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Georgia Babies
ally-cat
member
Did anyone get amnio?
ally-cat
member
Or the "advanced" ultrasound? I qualify since I will be 35 when I deliver, but I'm not sure if I need either. Sorry for the lack of technical terms on the US, I can't remember what the midwife called it.
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Re: Did anyone get amnio?
Yeah, I'm not thrilled about the amnio. I don't think that is really an option for me.
i did the nt scan as well and will do it again. i'd avoid amnio as much as possible tho.
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I did the NT scan (which is a combo specialty ultrasound and blood work) and then the AFP (blood work only). The NT scan gives you the odds of several issues (ie. Downs, Trisomy 18/21). The AFP gives you a "positive" or "negative" result on several abnormalities. However, the AFP has a very high false positive rate that can be caused by something as simple as a miscalculation of your due date. If we'd had a positive result from the AFP or high odds of an issue as indicated by the NT scan, then we would have considered an amnio but not without those two tests indicating an issue that needed further investigation.
My bff was 37 when she got pregnant and did opt to go straight for the amnio without any of the other testing. Everything was fine.
The Peri who gave me the NT told me the results were pretty accurate.....much better than the AFP which has many false positives. With my first pregnancy I had nothing, no tests and was fine with it. With Sarah my odds based on age alone for an abnormality were like 1 in 50 and after I took the test they only raised to about 1 in 65.....not very assuring, but she is fine. My Peri kind of pushed me to the NT.
I do know 1 person who miscarried after the amnio, so that is the reason I wouldn't do it.
I think the advanced ultrasound you are talking about is the NT scan that pp's mentioned. If your OB refers you to a perinatalogist (which I'm sure he/she will, based on your age), they should have a genetic counselor meet with you at your first appointment to talk to you about all the different tests and how they work.
Basically, the amnio would only need to be done if you are still showing risk for any of the genetic disorders they test for.
In my case I did the NT scan and a 2nd f/u blood test later on. My results for both tests came back showing very low risk for any of the genetic diseases. At that point, the peri asked if we'd like to do the amnio, but did not feel there was any reason that we had to do it. Does that make sense?
I will be 36 when Aerin is born. My doctor advised me not to get the amnio if I did not intend to act on the results--meaning, I would not terminate the pregnancy if anything was wrong. That's just me--also, I think they are too risky.
I didn't realize this wasn't standard here in the US! I had it in the UK, it wasn't optional (well I guess technically it was), it was just part of my 12 week scan. I wouldn't do amnio.
I had to see a perinatologist because Elizabeth's 20 week ultrasound showed choroid plexus cysts on her brain and that can be a soft marker for Trisomy 18. After the ultrasound in his office, he told me flat-out that while the only way of completely ruling out T-18 is an amniocentesis, I'd have to see somebody else if I wanted it done. The odds of T-18 are 1 in 10,000 and only 1 in 3 T-18 babies have choroid plexus cysts, which raised the odds to 1 in 30,000; the odds of miscarrying from an amnio are 1 in 250.
If I were AMA, I'd probably do the nuchal translucency scan so that I could be prepared and have resources in place if we were to have a Down's Syndrome baby, but I wouldn't do the amnio. The risk isn't worth it to me, and I would not terminate a pregnancy.
I had both--the NT ( performed at or before 12 weeks) is a great test and I highly recommend it. It is really a statics test that measures the folds in the baby's neck. It calculates the odds of a chromnosonal. I also had an amnio only at the end to make sure that Maggie's lungs were developed. It was pointless I was already in labor and she was born before the results were in.
I would never take it in th ebeginning as cause for M/C is greater. The ultrasounds and other tests can help you know the health of the baby. I think it is a personal decision. I wouldn't terminate the pregnancy if something was wrong so you have to know what you would do in the case of a chromosonal defect.
I am sure Baby Ally is very healthy.
It was 3 or so years ago when I had the test...things might be different now - I just remember my Peri telling me it was more accurate marker than AFP and that it was standard in Europe. At the time, they had a sign on the wall stating check with your insurance company as it might not be covered - when I had the test, some insurance didn't cover it period....but I think that has changed which is great as you get a great look at the baby! I was high risk so pretty much everything they did to me - and i had LOTS of ultrasounds, was covered.
We had the NT scan and then AFP.
The NT scan is not standard of care yet so some insurance companies don't cover it. They might cover it more for AMA moms, I don't know. I had to make several phone calls to try to make sure before we had ours.
It is a very accurate test and is non-invasive. Always a bonus to get another US too!
We decided not to get the amnio.
Are you talking about the NT Scan or 1st tri screening? This is done between 11 1/2 and 13 1/2 weeks and includes an ultrasound with bloodwork. They will then give you a 1 in somthing chance of your baby having downs or trisomdy 13 or 18. If the chances are increased or they see something then you can opt for the amnio.
I'm not high risk but my insurance covered it so after having a m/c last time I wanted it done just to make sure everything was okay. I really wanted to see the baby again too. A lot of people opt not to do it esp. if they wouldn't want further testing.
Thanks for all the responses! I suppose the "ultrasound" I'm talking about is the NT scan. Which sounds like I will probably want to do. I plan to give my doc a call this afternoon to clarify, and hopefully schedule.