Has anyone had this type of ultrasound recently? I really want to avoid an amnio, so I'm hoping this ultrasound will help us avoid that...
I'd prefer to hear from parents who have actually had this test or plan to have it -- I realize there are lots of moms out there that are against any kind of testing and I respect your decisions. I just don't want anyone to think I'm trying to start a debate, because I'm not.
I don't do any testing at all without medical reason, so I do no u/s and can't imagine considering an amnio. But I wouldn't terminate if a child had DS so it wouldn't be worth the risk for me to identify that anyway.
Rachel , wifey to best friend Karl ,
SAHM to Kaelan (11) Chandra (9) Liam (7) Lachlan (5) Killian (4),Riordan (1), Baby Boy EDD 11/14. All born at home!
Mama to : '05, '08, '10 and expecting our 3rd January '13
The test showed there were no abnormalities-however there are no guarantees. I think that if they had seen markers for Downs I would have had amnio-to be better prepared. However my baby could still be born with Down's so who knows......
I had a Level II U/S with both pregnancies and am glad I did. I would not have an amnio, no matter what they told me, but having the U/S answers a lot of questions and provides good information IMO. Esp. if you are trying to avoid interventions in a hospital setting, it's good to be able to have U/S results in your chart to show them everything is fine and progressing normally.
That said, I have a child with Down Syndrome and am currently pregnant with #2. We will be having a Level 2 ultrasound to check out this baby, something we did not do with our son. We are doing a Level 2 because it is our best bet at this point in the pregnancy to see if there is anything going on with this baby that may need medical attention at birth. We do not want to risk harming the baby doing an Amnio, so we will leave it up to the Level 2. The best way, short of doing and Amnio, to determine whether a baby has Down Syndrome is to do the Nuchal Fold Translucency screening between weeks 11 and 14. It is more accurate than a regular old Level 2 ultrasound later in pregnancy. Again, it is still just a screening and does not tell you anything for sure.
We did pass on the DS testing.
Good Luck. In my opinion it was worth it.
In our case, the specialist (who has specialized in detecting high-risk u/s for more than 20 years ... I'd recommend investigating your doc/technician to learn more about their detection rates) did a VERY thorough search and did not detect any soft markers for DS. The level-II u/s is essentially another screening test. Whereas our quad screen results gave us a 1 in 173 chance of having a child with DS, the u/s screening adjusted our odds to 1 in more than 1,000 (don't recall the exact number), but that put us back in a "low-risk" group. For us, after being scared to death that something was seriously wrong, it was an incredible relief to see that our child was growing and thriving and doing really well. Even if the baby does have DS, he/she is extremely healthy with no detectable cardiac issues, growth restriction, etc.
While we understand that the u/s couldn't tell us definitively if everything is fine, we felt like it was worth it. We've since had another level-II u/s because I have pre-existing hypertension (controlled with pregnancy-safe meds), and we needed to check for any intrauterine growth restriction. Everything still looks great.
For the record, I will never have a quad screen done again. I believe it put us through a great deal of unnecessary stress and anxiety. The quad screen has an extremely high false positive rate. I really regret having it done.
I am sorry you are dealing with this stress. I know all too well how you must be feeling. All I can say is to have some very open and honest conversations with your partner about this and proceed based on your own comfort level.
I'll be thinking about you and hoping eveything goes smoothly!
K(h)aren. Writing/editing mama to my quixotic Sam (12.07) and my intrepid William (01.11).
BUT... I did have a levelII with DS to determine if he had a cleft palate. It was the case, like several others here, that I wanted to be prepared for his needs after birth such as surgeons, speech therapists, hospital grade breast pumps etc.
Unless there was a very severe problem, I don't think I'd ever have an amnio.
I'm rambling. Newborn on my lap (who was born 100% fine even w/ the test coming back positive) so hard to write and lacking sleep.
I learned something new... I didn't really think about how the tech/doctor's experience/competence is an issue to consider, but clearly it is! I also didn't know it can take up to an hour! This info is helpful because now I have a better idea what to expect.
Thank you! Thank you!
Not so much trisomy 21 (down's but he was racist so I don't call it that) - that's what the integrated screen in the first/second trimester is for.
But other serious birth defects, yes - heart issues, limb issues, brain and spinal cord issues, kidney issues, lung issues, cleft palate. And some of those things lead to diagnoses of chromosomal problems - for example one of the lethal trisomies has clenched hands as one of the symptoms, so if they saw these sorts of symptoms you might want to have an amnio to see if it is a c'somal problem.
Among me and my immediate family/friends we've had one baby with transposition of the grand arteries (lethal, but surgery at one week of age totally corrects it - she had to give birth next to a NICU). Another who was born with this before we had good U/S had to be helicoptered out when he was two hours old, leaving his mother behind, and she met all the doctors for the first time the day she gave birth.
One baby has a mild kidney issue that would otherwise have shown up with recurrent UTIs, and potential kidney damage. There's a lot you can do prophylactically for UTIs.
One baby had a hernia in the diaphragm which meant her guts kept her lungs from growing - immediate NICU treatment on birth and she survived, with no brain damage.
A friend had a baby with a lethal chromosomal problem. They found out at 20 weeks, and could choose their plan of action accordingly. I know if I knew my baby would die I'd have a homebirth.
A blogger I read had a baby with a severe growth problem with his whole body which would have meant searing unending pain until he died (in the first year). They chose to terminate.
All of these women were young, helthy, fit and active with no family history of trouble, ie "no medical reason". brith defects aren't susually anyone's fault, they just happen to healthy normal people.
Other things like for example, cleft palate you need to read up on how to feed them.
Yes, they're not foolproof and they can miss things, but not having it means they'll miss EVERYTHING.
This time around we again skipped the quad screen as I think it's a useless test. We went straight to a level II u/s. We got great views of everything so we felt no need to do an amnio. It was never even suggested by the doctor.
As others have mentioned the level II isn't great for picking up Down Syndrome. It can pick up "soft" signs, but it's unlikely to give a definitive answer. The only 99% sure answer is from genetic testing through an amnio. The level II can detect a wide range of other problems though.
And again as I've stated over and over on these boards - just because someone gets testing does not mean they plan to terminate is there is a problem. There are other reasons and making that assumption is really insulting.
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