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mommy2lilmen March 15th, 2013 06:52 PM

Anyone ever had an amnio?
 
I am really curious to know if anyone has had an amnio and when abouts in the pregnancy and for what reasons??

I am 35, pregnant with my 8th baby but on pregnancy #12, and the dr wanted to do an NT to check on baby. Well it shows so far an enlarged NT of 6mm, I did give a small update on my Nt scan below. It left me at a 1;5 chance for downs.

Dr suggested I get an amnio, or this new blood test but the blood test costs $800. I don't have to have them done but they are recommending it since the detailed ultrasound in 4 weeks cant tell me much. It can tell me a lot but not what the amnio can.
Blood test can tell for downs and a trisomy I think 18. That's it, its like the harmony or verify. But it costs money.

Im scared to get the amnio. I have only spoken to one person who had the amnio done in real life and that person has a healthy baby boy, well hes 2 now.

mom2many2010 March 15th, 2013 07:11 PM

Re: Anyone ever had an amnio?
 
I've not had it, the only time I would consider it is if there was a life altering reason ie; something that has to be known before birth in order to save the babies/my life.

I'm trying to think if any of my friends have had one, and I can not think of anyone.

HalfDozen March 15th, 2013 07:12 PM

Re: Anyone ever had an amnio?
 
I've never had an amnio and refused one. They did a Level 3 ultrasound on me and repeatedly offered the amnio. We opted for the blood test (test for 3 trisomies - down's syndrome being one of them) simply for peace of mind. We weren't sure if our insurance would cover it, but in the end we thought it was a small price to pay. As it turned out, our insurance did pay for it. If you really feel strongly about NOT having an amnio (as we did), then you need to voice that. After the Level 3 ultrasound and before having the blood test, the doctor also offered that we could have the amnio later (at 32 or 34 weeks, if we chose) so that we would be dealing with only a pre-term birth if something happened, and the risks would be much, much less, according to him. After getting the blood test results, we decided on no further testing.

mommy2lilmen March 15th, 2013 07:23 PM

Re: Anyone ever had an amnio?
 
Quote:

Originally Posted by Number5OnTheWay (Post 27200516)
I've never had an amnio and refused one. They did a Level 3 ultrasound on me and repeatedly offered the amnio. We opted for the blood test (test for 3 trisomies - down's syndrome being one of them) simply for peace of mind. We weren't sure if our insurance would cover it, but in the end we thought it was a small price to pay. As it turned out, our insurance did pay for it. If you really feel strongly about NOT having an amnio (as we did), then you need to voice that. After the Level 3 ultrasound and before having the blood test, the doctor also offered that we could have the amnio later (at 32 or 34 weeks, if we chose) so that we would be dealing with only a pre-term birth if something happened, and the risks would be much, much less, according to him. After getting the blood test results, we decided on no further testing.


Can I ask what the blood test results were ?

I do feel strongly that amnio isn't best, BUT then I don't want to be grilled by the drs. kwim? My OB is very nice and doesn't push it. However the other specialist does. I don't know if the baby has any life threatening issues, all I know is the neck is 6mm, and he/she could have downs. Nothing else yet. I am being scheduled for a detailed ultrasound, I guess a level 2 as they put it here, where they check on the fetal heart with a echo machine to.

mom2many2010 March 15th, 2013 07:53 PM

Re: Anyone ever had an amnio?
 
Just tell the doctor that right now you have no intentions of having an amnio, but that might change at some later date.

mommy2lilmen March 15th, 2013 09:49 PM

Re: Anyone ever had an amnio?
 
Quote:

Originally Posted by mom2many2010 (Post 27200599)
Just tell the doctor that right now you have no intentions of having an amnio, but that might change at some later date.

I plan to when she calls Monday or Tuesday

HalfDozen March 16th, 2013 06:04 AM

Re: Anyone ever had an amnio?
 
Quote:

Originally Posted by mommy2lilmen (Post 27200544)

Can I ask what the blood test results were ?

I do feel strongly that amnio isn't best, BUT then I don't want to be grilled by the drs. kwim? My OB is very nice and doesn't push it. However the other specialist does. I don't know if the baby has any life threatening issues, all I know is the neck is 6mm, and he/she could have downs. Nothing else yet. I am being scheduled for a detailed ultrasound, I guess a level 2 as they put it here, where they check on the fetal heart with a echo machine to.

To start with, where I have my OB stuff done, a Level 2 ultrasound is done at 20 weeks. At mine, they showed a thickened nuchal fold between 6 & 7 mm. When I had the Level 3 ultrasound done 1 week later, the measurements were between 5.5 & 5.75 mm. The specialist told me that they had lowered the threshhold several years ago from 6 to 5, but that has also led to a lot of false positives. They were able to visualize a nasal bone, the heart and brain looked fine, the femur length was good. He really believed it was a false positive and backed our decision not to have an amnio, but wanted us to have the option, should we change our minds later.

I had the Harmony blood test done that was supposed to be back in 7-10 days. Mine took 2 weeks to come back, and it was kind of agonizing waiting. I wasn't even going to do the blood test, but my hubby talked me into it, and I'm glad we did. With the thickened nuchal fold and my age, they had said my chances were 1/24. Once I got the blood tests back, my chances were lowered to 1/10,000 for all 3 trisomies. That has allowed me to not stress so much because those 5 days between getting the call about the thickened nuchal fold and the actual specialist appointment, I was a wreck!!!

Jenilope March 16th, 2013 06:08 AM

Re: Anyone ever had an amnio?
 
I have had 2 amnios with the same baby at 35 and 36 weeks. I developed severe cholestasis during her pregnancy and they wanted to induce as soon as they could because she was at risk for still birth, so they were checking for lunch maturity and she was induced at 37 weeks. She was big and healthy. I had the same condition with dd3, but it developed a little later in the pregnancy so I didn't do the amnio and just induced at 37 weeks.
They told me the risk of amnio at 35/36 week tests was early delivery, which we were going to do anyway, so I agreed to the test with her to know what we would be dealing with at delivery because I normally deliver at a very small hospital and if it looked like she would not be ready I would have rather delivered at a larger hospital better equipped to help her a few towns over.

The NT test is notorious for false positives. Often, when the fold comes back thick, they follow up with a blood test of HCG and AFP levels to better assess the risk, but that is still not a great measure, and they factor your age into the matrix when they are assessing risk levels and since you are in the 35+ category your risk will come back higher.
I had the harmony test done with this baby, but my insurance covered it so I only had to pay $25, and I'm 32. Since you're in the 35+ category and your NT shows you might be at risk, if you want more definitive answers I suggest calling your insurance company and asking if they would cover the Harmony test. If they won't, perhaps they would cover some level 2 ultrasounds as the pregnancy progresses.
If you don't want an amnio--especially an early amnio that carries a risk of miscarriage-- say no. And if you feel like the specialists are bullying you, get MAD! They're not supposed to do that! Tell your OB how you feel.

Good luck, I hope everything is ok and that you get some answers or peace about the situation soon--whether or not you choose to do the amnio.

mommy2lilmen March 16th, 2013 03:33 PM

Re: Anyone ever had an amnio?
 
Quote:

Originally Posted by Jenilope (Post 27201142)
I have had 2 amnios with the same baby at 35 and 36 weeks. I developed severe cholestasis during her pregnancy and they wanted to induce as soon as they could because she was at risk for still birth, so they were checking for lunch maturity and she was induced at 37 weeks. She was big and healthy. I had the same condition with dd3, but it developed a little later in the pregnancy so I didn't do the amnio and just induced at 37 weeks.
They told me the risk of amnio at 35/36 week tests was early delivery, which we were going to do anyway, so I agreed to the test with her to know what we would be dealing with at delivery because I normally deliver at a very small hospital and if it looked like she would not be ready I would have rather delivered at a larger hospital better equipped to help her a few towns over.

The NT test is notorious for false positives. Often, when the fold comes back thick, they follow up with a blood test of HCG and AFP levels to better assess the risk, but that is still not a great measure, and they factor your age into the matrix when they are assessing risk levels and since you are in the 35+ category your risk will come back higher.
I had the harmony test done with this baby, but my insurance covered it so I only had to pay $25, and I'm 32. Since you're in the 35+ category and your NT shows you might be at risk, if you want more definitive answers I suggest calling your insurance company and asking if they would cover the Harmony test. If they won't, perhaps they would cover some level 2 ultrasounds as the pregnancy progresses.
If you don't want an amnio--especially an early amnio that carries a risk of miscarriage-- say no. And if you feel like the specialists are bullying you, get MAD! They're not supposed to do that! Tell your OB how you feel.

Good luck, I hope everything is ok and that you get some answers or peace about the situation soon--whether or not you choose to do the amnio.

There must be a reason why I keep pushing this off, it must mean no. I certainly don't want to loose this baby. Im sorry you had to endure it at such a late stage, but guess good that its only early delivery. Ugh this is such a big thing and I personally don't know

Quote:

Originally Posted by Number5OnTheWay (Post 27201133)
To start with, where I have my OB stuff done, a Level 2 ultrasound is done at 20 weeks. At mine, they showed a thickened nuchal fold between 6 & 7 mm. When I had the Level 3 ultrasound done 1 week later, the measurements were between 5.5 & 5.75 mm. The specialist told me that they had lowered the threshhold several years ago from 6 to 5, but that has also led to a lot of false positives. They were able to visualize a nasal bone, the heart and brain looked fine, the femur length was good. He really believed it was a false positive and backed our decision not to have an amnio, but wanted us to have the option, should we change our minds later.

I had the Harmony blood test done that was supposed to be back in 7-10 days. Mine took 2 weeks to come back, and it was kind of agonizing waiting. I wasn't even going to do the blood test, but my hubby talked me into it, and I'm glad we did. With the thickened nuchal fold and my age, they had said my chances were 1/24. Once I got the blood tests back, my chances were lowered to 1/10,000 for all 3 trisomies. That has allowed me to not stress so much because those 5 days between getting the call about the thickened nuchal fold and the actual specialist appointment, I was a wreck!!!

My NT was 6mm at 12 weeks 4 days. I wonder if it will go down by 20 weeks? I just wish that they didn't give me options for amnio. I know the earlier the better for certain things but a big needle going inside, ya no thanks. I want to ask my dr my ob on Wednesday if he feels its a false positive to. I was told there is a 1 in 5 chance, 20 % chance the baby has something wrong. to me that leaves room for error greatly so it makes me better but I would not mind it to be even lower than that. I got the cal March 5, then I got told march 12 the numbers and here I sit. Ugh. I want to get my 20 week scan done which is a detailed one that will do the fetal heart echo to. I just feel this baby is ok. Regardless I will love the baby, I got pregnant NOT KNOWING anything would go wrong and already inlove with the baby so that wont change no matter what, but the drs are ruining this experience for me greatly.

clouise March 16th, 2013 07:50 PM

Re: Anyone ever had an amnio?
 
I had an amnio to check for lung maturity with Katy. It didn't work...they poked me several times and were not able to get the fluid they needed. I was not a happy camper!

Don't let the doctors bully you. Get the information you need from them, and then make your decision.

Babymakes8 March 16th, 2013 08:49 PM

Re: Anyone ever had an amnio?
 
I had an amnio with my fifth at 37 weeks to check for lung maturity. He was a planned c-section at 37 weeks due to placenta previa. The risks were abdominal cramping and/or premature labor. The c-section was planned for 2 days later anyway, so I agreed to the amnio. If I had been only 1st of second trimester in my pregnancy, I would not have had it done.

Rebelmommy March 17th, 2013 07:59 AM

Re: Anyone ever had an amnio?
 
I had an amnio done around 25 weeks and delivered a healthy baby girl. It was in all fairness and truthfulness, a scary procedure for me because you hear about all the things that could happen but it is fairly painless and over fairly quickly and it gave me some peace of mind when the results came back. I'm sorry you are having to deal with this, and I do agree with the other posters, don't let them bully you into it, they did bully me into mine and I remember thinking how horrible I would feel if something happened because I allowed myself to be pushed into doing something i hadn't wanted to to start with.

mamato4andc March 19th, 2013 12:21 AM

Re: Anyone ever had an amnio?
 
These are my thoughts on amnio-
There is a risk of miscarriage
Whether baby has a health problem or not, I would NOT abort and will love him/her regardless
so
why run the risk plus be stressed out the rest of the pregnancy which isn't good for myself and baby

therevslady March 19th, 2013 06:08 AM

Re: Anyone ever had an amnio?
 
Just remember that the Doctor works for you. YOU are paying him. You can always change care providers if you feel that the doctor is not respecting your choices. Feel confident in your choices and stand by them.

Be sure to weigh the benefits, risks, and alternatives for every test. There are many options out there. If your doctor is not familiar with alternatives, odds are high than another doctor is.

mommy2lilmen March 19th, 2013 04:47 PM

Re: Anyone ever had an amnio?
 
Quote:

Originally Posted by ~~Que~~ (Post 27208375)
Just remember that the Doctor works for you. YOU are paying him. You can always change care providers if you feel that the doctor is not respecting your choices. Feel confident in your choices and stand by them.

Be sure to weigh the benefits, risks, and alternatives for every test. There are many options out there. If your doctor is not familiar with alternatives, odds are high than another doctor is.

Myr is familiar with the alternatives, the specialist I am seeing is but is very pushy on the amnio because it gives more answers. My dr is not pushy,if I feel I should he will agree, if I feel I shouldn't he will agree.Tomorrow I have an appointment with him first thing in the morning and I am unsure how I am going to react because two weeks ago I lost it on him on the phone when he told me my baby was at risk of downs. I was asked to do cvs I refused, he was ok with that and did not want me changing my mind cus he says you do what your gut tells you to do right off the bat, and it said no, so now we take another route. Well the route he sent me was to a medical genetitcs counseller/dr. That person has given me TONS of options, one of which was the non invasive test, called harmony, and then kept pushing the issue of amnio, STILL TODAY pushed the issue. I read so many good things on amnios that I feel maybe I should just go for it and do it. and if a miscarriage happens, believe in my heart that that was the way it was supposed to happen? Ugh IDK, I will know more tomorrow of how my dr fully feels. I did book the harmony test for Thursday morning tho. Just incase . Its going to cost me $800 out of pocket.

Rebelmommy March 20th, 2013 05:04 AM

Re: Anyone ever had an amnio?
 
Personally if it will not change your mind on the baby and you are nervous about the risk of miscarriage and the only reason you are doing it is to confirm the diagnosis I say go with your gut feeling (I would not do it but that is me) As I said earlier I have had it done, it was not pleasant but not completely horrible either. I did it only because they wanted to test for other inherited genetic issues and I wanted to know if our future children would be at risk, otherwise I would not have done it. My Dr. pushed and pushed and after I refused twice and we met with the genetic councelor we finally made the choice that worked for us. My opinion always is if it is not going to change your mind about the baby and the information/time to prepare yourself/or peace of mind that the results might give don't outweigh the risks then it isn't worth the risk. Best of luck to you!

MIL2lissy8 March 20th, 2013 07:55 AM

Re: Anyone ever had an amnio?
 
rebelmommy, not to jack this thread but wanted to say cool name for your new baby. haven't heard that one before.

Rebelmommy March 20th, 2013 09:12 AM

Re: Anyone ever had an amnio?
 
ty :)


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