Multiples

MaterniT21 test with twins

Hi everyone,

I hope this post isn't too repetitive. A search was not very helpful. I realize there is another semi-active thread about sex determination, but that's not what I'm interested in. 

Did anyone consider the MaterniT21 test with their twin pregnancy? Is it accurate for detection of potential difficulties in twins? Any considerations for doing this (or not doing this) in addition to the normal NT scan? I am not quite AMA and I do not have a family history of trisomy, so I don't know if my doctor will offer it- unless there is something I'm missing with a twin pregnancy.

Thank you! 
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Re: MaterniT21 test with twins

  • IIRC I was told that the maternal serum screening test (not the same as maternit21 I don't believe) is not really helpful with twins because you can't be sure whose (whatever it is they look for) you're looking at. And you can't combine it with NT scan results. I don't know if that's helpful at all, sorry. We opted out of all screening.

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    bfp#4 3/19/2014 edd 12/1/2014 please let this be the one!

    beta @ 5w0d = 12,026! u/s 4/22/14 @ 8w1d it's twins!

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  • My MFM refused to allow us to have mat21 or the other NIPT tests. He said they aren't tested enough in twins and can give inaccurate info--what PP said about not knowing which twin had something or covering up an issue.

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

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  • Thank you all! It's a shame we can't benefit as much from this type of testing.
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  • I did the Mat21 test and if it had come up positive for a trisomy, I would have had an amnio done to test which twin had the positive (it could be either or both from the blood test). I also did the NT scan.

    I was 36 and had a family history and I wanted to be certain we were proceeding with a healthy pregnancy and weigh my options if there was something going on - especially to protect the healthy twin, if there had been a discordance. We didn't know what we would do but I wanted to know our options.

    Oddly, we decided not to get the gender results as we were team green - and same with trisomy, if you have a "boy" result, it could either be both or just one twin is a boy. But we had two girls so our test would have been accurate but we chose not to find out :) 
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  • My insurance did not cover the testing because I didn't meet certain requirements (age and no familial history). It was something like $700 out of pocket so I opted to not do the testing.
  • Thank you ladies!
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  • I did the NT Scan and the harmony test, but I am also AMA.
    TTC since May/June 2012 
    Sept 2013 testing:
    SA #1 Low motility (17%) 
    SA #2 Lower sperm count, but much higher motility
    CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 
    Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
    Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    2/20/14 Follow up consult RE recommends IVF with ICSI 
    3/10/14 New patient consult with RMA NJ 
    3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
    3/28/14 Saline Sonogram - All good
    March/April 2014 IVF #1 Antagonist Protocol
    BCP/Bravelle/Menopur/Ganirelix
    4/16/14 ER 26 Retrieved!!!
    4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI
    4/22/14 Report #2 15 BLASTS
    5/24/14 FET!!!  (Transferring 2 snowflakes)
    6/2/14 Beta #1 575!!! :)
    6/4/14 Beta #2 2060!!! :)
    6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 
    6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp <3 Beta #4 172,080!!!
    6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm <3 Beta #5 232,134!!! 
    7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm <3 Beta #6 269,228!!!
    Graduated from RMA!!  First appt with OB 7/8/14

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