Nuchal translucency test - Mothering Forums

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#1 of 30 Old 04-05-2011, 11:33 AM - Thread Starter
 
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Are you doing (or did you do) the nuchal fold scan? How did you decide whether or not to do it?

I definitely know there are great reasons to do it and great reasons not to do it. We haven't decided yet, so I'm curious to hear about how other people made the decision to do it or skip it.

Thanks!

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#2 of 30 Old 04-05-2011, 11:44 AM
 
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I am doing it...this will be my second (had one with dd). It was great for setting my mind at ease. I was just turning 40. I am now 42 and am def doing it again. One thing I like is to have info!! If I can get any heads up that my baby will have special needs then I can be prepared with local resources etc... since we will be moving a month after the baby is born.

 

I am def a person who would be better off not being surprised at the birth... I think I might be overwhelmed...

 

I have been so lucky to have 2 super healthy kiddos....sometimes I feel ....ah what ever


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#3 of 30 Old 04-05-2011, 11:47 AM
 
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I decided not to, because at my age, it seemed the chances were higher that I'd get a false positive than getting an actual positive. I'd rather not be freaked out for no reason.

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#4 of 30 Old 04-05-2011, 12:02 PM
 
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I did not/will not have it done. My risks aren't very high and the results wouldn't change the course of the pregnancy. If there is anything that needs special attention at/after birth, we will likely discover it at the 20 week ultrasound.


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#5 of 30 Old 04-05-2011, 12:09 PM
 
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I had the scan.  I didn't really care about the test, but my husband is one of those "wants all information" people, and I did appreciate getting a glimpse of my babe.  


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#6 of 30 Old 04-05-2011, 02:34 PM
 
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I'm doing it next week. It would like to know so that I can have a plan in place if needed and so I can feel a bit less stressed about it.  I don't want to be that overwhelmed at birth. 



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#7 of 30 Old 04-05-2011, 02:38 PM
 
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I'm getting it on Thursday.  I'm 35.  During my last pregnancy I had a bad triple screen result which led to an extra ultrasound, so I'd rather get it done now when the screen is more definitive.  Also, I watched a family member go through having a daughter born with Trisomy 13 who passed shortly after birth.

 

If I get a bad result, I'm not sure what I'll do (get a CVS, amnio, etc) but hopefully things will come out ok and I can not worry about it.

 

 

 

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#8 of 30 Old 04-05-2011, 06:29 PM
 
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I like more information, so we did the integrated screen.


  We had the ultrasound about two weeks ago.  I've still got another blood draw in three weeks before I get final results, but the ultrasound was fine. 


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#9 of 30 Old 04-05-2011, 06:35 PM
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I am doing the integrated screen. I wasn't going to, but DH wanted to, and he rarely asks for much, so I did it. Also, I'm 35 and have other risk factors. I already had the u/s and first blood draw; second blood draw is in a couple of weeks.


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#10 of 30 Old 04-05-2011, 06:54 PM
 
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I am getting it done but could care less about the results.  I'm getting it done because its the path of least resistance to getting an u/s where I live at 12 weeks.  Because of history I *could* push for one, but I'm non-confrontational and I have a new really blah dr who didn't ask any history (praying for a midwife to open up SO much!) so I just went with it.  I am not having the blood work done.


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#11 of 30 Old 04-05-2011, 07:11 PM
 
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We didn't do it w/ DS, but we're doing it this time.

 

Our rational w/ pg #1 was that we were not prepared to do an amnio (the chance of miscarrying a perfectly healthy baby is higher than the NT scan being "right" that there is a problem).

This time, it's just different for us.  We're prepared to go all the way with testing for various reasons.


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#12 of 30 Old 04-05-2011, 07:35 PM
 
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We're doing it. I had the first blood draw today and will have the ultrasound in a couple weeks. Back when I had DS (4 years ago) they only did the blood test. We got a false positive for Down's Syndrome, got super freaked out about it (we never considered terminating, nor would we for any of the things it screens for) and we went ahead and got the amnio for peace of mind. DS was fine.

 

It's tempting to skip it this time, but I'd rather have the peace of mind (and I won't be freaked out if there's a false positive this time). If I didn't get it, I know I would spend the whole pregnancy worrying about the tiny chance of something being wrong that I could have planned ahead and been prepared for! But that's just my over-active worry gene :)


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#13 of 30 Old 04-06-2011, 12:17 AM
 
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We did a first tri screen (NT and 2 blood tests), because I'll be 35 in a few days and I was hoping the results would put my mind at ease. Our NT came out fine, but the blood tests showed slightly elevated risk, so now we'll be going for amnio. I had very little hesitancy with testing. I tried to go the less invasive route first, but both DH and I are of the definitely want to know camp.

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#14 of 30 Old 04-06-2011, 06:46 AM
 
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Many people decide to have the test if the results would lead them to make a choice about possibly terminating their pregnancy. Or so they can better prepare for a baby that may potentially have special needs closely following their birth. Personally, I came to the decision during my first pregnancy when I ended up having very poor blood test results and then an amnio, I decided I would have terminated. Fortunately, I had a healthy boy and subsequently a healthy baby girl as well.

My feelings are the same for this pregnancy - if not stronger. I have two lo's to take care of and I would not be able to handle the added emotional and financial stress of a special needs baby. Maybe this is too much personal info to share but realistically,for me, I would choose to terminate if my baby was not healthy. This is why I have the test done - I had my us yesterday and am waiting for the results of the blood work to decide if I'll have an amnio. I think deciding wether or not to have the test is very much based on your personal feelings of what you would do with the results.
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#15 of 30 Old 04-06-2011, 06:58 AM
 
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Quote:
Originally Posted by StephandOwen View Post

I did not/will not have it done. My risks aren't very high and the results wouldn't change the course of the pregnancy. If there is anything that needs special attention at/after birth, we will likely discover it at the 20 week ultrasound.


This exactly for me! If the 20 week  anatomic scan raises question, I would further investigate from there.

 


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#16 of 30 Old 04-06-2011, 07:06 AM
 
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Quote:

Originally Posted by StephandOwen View Post

I did not/will not have it done. My risks aren't very high and the results wouldn't change the course of the pregnancy. If there is anything that needs special attention at/after birth, we will likely discover it at the 20 week ultrasound.


 

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Plus I am unwilling to undergo a CVS or amnio based on this test.


Mama to DS (03/09) and DD (10/11) and married to the love of my life

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#17 of 30 Old 04-06-2011, 08:03 AM
 
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I think deciding wether or not to have the test is very much based on your personal feelings of what you would do with the results.



I think this is spot-on right.

 

There are some who would terminate based on the information they receive. Then there are others who would never terminate no matter what. If you are in the second camp (such as me) there isn't really any reason to get the testing done (IMO- not saying others can't think differently!). I wouldn't get an amnio based on a "bad" result to the NT/triple screen either, so to me the test would cause more stress than it would be worth. If, at the 20 week ultrasound, something abnormal shows up then we can deal with it then (likely I still wouldn't get an amnio) but rather I would get a detailed ultrasound with specialists.

 

But I can understand why some parents do opt to get this testing done. Honestly, I was almost tempted to get it done just to get another peek at the little one lol.gif Fortunately my will was strong so I didn't cave and by my next appointment it will be too late winky.gif


Steph, DH Jason (1-1-11), DS Owen (10-3-03) and DS Kai (10-13-11)

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#18 of 30 Old 04-06-2011, 08:22 AM
 
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I haven't asked and it hasn't been offered to me. At this time I am undecided but do not plan on asking if it's not offered. I did not have it done with our youngest.


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#19 of 30 Old 04-06-2011, 12:39 PM
 
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I'm not doing it.  I didn't do it last time.  My risk factors are low and I am in the "never terminate no matter what" camp.


Loving wife to a wonderful and Godly man, hug.gif  and SAHM to two beautiful boys, DS1, natural hospital birth (2/2010) and DS2, beautiful homebirth (10/2011) cd.gifnursex2.gif

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#20 of 30 Old 04-06-2011, 01:19 PM
 
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We didn't with ds & we won't again this time. As a screening it gives waaaaaay more false positives which would then recommend us to an amnio or cvs. Absolutely no way I will take any risk of creating a miscarriage on a healthy baby for this. If the screening test were any more accurate, maybe (big maybe). I have a hard time believing I would terminate for any reason but I know dh feels differently about this.


Surviving sleep deprivation one day at a time with dd (Oct '11) & ds (Oct '08).

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#21 of 30 Old 04-06-2011, 01:34 PM
 
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I already said I'm not doing it, but I feel I need to add that I actually WOULD terminate based on such a screening - if it was more accurate. I don't want to live with terminating based on a false positive, which seeks to be a very common result.

Alaskan Wife and Mama to my special little guy ribbluyel.gif (9/13/11) and expecting #2 (2/21/13)!

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#22 of 30 Old 04-06-2011, 05:27 PM
 
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I was supposed to do it, but baby wouldn't cooperate. As well as termination, these results could change how I manage the pregnancy, and if I'm going to find out, I'd rather find out earlier than later.

 

I would never terminate on the basis of 1st trimester screening--only on amnio/CVS confirmation. (Unless perhaps it was something unmissably obvious, like anacephaly.)


 


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#23 of 30 Old 04-06-2011, 05:32 PM
 
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No one should ever terminate just based on a bad nuchal measurement (though I was advised to with my last term pregnancy)-- definitely get the CVS or amnio done if you get a bad measurement.  Unfortunately people do terminate just based on the screening-- it's not common but when the measurement is grossly abnormal (as my DD's was) it is sometimes recommended.  Her measurement was 6mm but she turned out to be ok-- statistically implausible but she is doing great.  I had a CVS and it came back normal.  I am not opposed to termination for poor prenatal diagnosis, but, the CVS and amnio are accurate unlike the nuchal screen which is just a screen.

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#24 of 30 Old 04-06-2011, 05:41 PM
 
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I don't have it done, and it's really something that doesn't even cross my mind throughout the pregnancy. We'll take things as they come, I guess.


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#25 of 30 Old 04-10-2011, 08:01 AM
 
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We had just the ultrasound part with DS - a 12-week ultrasound was routine in the practice at that point, and we didn't feel a need to decline it. Now, the same practice only recommends it if you're actually interested in the screening, which we aren't. We wouldn't terminate a pregnancy, nor would we pursue further testing. We will do the anatomy scan at 20 weeks, however, and would consider further investigation of any physical abnormalities at that point.

That said, we are "technically" having the NT scan again this time (this week). I've had two late first-tri miscarriages, so my midwife strongly recommended we schedule a 12-week ultrasound to see that everything is ok, and to check on the placenta previa they discovered at my last ultrasound. We will decline the blood test after the ultrasound.

Wife to my hubby and SAHM to two boys -  DS1 (2) and DS2 (newborn).  Forever missing our three angels in Heaven. 

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#26 of 30 Old 04-12-2011, 05:13 PM
 
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For generally being very hands-off, we did choose to do the screen with our last baby and have chosen to do it this time, too. I had to specifically request it from my mw (and she was a little surprised since she knows me so well) and I explained why I felt like it was the best choice for us to have it. My DP asks for very, very little and he really likes the idea of doing the NT scan. It isn't my hill to die on, so I will gladly do it to help him feel more comfortable. I prepared him for the less-than-stellar track record of false positives and false negatives. I don't know what we would choose to pursue if I problem came up but, honestly, I feel better being more prepared... especially if we were expecting a special needs baby who might need more or different care after birth.

 

I did request that my mw schedule my scan at the best hospital in the state, even though it is over an hour drive. They have the most experienced ultrasound techs, genetic counselors and support staff and they also keep the scans as short as possible, which I appreciate. They don't mess around and they try to limit exposure as much as possible.


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#27 of 30 Old 04-13-2011, 02:24 PM
 
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got the ultrasound numbers today, just have to wait for the second set of blood work for any results....

 

nasal bone: seen

crl: 69.1mm

bpd:21.3

nt:1.7


mom to ds '07 first day of a new year, dd '09 in the caul, and  ds '11 at home Oct 24th

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#28 of 30 Old 04-13-2011, 03:13 PM
 
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We tried to have ours done today, but the fetus is measuring too far along. Apparently I'm an early ovulator, and what I thought was thirteen weeks was actually fourteen. So we had the ultrasound, and that's it. My fiance and I agree that we would terminate for severe anomaly, and we would want to know as soon as possible. Without the option of the first screening, we had to talk about CVS or amnio, and have decided not to. At this point, unless something severe presents itself, we're going to just have faith that the pregnancy's okay.

 

~ Kathleen

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#29 of 30 Old 04-13-2011, 05:35 PM
 
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Sorry you got disappointing news. :(  The doc I saw last week did say that the quad screen was "as accurate" as the NT scan for detecting anomalies, though it is done later in the game (~16w).  Now, he could be just being a jackass and totally wrong about the test reading the same stuff, b/c in general he's an idiot from what I've experienced. ;)  Thank goodness I'm going to see my HB midwife tomorrow!
 

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We tried to have ours done today, but the fetus is measuring too far along. Apparently I'm an early ovulator, and what I thought was thirteen weeks was actually fourteen. So we had the ultrasound, and that's it. My fiance and I agree that we would terminate for severe anomaly, and we would want to know as soon as possible. Without the option of the first screening, we had to talk about CVS or amnio, and have decided not to. At this point, unless something severe presents itself, we're going to just have faith that the pregnancy's okay.

 

~ Kathleen

Mom to Josiah (10) and Jonathan (8) with #3 due in October



 


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#30 of 30 Old 04-14-2011, 10:47 AM
 
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My Dr never even mentioned it to me for DD or this pregnancy. I honestly don't even know what it is for or when it is done.


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