I had my first Dr. appt today. It was great. I love my doctor - she is totally chill and very pro-natural childbirth and minimal intervention, and she believes in women's ability to do this, which is a great fit for me. She also keeps up to date on research and best practices, and I feel really comfortable with her and love that she is so keen on discussion rather than telling me what I should do. I picture her being more like a midwife than a doc, as far as her approach goes.
She has, however, suggested a nuchal cord translucency test, based on my age. I've done the two blood tests in the past, but the NCT has to be done in another city which is a 2.5 hour flight from my home. With our crazy-good healthcare the flight and test are all paid for, but I'm not sure if I want to head down that path. I have always felt that Down Syndrome would not be a reason to terminate a pregnancy, but she had some good reasons for why knowing can be helpful - particularly as there is the potential for really debilitating/life threatening physical issues that I wasn't aware of, that would require immediate surgery which is not available in my town, and which, if there was a positive for Down's, could be scrutinized through further scans later in the pregnancy. (I have always thought of Down's Syndrome as being more of an issue of slight physical and potentially greater mental impairment, but apparently that's more of a best case scenario and newborns can have pretty significant physical issues). In any event, there are a few other older mamas in our DDC - anyone else considering testing for chromosomal abnormalities? Any thoughts? I don't know it will change my mind but I'm interested in hearing what people think.