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what tests can I expect?


Forum: Pregnancy Over 35

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  #1  
September 7th, 2011, 01:53 PM
Raven_Haired_Mama's Avatar Mega Super Mommy
Join Date: Jul 2011
Posts: 2,245
I am 6 weeks pregnant. I already had my first OB appointment at 4 weeks. He mentioned since I am high risk because of my age ( 38 in Oct.) That I can have some extra testing done. He said so much at that appointment it all blew my mind and I forgot. So what I'm wondering is what all tests will I be given and at what week do they start? He said I can always have an early amnio and skip the other tests. But I would like to try and do the non evasive testing first.
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  #2  
September 7th, 2011, 04:48 PM
Blue-Jay's Avatar Jenny
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Location: Maryland
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Hi! Congratulations! I'm 39 and pregnant, and I know they keep saying our age makes it risky, but if you're in good health, I really wouldn't worry myself to death. I didn't have my first midwife appt until I was 10 weeks pregnant, and then she referred me for a 12-week ultrasound with genetic counseling and testing. There are the usual blood tests for blood type and the diseases they test for. Then there are the ones that relate more to our age, which are specifically Down's Syndrome and Trisomy 13. They'll give you an estimate about how high your chances are, then adjust the estimate according to your blood tests (eg, since I'm 39, my chances of a Down's baby were 1/100. After blood tests, they went down to 1/498). If you think the new estimate is reason for concern, then you can decide to have an amnio or CVS testing to get a more concrete answer. We didn't do any invasive testing, since we would have the baby and keep it no matter what. They also asked my husband and me for our backgrounds, and offered us testing for things like Tay-Sachs, sickle cell, and other disorders that are generally specific to certain ethnic backgrounds. We accepted the general tests that are offered to everyone, and declined the rest. Once you meet with the genetic counselor, you'll have a more clear idea of what tests you'd like to have. I think 12-14 weeks is the norm for the first batch.

I hope this helps! My most important advice is to not let your doctor treat you like pregnancy is a medical emergency! It's not; it's the most natural thing in the world.
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  #3  
September 7th, 2011, 04:54 PM
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I am 42 so I met with a genetics counselor who seemed to recommend the NT scan at 12-13 weeks and then consider amnio based on that. She didn't really recommend the quad screen for some reason. I think that is was because the NT scan could be done earlier?

I skipped the idea of the NT scan and then had the quad screen for which I had positive results for down sydrome (1/124 chance). Then the doctor said that maybe I might want amnio after my 20 week ultrasound. But since there were no anomalies I decided against amnio. Then I forgot to ask if the doctor if she recommended any further tests but I don't know what those would be.
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  #4  
September 9th, 2011, 08:00 PM
missy123's Avatar Platinum Supermommy
Join Date: Nov 2005
Location: Savannah GA
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I am 42 and not in a high risk category with my doctors office. They joke with me that I am elderly maternal age but don't treat me any different than when I was 20.

I opted for an amino at 18 weeks for personal reasons and I got a few extra ultrasounds. Other than that nothing but normal appointments each month.
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After 2.5 years TTC with 4 losses our Family was given the gift of Miss Scarlett
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  #5  
September 10th, 2011, 02:10 PM
Raven_Haired_Mama's Avatar Mega Super Mommy
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Thanks for the info ladies. So much to think about.
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  #6  
September 11th, 2011, 06:54 PM
missy123's Avatar Platinum Supermommy
Join Date: Nov 2005
Location: Savannah GA
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My suggestion is to bring a pen and paper (notebook) with you to each appointment and have it in front of you when you call them. They give out so much information at times that it can feel overwhelming.

I also write it all down so when DH asks how it went I can fill him in.

How are you feeling?
__________________

Pregnancy Loss April 2009, September 2010
CP 10/2008, 1/3/11 {missing my babies every single day}Mommy to 4 Children - 3 boys ages 22, 21 and 18 & baby Scarlett
After 2.5 years TTC with 4 losses our Family was given the gift of Miss Scarlett
.
Do not ever give up hope...


Miss Scarlett... Our miracle girl still brings happy tears to my eyes.



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