I go to the Dr Monday so I will discuss it but I'm not planning to perform any more than the "normal" testing. Definitely no quad screen - it has horrible accuracy/reliability. I'm only 29 so I'm probably not covered for anything and I won't be doing amnio or CVS or terminating so my risk is low and it won't make a big difference other than make me worry.
I plan to decline. I did with my first. My personal opinion is that the anatomy scan at 20 weeks provides a lot of info as far as possible complications could go. I also won't choose to terminate my pregnancy and want to avoid stress over a possible false positive.
We are opting in to the sequential screen (an US and blood work). My opinion is that if there is going to be severe disabilities I want to know in order to have ECI services and caseworkers present from birth.
With my first, I got the Harmony blood test (I think that's what it as called- around 9 weeks, tested for various trisomy disorders and Down's, had option of finding out sex). This time around, apparently insurance won't cover it for women under 35 years of age. Instead, we'll be doing the first trimester screening ultrasound at 12-13 weeks. Unless there is something fatally wrong with the fetus, it won't change our decisions, but we want to be as prepared as possible for our baby, however he or she happens to arrive
Fur daughter: 02/2011 Human sons: 11/2015 & 05/2017 *formerly kayemjay*
I opt in for the 12 week ultrasound and blood work because I want another ultrasound lol. My favorite thing of last pregnancy was seeing my son bounce around my uterus on my 12 week it was amazing.
@Yiggle09 I did the same. Of course I'd like to know if there's a problem, but I really just want to see the baby! I remember seeing my son sucking his thumb at the 12 week ultrasound and I totally melted.
I didnt do any screening at all with my first except to check if I was a carrier of CF. This time around we are seriously considering at least NIPT since we have DD to think of too.
I'm doing the first trimester screen with an ultrasound at 12 weeks. I mainly want to see baby on ultrasound but also want to be prepared in case something were to be wrong.
I will be doing the Verifi DNA test, because I want to know of any severe life altering defects. Plus, I am 37 years old, so these are definitely recommended for women of my age. I did it with DS2 (I was 35 then) and will again this time. I find that the more you knowledge is power. I need to know everything I can, especially when the option is there!
Me: 37 DH: 38
BFP #1 3/17/11 - DS born 12/4/11
TFAS Dec 2013
BFP #2 - 3/23/14 - CP 3/26/14
BFP #3 - 8/20/14 - Natural Miscarriage 9/22/14
BFP #4 - 1/28/15 - DS2 born 10/13/15 Surprise BFP# 5 - 9/2/16 - Due 5/13/17
I'm kind of reiterating my response about this from another thread. I went back and forth on this a lot. In the end, I called my obgyn to see if we would do anything differently during the pregnancy or birth if our baby had a chromosomal abnormality. They said I'd see one of their specialists to determine if any complications were likely and we'd be able to prepare as best as possible against that. That is why I've decided to get the prenatal screening. We're not going to get the carrier screening at this point, because I do believe it would cause unnecessary stress. However, we would strongly consider getting that one before our next pregnancy.
I plan on getting non-invasive screenings- first tri US & panorama. I feel it's important to be prepared. Even though I wouldn't terminate a pregnancy, finding out about a potential problem/abnormality can make you much better prepared rather than spontaneously finding out. You may opt to deliver at a certain facility that has better resources for a specific medical condition. I guess I just rather be as informed as possible.
I am doing the Harmony test on Halloween. We believe DD#2 has a chromosomal abnormality that has caused her developmental delays, and while it wouldn't change anything for us we would like to be prepared if we are going to go through it all over again. I miss the age 35 mark by a few months, but my OB office has a deal with a lab to pay $130 out of pocket. I declined everything in the past, but we are doing it this time since it is noninvasive. I'm not gonna lie, finding out gender earlier will be nice too so I can know whether or not to keep my 100 bags of precious girl clothes .
"Look at the birds of the air; they do not sow or reap or store away in barns, and yet your heavenly Father feeds them. Are you not much more valuable than they? Can any one of you by worrying add a single hour to your life?...But seek first his kingdom and his righteousness, and all these things will be given to you as well. Therefore do not worry about tomorrow, for tomorrow will worry about itself. Each day has enough trouble of its own." Matthew 6:26-27&33-34
@mamasmurf12 - This is the exact reason why I am leaning towards it also. We did not with our first too. DD #1- has had some extremely minor delays but they have now determined she has some very weak joints and will require ankle braces to build support. We also are meeting with a neurologist soon for a few other minor concerns. She is five and now just getting the assistance. It certainly has taught me the importance of trusting mama gut and being a strong advocate. It may be genetic so I want to be sure to be prepared.
I went in for the Panorama test last week. Like many posters above, I'd rather be prepared and have time to emotionally deal with any bad news before the baby gets here. Additionally, if the test catches something that could be a problem down the line in it's life, I'd like to know if there is anything that can be done early on to help minimize the future problems. My insurance will not cover because I am not 35, but it's worth the $200 to me (that's the cost that Panorama quoted me when I called them).
I have my 12 week appointment Friday and I'm pretty sure I'm going to have them do the NT screening, just so I can see baby. I checked with my (new) insurance, and at long last, its awesome! and they'll cover any ultrasounds and screenings I get. So I figure why not.
For my last pregnancy i believe I did the panorama test. I originally got the bill and it was over $7,000. It was crazy. I have good insurance but apparently lab work isn't covered until you meet your maximum out of pocket pay. Anyway I called the lab and they said since my insurance didn't cover it 100% that they would take what little my insurance did pay. Some things came up with that test so I will be doing more testing this pregnancy. Since I've already met my maximum pay on my insurance I will let them run whatever test off blood work. I think it's better to know about things so you can mentally prepare yourself, but as soon as the blood gets drawn I panic until I receive the results.
I had the Panorama test done last week. I am 39 and 11 weeks.I got the results back last night. Low risk of any of the abnormalities ..and a girl. I wanted to be able to be prepared, plus I am older so it was covered.
diana_3481 , so jealous that you got your results back already! I had the Panorama test done last Tuesday and I'm patiently waiting for results...I have a doctor's appointment tomorrow, so I'm sort of hoping they were holding the results to give me tomorrow.
My doctor had my Panorama results ready at my appointment today--all low risk genetic tests and it's a girl! :-) Just as an FYI on timing for anyone looking to do the test...my turn around from blood draw to results was 7 business days.
Apparently my doctor has changed their policy on the Panorama test since I had it done last year. Now, since I'm under 35, I would have to have a consultation with a genetic counsel before having the test done to explain what it is testing for. I think this is ridiculous. If something came back high risk, then I would definitely want to learn more about that abnormality, but I don't need to learn all of the possibilities beforehand! I think we're going to stick with the nuchal translucency ultrasound in a few weeks.
Fur daughter: 02/2011 Human sons: 11/2015 & 05/2017 *formerly kayemjay*
kayemjay2 , that's insane. When I talked to my doctor about it, she made it very clear that it was elective because I am not 35. But she also said that she expects that protocol will change in the coming years and this will be suggested testing for all pregnancies because of the amount of information that can be gathered from such an easy test. She also told me that she thinks the Panorama is a great tool because (when the results come back positive) it's a nice reassurance for the pregnancies that so many unknowns have been marked as low risk. I'm sure you will be just fine with just an ultrasound, but it is frustrating that your doctor isn't allowing you the test if that's what you wanted.
And, thanks for the well wishes! I'm excited for a girl, although I haven't told my husband because he is out of town for work! I want to think of a good way to break the news to him tomorrow in person. :-)
@kayemjay2 I also had to make an appointment with genetics to get the tests ordered. For my last pregnancy my doctors office just ordered it but this time around the midwife team at the hospital wont. They very easily made the consult and recommended it but it is silly. I think it's just the hospitals way of making more money by making you have an appointment with a specialist.
@bacorrea Your the other military spouse (sorry if I forgot someone else who is as well, please chime in if you know!) in the May group, do you know anything about Tricare covering the early tests? My previous two pregnancies were Tricare Standard and at civilian practices and I was told that no early testing was covered. This time I'm on Prime and delivering at the military hospital so I'm curious if they cover anything or not...
Married 03.09.09 Sweet Baby H 12.21.11 Sassy Baby P 03.26.14 Little Brother Due 05.22.17
MamaMiller, haha...yes this is our first girl. Our other kiddo is a boy. I am also completely terrified of raising a girl. Part of me just wanted a second boy (this will be our last pregnancy), but I'm hoping I'm up for the challenge of raising one of each. ;-)
@bacorrea Your the other military spouse (sorry if I forgot someone else who is as well, please chime in if you know!) in the May group, do you know anything about Tricare covering the early tests? My previous two pregnancies were Tricare Standard and at civilian practices and I was told that no early testing was covered. This time I'm on Prime and delivering at the military hospital so I'm curious if they cover anything or not...
I'm Tricare Prime at an MTF and was last time too. They don't do the NT scan or the NIPT (Panorama, Harmony, etc). They do the quad screen blood draws at 12 and 16 weeks and the 20 week anatomy scan. I also had some additional carrier screening in the first tri but if it's not your first I don't think you have to do that again, it was just a blood draw around 10-12 weeks.
If your provider decides you need additional ultrasounds for whatever reason those are all covered 100% too. I had probably 6 ultrasounds at my army hospital. If you are over 35 or high risk the game might change but I had the routine tests and that's what they did.
@bacorrea Your the other military spouse (sorry if I forgot someone else who is as well, please chime in if you know!) in the May group, do you know anything about Tricare covering the early tests? My previous two pregnancies were Tricare Standard and at civilian practices and I was told that no early testing was covered. This time I'm on Prime and delivering at the military hospital so I'm curious if they cover anything or not...
yeah just go with whatever @WombThereItIs said because I have no idea! Sorry! I decline all additional testing. I had to have extra ultrasounds and be seen by a MFM doctor a couple time because they were concerned with how big DD was (born 9lb 9oz, not THAT big). We are currently at Fort Sill and their hospital sucks and they are understaffed and they actually deliver at the civilian hospital here (so old) I'm so glad we are PCSING in February.
Oh and I still have my "purple book" which is like the DoD pregnancy bible for each visit. You'll probably get it at your first appointment and it has a pretty good outline of the DoD standard of care by each visit.
I shot quick photos of the genetic screening section for you. Strategy 3 seems to be the most common
Re: Prenatal test
Sweet Baby H 12.21.11
Sassy Baby P 03.26.14
Little Brother Due 05.22.17
1/7/2015 Twins born @ 34 weeks
Human sons: 11/2015 & 05/2017
*formerly kayemjay*
DD: 6
DS: 2
11.2011 - DS1
02.2013 - loss at 6 wks
06.2014 - DS2
10.2015 - loss at 12 wks
03.2017 - DD
#1 DD Aug 2014 @39weeks via CS
#2 Due May 2,2017 hopeful VBAC
Surprise BFP# 5 - 9/2/16 - Due 5/13/17
As someone said above, knowledge is power.
Make a pregnancy ticker
"Look at the birds of the air; they do not sow or reap or store away in barns, and yet your heavenly Father feeds them. Are you not much more valuable than they? Can any one of you by worrying add a single hour to your life?...But seek first his kingdom and his righteousness, and all these things will be given to you as well. Therefore do not worry about tomorrow, for tomorrow will worry about itself. Each day has enough trouble of its own." Matthew 6:26-27&33-34
they have now determined she has some very weak joints and will require ankle braces to build support. We also are meeting with a neurologist soon for a few other minor concerns. She is five and now just getting the assistance. It certainly has taught me the importance of trusting mama gut and being a strong advocate. It may be genetic so I want to be sure to be prepared.
1st Baby 5/12/17, Henry
BFP #1 12/23/12 EDD 9/3/13 DD #1 8/26/13
BFP #2 2/25/16 EDD 11/5/16 MMC 4/15/16
BFP #3 8/31/16 EDD 5/12/17 It's a GIRL!
Apparently my doctor has changed their policy on the Panorama test since I had it done last year. Now, since I'm under 35, I would have to have a consultation with a genetic counsel before having the test done to explain what it is testing for. I think this is ridiculous. If something came back high risk, then I would definitely want to learn more about that abnormality, but I don't need to learn all of the possibilities beforehand! I think we're going to stick with the nuchal translucency ultrasound in a few weeks.
Human sons: 11/2015 & 05/2017
*formerly kayemjay*
And, thanks for the well wishes! I'm excited for a girl, although I haven't told my husband because he is out of town for work! I want to think of a good way to break the news to him tomorrow in person. :-)
Sweet Baby H 12.21.11
Sassy Baby P 03.26.14
Little Brother Due 05.22.17
I'm Tricare Prime at an MTF and was last time too. They don't do the NT scan or the NIPT (Panorama, Harmony, etc). They do the quad screen blood draws at 12 and 16 weeks and the 20 week anatomy scan. I also had some additional carrier screening in the first tri but if it's not your first I don't think you have to do that again, it was just a blood draw around 10-12 weeks.
If your provider decides you need additional ultrasounds for whatever reason those are all covered 100% too. I had probably 6 ultrasounds at my army hospital. If you are over 35 or high risk the game might change but I had the routine tests and that's what they did.
May '17 labor memes
I shot quick photos of the genetic screening section for you. Strategy 3 seems to be the most common
May '17 labor memes