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Mothering › Groups › January 2013 Due Date Club › Discussions › Who else had/is having the nuchal translucency (NT) ultrasound?

Who else had/is having the nuchal translucency (NT) ultrasound?

post #1 of 19
Thread Starter 

I have mine tomorrow.  I really wasn't 100% that I wanted to have it, but this is my husband's 1st baby, and with us both being older, he really wanted me to have it.  I am nervous about it- I have read that there are a lot of false positives.  If the test does show an increased risk of birth defects, then we have to weigh the heavy decision of doing a follow up amnio or CVS test, both of which come with risks.

post #2 of 19

I had it several weeks ago as well as with my two previous pregnancies. If it had come back with an elevated risk I was at ease with further testing and, if severe enough, termination. No false positives with any of my children or cause to worry whatsoever. I was REALLY worried this time but it felt great to know all was likely going as it should

post #3 of 19
Thread Starter 

Termination isn't a consideration for us one way or another, which is why I was hesitant about doing the test at all.  If it comes back positive, and we decide against further testing (which is likely) then I'll just be worried the rest of the pregnancy, which really won't be good for my emotional state during labor. :/

post #4 of 19
DDCC~ I'm technically in the Feb DDC, but it is pretty likely that Ill give birth in Jan.

Kawa- it's really good to know you haven't had any false positives. This will be my first time doing it. Im only 28, but I really want to know what Im getting myself into this time. I'm sure everything will be fine, but I dont know anyone who has ever had it done. Does it take a long time? Do you get your results the same day?
post #5 of 19

Not very long. I first met with a genetic counselor to talk about the test, the risk based on family history, and my age - I'll be 37 in a few days. Then the US. The tech told me straight away that it looked fine. I spoke with an OB who said the same. My blood work was directly after that and a few days later the genetic counselor called with final results. My MW followed up to see if I had questions. I just had another blood test done at 15w.  

post #6 of 19

I just met with the genetic counselor and had my blood test done Monday, so when I go for the US next Monday I'll be able to have all the results at one time. I'll be 35 when the baby arrives. I'm a little nervous, but mostly excited to see how the baby is doing in there. :) For us, we felt it would be good to understand the risk and use that information to make decisions about additional testing. Good luck to you tomorrow!

post #7 of 19
Quote:
Originally Posted by birthjunkiemom View Post

Termination isn't a consideration for us one way or another, which is why I was hesitant about doing the test at all.  If it comes back positive, and we decide against further testing (which is likely) then I'll just be worried the rest of the pregnancy, which really won't be good for my emotional state during labor at any point during pregnancy. :/

 

This is precisely why I won't do any screening. From my vantage there's nothing to be gained. Even if it comes back "clear," it doesn't necessarily mean the baby won't have any chromosomal abnormalities. In all fairness, since I'm "only" 30 I'm not under pressure to do screening so the risk of unnecessary worry carries significant weight to me.

 

In my last pregnancy nuchal lucency was observed early (no NT scan, they just noted it on a dating ultrasound) so when there was fluid accumulation later on, I was heavily pressured to do an amniocentesis to do karyotyping. I did not want to do an amnio (which is why I decided the scans were of no use--as you've mentioned), but by my 24th week, doctors more-or-less refused to see me without the results. I definitely don't want to be in the position of "having to" do an amnio again if I can help it. It was hugely stressful to spend 2-3 months between the dating ultrasound and the anatomy scan worrying whether there was something wrong (there was, but nothing that an NT scan--or even an amnio--could have detected).

 

I hope it's a moot point because that baby is perfect! thumb.gif

post #8 of 19

When I was pregnant with my daughter, we declined most of the genetic screening, I guess at the time I was thinking termination was not an option anyway, so why worry yourself. Now that I'm a little older, I might do it, just because there are things we need to be prepared for, especially now that we are small business owners and pay a lot more out of pocket for our health care. 

 

Anyway, I did have an ultrasound at some point and nuchal lucency was noted on my chart, which they did not tell me AT ALL until we were sitting there when I was like 41 weeks pregnant and discussing induction options with a brand new midwife in the practice and she just sort of launched into it. I kind of forgot about that until reading this thread, but it totally freaked us out. My daughter was fine anyway. I think if I do decide to get any testing (and I need to do it soon, right?) I will definitely read up on it, so I'm not utterly confused when talking to the doctors or CNMs. 

post #9 of 19

It's funny, i don't do the tests or the anomaly scan (for the reasons listed above, i could never "decide" what to do anyway, so why have information that's just going to potentially scare and worry me when the trade off is an "everything's fine" that one can't rely on anyway?) but when i went for my booking/dating scan on Friday they asked if they could measure the NT because they're currently training to do it and need to do x measurements and have them externally verified to qualify as competent.  I said that was fine (and got to see that my baby's nt was measuring between 2.3mm and 2.7mm depending on the head position (and i was 13+2 then, so highish normal but not "borderline" by NHS standards anyway - the sonographer wasn't discussing it, because she's not qualified to measure yet, so those are unverified numbers, just what i could see when i was watching the corner of the screen nearest to me while she clicked away).

 

Anyway it was fairly quick, about 7 minutes of measuring and i think she did a lot more than one would normally do, because she's got to have 10 or so images of each baby for the external verifier to check for accuracy.

post #10 of 19
Quote:
Originally Posted by birthjunkiemom View Post

Termination isn't a consideration for us one way or another, which is why I was hesitant about doing the test at all.  If it comes back positive, and we decide against further testing (which is likely) then I'll just be worried the rest of the pregnancy, which really won't be good for my emotional state during labor. :/


Same for us so we've decided not to have it this time.  We're due with #11 in Jan.  We're in our mid thirties. 

 

(In Canada, they want you to do an accompanying blood test.  So there's a little more to it than just the u/s.  When I refused the blood test last pregnancy they refused to do the n/t u/s.  So that was that.) 

post #11 of 19

I have mine set up for next week. I will always do the genetic screening. I have had two brothers who died at birth. If the situation was as bad as what happened to them, then I would probably terminate. However more likely than not I would not terminate. That being said I know people who found out about issues because of early genetic testing. because they had the information they were able to be prepared when it came time for labor and delivery. 

post #12 of 19

I had mine yesterday.  I loved seeing my little baby!  The US technician said that everything looked fine and I had the blood drawn right after.  I figure that if the screening test comes back that we are at risk, then I'll just pay for the MaterniT21 test which is said to be 99% accurate (according to my genetic counselor).  I guess it is a new blood test that tests the baby's DNA that is floating around in the mother blood.  Just amazing what they can do these days.  :)
 

post #13 of 19
Thread Starter 

Everything went well. We saw 4 heart chambers, fingers, and toes, a "perfectly normal developing brain," to which I replied, "That can't be my child, then." LOL Best of all, the nuchal translucency measurement was perfect, so very low risk at this point. :D  I did do the blood screening, so we'll see in a few days how that came out, but I'm not worried at this point.  We also got to see the baby sucking it's thumb!

post #14 of 19
I am SO HAPPY for you!
post #15 of 19

Had mine today - great fun!  We got lots of photos and they said everything looks great!  The OB even said that he's 80% sure it is a boy (at 12w5d), so that was exciting.  I'm 39, so definitely at risk, but the numbers were all below the midpoint, so that is a big relief.  We finally told DS (age 6) about the pregnancy, and he is so excited!

post #16 of 19
Quote:
Originally Posted by venusthrow View Post

I have mine set up for next week. I will always do the genetic screening. I have had two brothers who died at birth. If the situation was as bad as what happened to them, then I would probably terminate. However more likely than not I would not terminate. That being said I know people who found out about issues because of early genetic testing. because they had the information they were able to be prepared when it came time for labor and delivery. 

 

 

Actually the reason for early detection is really the ability to terminate early.  Since early termination is safer for the Mother.  For us this isn't an option we want to consider.  A biophysical profile can hopefully detect things too, which is the purpose of it, to detect anomalies or health issues.   My Doctor confirms this to be true in the discussions we've had. 

 

I also have a friend who did the NT testing about 3-4 yrs ago in PA, and it was negative, she had lots and lots of ultrasounds and they detected nothing, at birth they discovered the baby had d.s. they love him lots, but it was a surprise. 

 

FWIW, I am so sorry about your brothers. 

post #17 of 19
Quote:
Originally Posted by newbie_mary View Post

Had mine today - great fun!  We got lots of photos and they said everything looks great!  The OB even said that he's 80% sure it is a boy (at 12w5d), so that was exciting.  I'm 39, so definitely at risk, but the numbers were all below the midpoint, so that is a big relief.  We finally told DS (age 6) about the pregnancy, and he is so excited!

Good!
Exciting to know that they may be able to tell the sex. We are anxiously awaiting that information- especially to know if they are the same sex or if its a boy/girl combo.
post #18 of 19

I got a correct guess (girl) with baby #5 at the NT, but didn't ask with the following babies. 

post #19 of 19
Thread Starter 

We are planning to wait to find out the sex of the baby, but my best friend (who went with my yesterday) and I both thought we saw a little "turtle."  LOL  I asked the tech if I just saw what I thought I saw and she said it was too early to tell.  We may not be able to look at the next ultrasound, or we'll find out for sure!

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