SparklingGemini, would you be able to get an A1C instead near the end of your pregnancy? That is a more accurate test that doesn't involve putting anything you wouldn't want into your body. It is a blood test that shows what your blood sugars have been for the past several months, so you can see that you haven't had elevated blood sugar (which is what diabetes is). If you end up doing the GTT, talk to your midwives about using something other than the icky glucose solution. The requirement is that you get so many grams of glucose, not that you take that particular solution. You can also do things like exercise during the test period to get the glucose out of your system faster, get better results, and probably more importantly, reduce the amount of time that you have an unhealthy amount of glucose in your body.
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Prenatal tests, are there any you're refusing? - Page 2
Wow, thank you all so much for your replies! I never realized there were so many different ways to handle prenatal testing! I think at this point I'm going to do the initial bloodwork, and ask how accurate the dating ultrasound will be. For all the other baby scans, I'll ask whether the knowledge gained from it will change any of my prenatal care, and whether it will be more informative to screen later on in the pregnancy. I would prefer to just hear heart tones with a fetoscope, but I don't know if that's common practice with the midwives I'll be using. I honestly don't know if we'll do a 20 week u/s. We'll definitely do a 3rd trimester scan so that if there are any indications that extra care will be needed after birth we can prepare for that. Otherwise, I think I fall into the category of "better off not knowing until the end." I'd rather assume that everything is proceeding normally for the majority of the pregnancy, so that my stress levels don't shoot through the roof. I've had several friends who got false positives on the genetic tests, and had months of stress, only to have healthy, happy babies. That would make me crazy!
As far as tests on me, I'm fine getting tested for rh, GBS, and iron levels. Not sure how I feel about the GTT. I'm torn on the vaginal exams. I know I don't want them during labor, (and especially not when I'm getting close to my EDD, don't want my membranes "accidentally" getting stripped!) but I'm not sure how useful they are during pregnancy. Are they very important for finding out information about how the pregnancy is progressing?
Well it's been forever since my last (healthy) pregnancy but...
They don't do the nuchal ultrasound here. So that's not a concern for me. I know my conception date anyways so I don't need it for dating.
I had the 20 week scan with DS but I'm considering NOT geting it this time, becuase I feel half teh time they miss important things, or diagnose things that aren't tehre.
A close friend of mine was told at 20 weeks there was a heart defect, then at 21 weeks that there wasn't... At 34 weeks they decided again that there was, and it caused her so much stress. She had the baby before 37 weeks. Baby is doing ok, but it's nothing that couldn't have been treated had she not known. It's good to be prepared but at the same time it can cause stress for nothing, since there's nothing they could do until the baby's born except more ultrasounds.... and there are risks to ultrasounds as well, including premature labour, which my friend had. And heating up the fluid, and bubbles being formed...
But then again I use a doppler in early pregnancy for reasurance (past miscarriages) Only a couple times. But the risks of that are higher than ultrasound.. and less necessary, so maybe I'm a hypocrit lol.
I refused the quad last time becuase I wouldn't abort anyways. Again, might be nice to be prepared if there WAS but there's a high rate of false positives. Concern for nothing, etc.
I've done my standard bloodwork so far, for STD's or whatever. It didn't bother me to get that done since I was doing betas anyways. Might as well keep my doc happy lol.
I'm not opposed to fundal height measuring. It doesn't concern me if it's too high or low so they can go nuts. I consider it a fun game lol.
My doc doesn't do weighing, thank friggin goodness.
I'll get my diabetes test. No risk and it's dangerous if you have it.
I wouldn't get rhogam if I were rh neg. You only need it if you've suffered trama, and you have 3 days to get it.
My last midwife didn't do cervical checks but I did my own (lol.) This time I'm going to NOT check becuase it means absoultely nothing if your dilated or not. No sense getting hopes up or down.
It's really only a big deal if your partner is RH + because then the baby could have + blood and you're body will develop antibodies against the baby. This isn't so much an issue with the first pregnancy because the body won't have developed the antibodies til blood exposure, most likely near the end of pregnancy, but it can be quite deadly to all the pregnancies after the first.
I did a lot of research about it my first. I would take it if i needed it but my dh and I are both negative and so there's no way we could have a positive baby (it's the recessive gene). Otherwise, I would have no problem having the shots, I feel the shot is very low risk especially considering the possible outcome otherwise.
Just a little note on why there are so many false positives when screening for rare diseases. Let's pretend we're talking about a disease that affects 1 in 1000 people and a test that is 99% accurate, so 99% of people will get the right diagnosis. If were testing 100,000 people, 100 will have the disease, and the test will catch it in 99 of those cases. Not bad. However, there will also be 999 false positives, so we're getting over 10 times as many false positives as true positives in our hypothetical situation. The more rare a disease is, the more accurate a test needs to be in order to differentiate between false positives and true positives.
Unless there is a suspected problem, I don't do any kind of invasive tests at all except allowing blood draws and finger prick and only if necessary, not as part of a regular regimen. No internal exams and no ultrasound whatsoever, including doppler. I also absolutely refuse to do the test for GD where you drink the nasty orange soda stuff.
I plan on doing the same as my last birth which was using a stethoscope/fetoscope to check baby's heart tones and placenta, taking blood pressure and doing urinalysis strips for blood, sugar, ketones, etc. which is once or twice a month. You can buy good test strips online at Amazon 100ct for about $30 including shipping.
Hi, I'm new here. Well actually I am really old, here. I used to post on these boards ten years ago. Actually I was on these boards during the sept 11 attacks, when my daughter was <2 months old. Now I'm pregnant for the 2nd time. (I like to really space them out) My due date is 3/29/12.
So anyway, tests. Oh boy. Last time I was very natural. I had one or two ultrasounds and that was it. My care was through a group of midwives in Boston. They took blood all the time and listened to the heartbeat, but other than that it wasn't very anxious. I have o- blood but my husband has literally no idea what blood type he is, so that's going to need to be determined, I reckon.
Since I'm now 34, and will be 34 only 2 months past my due date, I get to select more tests if I want. Let's be honest, they are being shoved down my throat, by my PCP. I don't live in Boston anymore, so I have to find a new midwife group, which I've been dragging my feet on.
This time I am more curious about the science of this all. I asked for 2 HCG blood tests at 4 and 5 weeks, so I could rate myself. I am going in for an ultrasound at 7 weeks called a "dating" ultrasound --no idea what thats about but I want to see a heartbeat so I'm doing it even though I know how far along I am because I used fertility friend's charting website. They offered a downs screen at 11 weeks and I was like "for what?" What good would it do to know before hand? They couldn't really answer that so it seemed unnecessary.
I was just guiltily researching 3d elective ultrasounds. I remember my midwife, whom I respect and admire, telling me it's not been proven to be good for a fetus to have ultrasounds, which is why they do minimal ones. But I kind of want one. I guess I'm a lot different at age 34 than I was at age 23. :/.
Edited by bankamundi - 1/20/13 at 6:54am
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