We had a clear NIPT and the ultrasound portion of the NT scan came back good, but the bloodwork portion of the NT came back showing a 1:52 chance of Downs Syndrome. We spoke with a genetics counselor and decided to have amniocentesis testing to get the most accurate info. My hCG MOM was 2.02 - not super high but I’m 38 so already have higher chances of chromosomal abnormalities.
We went in for the amnio yesterday afternoon and it was awful. They could not get a clear spot to draw the fluid, said the baby was moving toward the needle. They ended up poking me 4 times, twice into the uterus. Each needle entry cause severe cramping that built with each new re-entry. And they didn’t even get the fluid and told me I’d have to come back next week.
This was so traumatic and I was not prepared for possibility that the fluid draw would be unsuccessful. It feels maybe too high risk to do it more than once? I had read so many stories that peopled likened it to a flu shot but for me the pain was intense and my entire abdomen feels traumatized.
Just feeling confused and worried. Pre-pregnancy my husband and I decided that we would terminate the pregnancy if there was a severe health condition but now 16 weeks in it’s hard to think of doing that, and we would be devastated if we caused problems for the pregnancy with the testing. But I don’t know I’ll be able to not obsess about this potential 1:52 chance for DS.
That sounds absolutely terrifying. I don't do well with needles in general but I can't imagine telling someone that a large needle going into your uterus feels like a flu shot. That seriously sounds like a nightmare. I understand wanting to know what's happening and needing to know for planning purposes but holy cow does it sound risky to do it again. Good luck if you decide to follow up.
That sounds awful. Was DS one of the conditions for which you had been considering termination? Knowing several families with a DS child, I know there are a ton of resources out there.
How traumatizing! I'm so sorry that you're facing the ambiguity, and I know that I also would have gone for an amnio if any of our results had come back questionable. You mentioned that your NIPT results were clear, so I'm assuming that those put you at low risk? My provider isn't doing NT scans or bloodwork, so I can't speak to those results; however, the NIPT screening for Down's is one of the most accurate available.
Would it be possible to wait to do another amnio until after you've had your anatomy scan? That will give you and your husband more information on potential abnormalities and you could use that to inform your next steps. They can tell quite a bit as early as 18 weeks, which isn't that far away! I completely understand that waiting longer may not be an option if you're considering TFMR--especially depending on where you're located. If you go for a second attempt at an amnio, I would insist on having someone different perform the draw. What you experienced sounds highly abnormal and I would not feel comfortable with them a second time.
Just wanted to post an update. Thanks for the responses to my stress-posting!
Our sequential screening part 2 bloodwork came back with much lower risks for DS (1:3960 vs the 1:52 from part 1), Trisomy 18 (1:10,000), and Spina Bifida (1:36,800), so we opted to cancel the 2nd round of amnio after speaking again with the genetic councilor, and factoring in that our NIPT also showed “negative” for all of the things tested for. Unfortunately our dr doesn’t do the anatomy scan until 19-20 weeks and they are only doing it two days a month right now, and are booked solid during our window of time. They gave me a referral but that place only does it from weeks 22-24 they say, and in the midst of all this we are moving out of state at the start of week 20. So I’m looking for a new dr near our new home and hoping for the best!
So glad so glad things seem to be working out for you and your little bean ❤️
Im also moving during this pregnancy and just found that my nephews won’t be able to help so I’m stuck moving all on my own (my fiancé isn’t here right now lol). I hope your move goes smoothly!
Re: Amnio
I understand wanting to know what's happening and needing to know for planning purposes but holy cow does it sound risky to do it again. Good luck if you decide to follow up.
Would it be possible to wait to do another amnio until after you've had your anatomy scan? That will give you and your husband more information on potential abnormalities and you could use that to inform your next steps. They can tell quite a bit as early as 18 weeks, which isn't that far away! I completely understand that waiting longer may not be an option if you're considering TFMR--especially depending on where you're located. If you go for a second attempt at an amnio, I would insist on having someone different perform the draw. What you experienced sounds highly abnormal and I would not feel comfortable with them a second time.