.  My OB told me not to bother with the u/s and other test because this MaterniT21 test is more accurate.  It is only a lab draw. 
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  • My NT was initially seen at 4.2mm at 10 weeks and the maternal fetal medicine specialist gave us 15% odds of having a normal baby.  It was the worst week of my life.  Fast forward, we were unable to do CVS due to placenta previa but got MaterniT21 results back last week, negative for Trisomy 21,13,18 and looks like a baby girl!!!  I feel your pain, it was so horrible thinking there could be something wrong.  Remember, 1/10 still means 90% odds of having a normal baby!!!  Positive thoughts are with you. 
    TTC 10/2009 BFP #1: Missed m/c at 8.5 weeks 11/10 BFP #2: Missed m/c at 10.5 weeks 8/11 BFP #3: Missed m/c at 9 weeks 2/2012 BFP #4: 8/21/12, EDD 5/4/13. So far so good, fingers crossed, hoping and praying with all of our might for this little bean....
  • I had awful results at first too....I am 39 and my blood work numbers apparently made the risk even worse. But. my sonos were always perfect. My DH and I made a decision early on that what will be will be. We didn't want CVS or amnio. We had each NT scan, then the genetic sono at 18 weeks and our 20 week anatomy scan. Each one was perfect. Not a single soft marker for a child with Downs or any other issues. Doctor told me he would rather have me have lousy blood numbers and perfect sonos than other way around. I am now 35 weeks and doctors tell me this is a very healthy baby based on sonos and weekly monitoring, 

     Hang in there. The wait between my first NT results and 20 week anatomy scan was brutal, but the blood results often give many false positives, especially in the over 35 group.  

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  • Sorry your going through this, being a bump lurker for a while, I've seen several not so good NT results come back that resulted in everything being fine in the end. My Dr. did tell me once your over a certain age, because of how that skews you from the beginning, it's really difficult to get totally normal results and much more common to get high risk results.
    nate and teddy
    Me 41 DH 46  Not actively ttc, surprise BFP on 1/6/11! 4/1/11 m/c our sunshine at 16wks after complications from CVS test. TTC #2 **5th cycle 12/6/11 BFP! Missed m/c at 9 weeks 1/21/12, trisomy 14. Two Chemical PG 3/12&7/12
    ** BFP 8/16/12 beta #1 148! beta#2 407 beta #3 4000 u/s 9.10 1 lovely hb 126, Baby Boy is due 04/28/13!!
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  • I still remember very vividly the day my doctor called me and told me I had a  1 in 8 risk for having a child with Down's.  Lots of tears that day but I really tried to focus on what my doctor also told me--that meant I had a 87% chance of everything being ok. I hope you can focus on the 90% that everything will be okay for you.  Those are still great odds.  Fortunately my materniT21 came back normal and I have my fingers crossed for you that your CVS will be normal and you can breathe a big sigh of relief sooner rather than later.  Many positive thoughts to you!!
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  • I am 37 with my first.  Last week my NT scan was measured at 3.9 mm.  My blood work brought my odds to 1:4.  We had a CVS, results came back Friday and we are having a healthy baby girl.

    These are fairly new tests, some "bugs" still need to be worked out.  IMO the invasive tests give more concrete results.  

    I am sending you good thoughts.  I know what you are going through.   

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  • I have no experience but I wanted to wish you the best of luck.  I agree with PP sometimes age, right off the bat, skews the odds against you. GL and I hope it's just a false alarm.

    JM 


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  • Based on my NT and blood tests, we were given a 10% chance of a normal baby.  My NT measured 4.5.  I had a CVS and results were all normal. My 17 week US was practically perfect except for a VSD for which I will see a fetal cardiologist for a fetal ECHO.  The general thought is that the VSD will close and everything will be perfect.   I have no words of comfort and understand how you are feeling.  I wish you all normal results and an uneventful rest of your pregnancy.  Best of luck to you!!!
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  • down's babies don't have nasal bones. I think you are fine. neck measurement is great too.
  • imagejustadogmommy:
    down's babies don't have nasal bones. I think you are fine. neck measurement is great too.

     

    That is not true. Our son, who had Down Syndrome, had a nasal bone.  That said, if NT is normal AND a nasal bone is present, it significantly reduces the instance of chromosomal abnormality. I think it goes down to 4% if I remember what my MFM quoted.

     

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  • My results with my son were 1:10.  We did the amnio (were 17w when we got results).  Amnio came back totally normal and he certainly doesn't have Downs Syndrome.

    What tanked me was my PappA as well.  I can't recall if mine was high or low though.  What I've learned since then though is that abnormal PappA (again, I can't recall if it is high or low PappA) can be an indicator of a risk for Pre-Eclampsia.  I developed Pre-E in my 37th week.  Talk to your doctor about this so they are aware to keep on the look out if it applies to you.

    I hope your CVS went well and that you've already gotten results back that you are in the 90% like I was that have a perfectly normal baby. 

    BFP#2 2.5.11 (EDD 10.15.11) DS born 9.28.11

    BFP#4 8.27.13 (EDD 5.6.14) DD born 4.23.14

     

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