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#1 of 57 Old 02-04-2009, 12:10 PM - Thread Starter
 
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with all the nuchal scan news popping up around here I'm wondering if anyone is bypassing all genetic screening. Last time around I only did a 20 week ultrasound and felt good about the info I got from that. I didn't to the AFP blood draw because I wanted to stay away from the false positive gate to amnio. This time, I'm 5 years older (34) and considering the quad screen (blood test), but really I'd rather not do anything and just get a good u/s at 18-20 wks. I am not actually that person who would keep the baby "no matter what" but still, I'd rather be optimistic and not let tests freak me out. Anyone else?

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#2 of 57 Old 02-04-2009, 12:18 PM
 
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I was 34 when my last baby was born, and had no tests, not even an ultrasound!
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#3 of 57 Old 02-04-2009, 12:24 PM
 
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No genetic testing here. We didn't with our first either.

No really specific reason...except that we wouldn't terminate...so, we'd just rather not have something to have to worry about....especially because I'm the biggest worrier in the world. I know that a ton of people just do the screenings so they'd be prepared to deal with it if there were a genetic problem, and we might get to that point when we're alittle older...but for now it's just easier not to find out.

Thankfully my OB doesn't pressure at all. She just mentions what's available and leaves it up to us to ask for something if we want it.
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#4 of 57 Old 02-04-2009, 12:30 PM
 
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No screening here. Didn't for the last birth either. Then again, I'm young...25 this time and 20 for the last birth. No one ever even mentioned the screening to me.

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#5 of 57 Old 02-04-2009, 12:31 PM
 
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Originally Posted by stardust swallower View Post
I'm wondering if anyone is bypassing all genetic screening. Last time around I only did a 20 week ultrasound and felt good about the info I got from that. . . . I am not actually that person who would keep the baby "no matter what" but still, I'd rather be optimistic and not let tests freak me out. Anyone else?
This is my first baby. I'm 31 and my husband is 38. I'm not having any genetic screening but my midwife does recommend a 20 week ultrasound, so we'll do that. The thing that freaks me out about genetic screening is that if one particular test comes up suspicious, and then you have to have the other, more invasive tests that also turn out suspicious, you sometimes still don't have a clear answer.

I'm like you and would not keep the baby no matter what. But I had a friend who was told her baby probably had some major abnormality, based on many tests. She had him and he was absolutely normal. It spooks me to know that if I were her, I may made a different choice with the information.

When I discussed this with my midwife, she said that I didn't really have major risk factors (although I am a bit older...) and that she wouldn't do the genetic tests if she were in my position. I think if I were in my late 30s, I'd do the blood tests, but I'm not sure.

Anyway, you're not alone in your low-test mentality.


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#6 of 57 Old 02-04-2009, 12:47 PM
 
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Originally Posted by stardust swallower View Post
with all the nuchal scan news popping up around here I'm wondering if anyone is bypassing all genetic screening. Last time around I only did a 20 week ultrasound and felt good about the info I got from that. I didn't to the AFP blood draw because I wanted to stay away from the false positive gate to amnio. This time, I'm 5 years older (34) and considering the quad screen (blood test), but really I'd rather not do anything and just get a good u/s at 18-20 wks. I am not actually that person who would keep the baby "no matter what" but still, I'd rather be optimistic and not let tests freak me out. Anyone else?
I did not plan on terminating and am receiving HB care. I refused all tests. No 20 week ultrasound either. My midwife delivers breech babies at home too, so no worries about positioning.

I'm with you on the tests.
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#7 of 57 Old 02-04-2009, 12:53 PM
 
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No scan here either! I'm 27 and just figured it would be one more thing for me to obsess about (and I really don't need help in that department!)

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#8 of 57 Old 02-04-2009, 01:27 PM
 
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Originally Posted by stardust swallower View Post
with all the nuchal scan news popping up around here I'm wondering if anyone is bypassing all genetic screening. Last time around I only did a 20 week ultrasound and felt good about the info I got from that. I didn't to the AFP blood draw because I wanted to stay away from the false positive gate to amnio.
This is basically what we're doing--getting a good ultrasound around 20 weeks, and forgoing everything else.
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#9 of 57 Old 02-04-2009, 02:03 PM
 
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I haven't ever gotten any testing except the 20w us. I will do the same thing this time around.
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#10 of 57 Old 02-04-2009, 02:06 PM
 
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My original post was agreeable and vague so I'm editing to clarify.

I've always been that person who was sure they would terminate upon news of a severe disability, and I still am that person. The issue is that I am not interested in an invasive procedure, like amnio, to indicate that there is truly a real problem.

We're forgoing genetic testings on the premise that we as healthy, young parents will produce another healthy offspring. I understand that these factors are not always relevent in subsequent pregnancies, but I feel the odds are in our favor and that this fetus I'm carrying is absolutely going to be the perfect addition to our family.

While ultrasounds do provide the advantage of seeing any apparent defects, I consider them more fun than anything else. That's why we'll be doing the 20 week and even a 3D a little later on.

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#11 of 57 Old 02-04-2009, 02:16 PM
 
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I'm getting so much tested this pregnancy I have never gotten tested before- and this is my 4th time around!

Never had genetic testing but this time they want us to. I need to research it more before making a decision but because we are having 2 we do want as few surprises as possible if that makes sense.

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#12 of 57 Old 02-04-2009, 02:38 PM
 
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We don't do any genetic testing. We do ultrasounds - definitely a 20 week u/s and then we might do a few more quick ones to check fluid, as low fluid can be a marker for pre-e. That's about it though.

-sarah-
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#13 of 57 Old 02-04-2009, 02:49 PM
 
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I'm having ultrasounds done pretty regularly b/c of my previous losses and the fact that I'm prego with twins. : But no, no triple screen, no nuchal scan. My "number" will be exaggerated by my ripe age of 36, so no thank you. I have enough to worry about, and results would only bring me grief... and I wouldn't terminate anyway.

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#14 of 57 Old 02-04-2009, 02:51 PM
 
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No nuchal scan here and I doubt I'll do any of the bloodwork but we are going for the 20 week scan and a fetal echo to rule out another heart defect. Mainly because I am giving birth at home and want to make sure the baby is healthy this time around and doesn't need hospital care.

Zen doula-mama to my spirited DS1 (2/03), my CHD (TAPVR) warrior DS2 (6/07) & a gentle baby girl (8/09)
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#15 of 57 Old 02-04-2009, 03:12 PM
 
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I'm not planning any, and am only planning on a 20wk ultra sound too.
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#16 of 57 Old 02-04-2009, 03:43 PM
 
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I'm not doing any blood work but am doing the 20 wk sono. This is my third baby and I've never done any testing...I'm 31.
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#17 of 57 Old 02-04-2009, 03:55 PM
 
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Nope- to many false positives and I'm a worry wart

I know my baby is okay and power of the mind is a dangerous waepon

Betsy, Mommy to DS (10) DD (4) DS (2) and DS (1)
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#18 of 57 Old 02-04-2009, 05:33 PM
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no having unassisted pregnancy and birth God willing..:
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#19 of 57 Old 02-04-2009, 06:00 PM
 
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Correct me if I'm wrong but isn't a 20 week ultrasound testing (not quite genetic like an amnio or CVS)? I know that during the 20 week scan they look for markers (including measuring the nuchal fold) that could give an indication of a genetic problem. Same thing with echogenic bowel, heart issues, bone length, etc.

I'm one of the early nuchal measuring momma's on here (first time in three pregnancies I've had it done, the other two just had the 18 week scan) and my post about a larger than normal measurement might have been one of the kickstarts to this thread. If my second son had not died after his birth due to an issue that should have been caught on ultrasound I wouldn't have had the earlier scan this time around.

If my next scan shows more increased markers I might have an amnio. It just depends on the results. If there are many markers I want to know if it is Downs or Trisomy 13 or 18.

But, as the genetic counselor told us, ultrasound only catches about 50% of genetic problems. Anyone know if that is an accurate assessment???
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#20 of 57 Old 02-04-2009, 07:09 PM
 
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I'm not doing any. I will, however, get a full u/s at 19 weeks. If any problems are seen, I'm 38 and sure hope not but you never know, then my midwife and I will discuss the next step.

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#21 of 57 Old 02-04-2009, 07:28 PM
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Originally Posted by marlygf View Post
I haven't ever gotten any testing except the 20w us. I will do the same thing this time around.
Same here.
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#22 of 57 Old 02-04-2009, 09:02 PM
 
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We're getting the u/s at 20 wks b/c dh HAS to know the gender, but no testing besides that. We figure - why bother, won't change anything now except make us stress and if we have a baby with some issues or special needs, we'll find a way to deal with it later...

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#23 of 57 Old 02-04-2009, 09:11 PM
 
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But, as the genetic counselor told us, ultrasound only catches about 50% of genetic problems. Anyone know if that is an accurate assessment???
I know u/s can still miss a lot of things. I've known of several cases of downs being missed in u/s and in CVS. DS2's heart defect was missed on a level 2 u/s. Many heart defects cannot be detected on u/s alone, they need a fetal echo to be detected. But then again not all heart defects are genetic. So yeah, 50% sounds accurate to me for average ultrasounds. BUT if they suspect something is going on they will pay closer attention and scan in more detail. When we asked out genetic counselor what the chances were of another heart defect being missed were she said very, very small because they know what they are looking for. KWIM? So if your u/s tech is paying special attention for down's and trisomy markers then any abnormalities should be caught. The tech will send you for further tests if anything looks even slightly off because of liability issues. Good luck with your next scan mama, I can imagine how stressed you must be :

Zen doula-mama to my spirited DS1 (2/03), my CHD (TAPVR) warrior DS2 (6/07) & a gentle baby girl (8/09)
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#24 of 57 Old 02-04-2009, 09:13 PM
 
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We actually briefly considered getting the early screen. Although eugenic abortion is not an option for us, I half wonder if some advanced notice would be good so that we could find the resources and support that we needed in case a disability became an issue. I'm 33, just starting to become a "risk." We'll probably end up passing, however, and deal with whatever life throws us.

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#25 of 57 Old 02-04-2009, 11:44 PM
 
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I know u/s can still miss a lot of things. I've known of several cases of downs being missed in u/s and in CVS.
How could downs be missed in CVS? that is an actual genetic test, not a screening, they look at the pairs of chromosomes.

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#26 of 57 Old 02-05-2009, 12:09 AM
 
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I just turned 39 in my 2end trimester and am not testing . I had my first at 37 and i remember the stress that we went with the info. Despite all that ,i still held onto not testing and we did fine. I will put my energy on eating right and taking care of myself. All the rest will be accepatable no matter what comes.
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#27 of 57 Old 02-05-2009, 05:56 AM
 
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Originally Posted by redpajama View Post
This is basically what we're doing--getting a good ultrasound around 20 weeks, and forgoing everything else.
Same here.

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#28 of 57 Old 02-05-2009, 11:18 AM
 
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I just turned 39 in my 2end trimester and am not testing . I had my first at 37 and i remember the stress that we went with the info. Despite all that ,i still held onto not testing and we did fine. I will put my energy on eating right and taking care of myself. All the rest will be accepatable no matter what comes.
Congrats!
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#29 of 57 Old 02-05-2009, 12:33 PM
 
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No testing, no u/s unless there's a medical indication for one.

I'm 32, no testing w/either of my other two pg - 2 early ultrasounds w/#1 b/c of early bleeding, which I'm pretty sure I wouldn't repeat now.

I'm just strongly of the "if it ain't broke, don't fix it" school of thought. I think my body would let me know if there was something actualy wrong with a baby by miscarrying or other signs. Not all abnormalities are "wrong" in my view, just different. Different isn't bad in my value system.

This is a personal choice, though. I'm fully supportive of moms having whatever available testing gives them peace of mind.

Here as mama to W (2/04), R (5/06), D (7/09), and J (12/9/12!), co-parenting with my DH

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#30 of 57 Old 02-05-2009, 12:50 PM - Thread Starter
 
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Thanks for all the responses!! I was curious to find out what reasons women had for not doing screenings. I feel like I'm straddling some different camps because I'm not necessarily against terminating in principle (which is a reason people often give for not seeking out screening tests) but I'm also such a worrier that I'm afraid having numbers and percentages will just throw me into a tailspin.

It also seemed to me that based on the threads more mamas were choosing to have early screening than not. I guess it makes sense since getting screening results makes for news to share (and I'm so glad to have it all shared and discuss folks' results!). So, mostly I was just curious...

As always, there's no judgment implied here AT ALL. Each of us has to make the decision that makes sense for our families, our babies, and our selves.

mama to magical 6 yr old and a full moon Aug baby:
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