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NT Scan/Genetic Testing Question


Forum: October 2013 Playroom

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  • 2 Post By *Lana*
  • 2 Post By mamarazzi40

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  #1  
April 6th, 2013, 07:31 AM
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Join Date: Aug 2012
Posts: 96
I know that these are extremely personal choices but I'm just curious what makes some people choose to get the NT scan & testing done. I'm on the fence with it right now. Originally we decided no because I thought the testing and scan were 2 separate things and I could just choose one or the other. Come to find out they're couple together as a package deal and both are necessary for accurate readings. Why do they offer these to some people? Do they offer them to everyone?
My background:
Me 24yrs DH also 24yrs
High risk pregnancy due to type 1 diabetes for 13 years (only one in my family with diabetes, not genetic at all)
Very healthy and in good shape (diabetes included) before getting pregnant.
No history of Down syndrome or any high risk genetic issues in babies born in either of our families.
Every u/s has showed great growth (I get one every other week due to being high risk). Had one yesterday and baby is kicking and stretching, measuring at 10w6d which is a few days further along than my last u/s would have indicated.

Any input would be very much appreciated! Again, I know this is a very personal choice but would like to get some other mommies feedback :]
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  #2  
April 6th, 2013, 07:50 AM
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I didn't get the testing with my first three kids because I was in my 20s and handled pregnancy differently.

Five years ago I had a SCH and lost the baby at 13 weeks. It changed my entire attitude on pregnancy. I was no longer invincible. I have all testing done now partly because my age and partly because I want to go through each step knowing what I'm facing and preparing for what could be waiting at birth. I also have 4 other kids to think about. Preparing children for a sibling that might have problems is very important to me.
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  #3  
April 6th, 2013, 08:01 AM
Laurenj915's Avatar Mega Super Mommy
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I didn't do genetic testing last pregnancy. Then, someone posted on these boards that their SIL had in vitro surgery for a baby with spina bifida. I started thinking maybe I should do the testing in case I could do something like that to help the baby before it was born. I don't think either way is right or wrong, it's a hard decision.
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  #4  
April 6th, 2013, 08:23 AM
ILoveStorm2011's Avatar Mack :)
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Dh is 23 and I am 20, but we are going to get the blood test done because he will more than likely not be there for the labor and we want to be as prepared as possible. We are super low risk and not really worried, but if we can be prepared for the worst then we both felt like it would make it easier than something happening and I being alone and him being so far away.
Otherwise we might not have gotten it.
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  #5  
April 6th, 2013, 08:32 AM
SierraWinter's Avatar Mega Super Mommy
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I never thought I would do genetic testing but my last OB/GYN talked to me about the benefits of knowing in advance if there are issues with baby. As a doctor she could better prepare with specialists, if needed, prior to delivery. And as Lauren mentioned, some things can be treated in the womb that can't be treated after delivery. Once life is created I want to be able to give my child the best care or resources possible, and being prepared could help.
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  #6  
April 6th, 2013, 08:38 AM
Wanta.number2's Avatar Hi, I'm Tiffani!
Join Date: Jan 2013
Location: Texas
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Like ladies have said, it is a very personal decision. If YOU feel like it really don't need it then don't do it, but I see nothing wrong with it. I am 27, DH is 24, I have had two previous losses, one over half term, and it was not offered or mentioned to me. The only thing that was offered to me was the testing for spina bifida, which was a 1600 dollar test that would not be covered by insurance since there was no family history.
It can be a tough decision to make, but understand there are also such things as false positives so the end result could be unnecessarily stressful. Decide what you feel is best. There are both pros and cons.
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  #7  
April 6th, 2013, 10:02 AM
*Lana*'s Avatar Platinum Supermommy
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Quote:
Originally Posted by Laurenj915 View Post
I didn't do genetic testing last pregnancy. Then, someone posted on these boards that their SIL had in vitro surgery for a baby with spina bifida. I started thinking maybe I should do the testing in case I could do something like that to help the baby before it was born. I don't think either way is right or wrong, it's a hard decision.
That was me.
It also depends on how you would handle the news of something was wrong, even if you had no intentions of terminating the pregnancy. And how would you do the rest of the pregnancy, if you declined testing,--would the thought that something could be wrong cause undue stress and worry? My personal view is that I would rather be prepared if something was wrong. My nephew was lucky. My SIL was 20 when she got pregnant, and she had 13 siblings and I have 3 and there was no history of anythingwith any of the children before this--his was a neural tube defect. Chromosome abnormalities are not always genetic. Some just happen regardless of age, race, medical history, etc.
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  #8  
April 6th, 2013, 10:15 AM
fancypants27's Avatar Mega Super Mommy
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I did not have testing done with my first two because regardless of the outcome we would not have terminated the pregnancy. I did have testing done this time around because of my age, and because I have 2 little ones and if something were to be wrong with this baby, we would like to be prepared in advance. (hire help, learn about the situation etc..)
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  #9  
April 6th, 2013, 10:32 AM
soul_donut's Avatar Melissa
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If they came back and said 100% that there was a big problem, I would probably terminate the pregnancy, as hard as that would be. I was not going to do it, because of the chances of false positives, but after looking into the particulars I thought that the accuracy was high enough to take the chance. Plus, I wanted to get to see the baby at 12 weeks with an ultrasound, which I wouldn't have gotten to do. It calmed my fears to find out nothing was wrong, and it was so fun to see the baby in there, looking like a real baby.

I am a planner - I would want to know if something was wrong, what that was, if I could do anything to fix it, and make decisions based on facts and knowledge and not just cross my fingers when I can help it. I know that luck is luck and things happen despite best laid plans, but where I can influence things I try my best. I am not religious so I can't leave anything to god - I figured let as much science in to help me along with this pregnancy!
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  #10  
April 6th, 2013, 12:48 PM
mamarazzi40's Avatar Veteran
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I was 25/26 when I was pregnant the first time. The internet was not all consuming like it is now. Not everyone had access to information 24/7. I had a very rose-colored glasses kind of pregnancy...you get married, get pregnant, have a baby. Had NO idea about fertility issues or truly how common miscarriage is. I skipped the triple scan with that pregnancy which was the only thing offered to me because of the risk of false positives and I didn't think I could handle the stress. I gave birth to a healthy baby boy.

Fast forward 10 years to 2009 and I got pregnant. {p.s. the pull-out method doesn't work } We miscarried at 10 weeks, 5 days. I had zero symptoms. It was devestating.

3 months later we were pregnant again {this time not trying, not preventing} and it was super scary always worrying if something was wrong. I was 36/37 and due to my age, the NT scan/blood work combo was offered to me. We viewed it as a chance to see the baby around 12 weeks so why not? Oh boy was I ever in for it. The scan came back well below normal at 1.3 and we were relieved until we got the phone call with the blood work information. Our risk for Downs was 1:16 based on my blood work. As a result of those tests we did the CVS. The entire process was so very stressful from the time we got the call about the blood results until we got the final results from the CVS. Our initial results from that CVS came back normal and we found out we were having a girl. Our final results showed the placenta having something called "placental mosaicism" which they don't really know too much about. The placenta showed an extra 16 chromosome which has the potential for "growth retardation" during gestation. What they did was monitor the baby's growth via ultrasound every 4 weeks from 20 weeks on to make sure she was growing appropriately. She was fine the remainder of the pregnancy and healthy when she was born. They tested her after she was born and the extra 16 was confined to the placenta and she didn't have it.

As a result of that experience, is why we did the CVS this time. I was 39 at conception and turned 40 shortly after. So due to my age, we were at higher risk for Downs. We have no family history of anything. We decided to just skip the NT scan/blood work because ultimately we knew we'd end up doing the CVS anyway if the bloodwork showed anything again.

Like a few of the previous posters, a concern for us is that we have other children to consider should something have shown up. I cannot say for certain what decision we would have or have not made if there was something wrong. I'm grateful we've never had to make those decisions. Also, this is a situation, I'd NEVER judge someone in. It's difficult enough to decide about testing...I cannot imagine having to make a decision to continue a pregnancy or not.

I'm grateful I had the first experience...rose-colored glasses pregnancy. And as off as this sounds, if I hadn't miscarried, I wouldn't have the daughter I have and for that I am grateful. She is everything I had ever dreamed of. What that miscarriage did do for me was make me so much more empathetic and sympathetic to the miracle of pregnancy from conception to delivery.

It's such a personal decision to do the testing and I hope you feel supported and not judged whatever your decision.
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  #11  
April 6th, 2013, 01:11 PM
anothermother's Avatar Platinum Supermommy
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Like the other women said, I also went through 2 pregnancies without thinking anything bad could happen to me. With my last pregnancy though, we lost our baby girl at 17 due to a cystic hygroma, probably having to do with Turner's syndrome, but the results came back inconclusive. There was a chance that she could have had a Trisomy, but I kinda doubt it since she had no other markers.

This time around, I'm still trying to figure out what tests to get. I will for sure have the NT scan this week and depending on how it comes back we may or may not go on for more tests. The only reason I would want to know is just to prepare, it wouldn't change my mind about carrying the baby or not.

The main thing for me is that when we went through our loss we were able to have a weeks heads up to prepare for her loss. For me, it would have been a lot harder to have symptoms and go to the ER to find out we already lost her. So knowing really helped me, and that's what I wanted this time... I want to know that *if* there is a chance we could lose this baby I want to know asap so I can prepare emotionally for it.

It really is up to you. It depends if knowing sooner rather than later would make a difference for you. You will have the anatomy scan, so keep that in mind. That will give you an idea mid-pregnancy if anything is wrong.
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  #12  
April 6th, 2013, 04:46 PM
Lotsakids's Avatar Platinum Supermommy
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We have the NT testing done, due to the fact that I am close to AMA, we already have 6 children. Although we probably would not terminate, (unless it was a condition incompatible with life,) we would want to know in advance so that we were properly prepared before baby was born.
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  #13  
April 6th, 2013, 06:18 PM
Leah
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I didn't mainly because my insurance wasn't totally set up in time to schedule it and there was some iffyness about whether the NT would be covered. I am doing second trimester testing. I think I would've done the NT if I could've slid in there in time. I'm not sure what I'd do if something were wrong, I am pro-choice and I think it would come down to the quality of life the child would have, but either way I'd definitely want to be prepared.

I'm 32 so age hasn't been mentioned and there is zero history on either side to worry about, so I would've felt comfortable going without if I had to. But like Melissa, I'm a planner so whatever I can do in advance, I will.
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  #14  
April 8th, 2013, 04:08 AM
jamieshalon2's Avatar Mega Super Mommy
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I never did the blood test with my other pregnancies, but with my age this time I thought I would want to know if something were wrong before baby gets here so that we could prepare properly. I lucked out this time, they said that basically my odds of a genetic disorder are null. It is a very personal decision, and I wish you luck in deciding.
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  #15  
April 8th, 2013, 05:00 AM
karmaissotrue's Avatar Mega Super Mommy
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Personally I'm a planner by nature, so I need to know everything or I will freak out. As long as the test aren't invasive I personally like to know what to expect or we're up against. I think it's more of a personal choice & if one you and your partner have to feel comfortable with
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  #16  
April 8th, 2013, 06:00 AM
Cccbb61013's Avatar Veteran
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With my first pregnancy I had it done. Regardless of the results I knew I wouldn't terminate but I wanted to be prepared plus it was the only way to get an early ultrasound.
A few years later a cousin fell pregnant without insurance. She was 33, dh 28. Two previous healthy pregnancies with healthy children. No family history of anything. Her Medicaid didn't start until she was close to 14 weeks. The NT and bloodwork came back abnormal. She of course had to have additional tests to confirm the results which took her to about 15-15 1/2 weeks when the results came back for trisomy 18. She literally had days to think about what she wanted to do, and I'm telling you, until something like this affects you personally, it's likely you'll have no idea what you wold truly do. I was pulled in so many directions on what I thought SHE should do, I couldn't even imagine if it was myself, but I know I would've liked some time to think about it, which she didn't have. Ultimately she made a decision that her family supported 100% and I have no doubt was the right one, but I can tell she is tortured by it even though she chose to never speak of it again.
Not everybody will make the same decision in a matter like this, but the bottom line is, do you want to be prepared or are you okay with not finding out until the baby is born? I would recommend reading some about trisomy 18. Not to scare you, but just to educate you. If it was as simple as Down's syndrome could be the only thing wrong, my cousin would have her baby girl with her today.
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  #17  
April 8th, 2013, 07:42 AM
The Purple Butterfly's Avatar Stacey
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I don't bother because it won't change anything for me. I still plan to birth my baby. I don't care if he/she has Down's or Tri 13/18. It's still my baby and I will keep it. I refuse the b/w and the NT scan. When I go in for my gender scan, most things can be picked up there, so I don't see a purpose for additional testing, IMO. If it changed nothing for you too, then skip them.
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  #18  
April 8th, 2013, 09:21 AM
WorkerBeeMama's Avatar Mega Super Mommy
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Quote:
Originally Posted by soul_donut View Post
If they came back and said 100% that there was a big problem, I would probably terminate the pregnancy, as hard as that would be. I was not going to do it, because of the chances of false positives, but after looking into the particulars I thought that the accuracy was high enough to take the chance. Plus, I wanted to get to see the baby at 12 weeks with an ultrasound, which I wouldn't have gotten to do. It calmed my fears to find out nothing was wrong, and it was so fun to see the baby in there, looking like a real baby.

I am a planner - I would want to know if something was wrong, what that was, if I could do anything to fix it, and make decisions based on facts and knowledge and not just cross my fingers when I can help it. I know that luck is luck and things happen despite best laid plans, but where I can influence things I try my best. I am not religious so I can't leave anything to god - I figured let as much science in to help me along with this pregnancy!
Ditto.
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  #19  
April 8th, 2013, 09:38 AM
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I am not sure if I ever did the NT scan with my older two or not. But with my youngest and my current pg I did. I choose to since DH and I both have diabetes which increases the risks that something could be wrong. Not that if something was it would change my mind but it would better prepare me and our 3 other kids for what is coming in the future
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