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<div>Originally Posted by <strong>hammycakes</strong> <a href="/community/forum/post/7837315"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">My mw wants to do the triple screen or quad screen as they now call it. I'm not sure if I want it.</div>
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My OB and I just discussed this, I wrote it all out. I'll post it here, hopefully it will help you make the decision. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br><div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>dynamicdoula</strong></div>
<div style="font-style:italic;"><span style="font-family:Arial;"><span style="font-size:small;"><span style="font-family:Arial;">I am 12 weeks today (boy it’s flying by) and I’ve already started thinking about some of the issues that I want to raise with him before the birth. We started talking about all the testing that women are being offered now and I asked about the AFP/quad screen or whatever that test is called now. I honestly don’t even know. I told him that now that I know about the false ‘positive’ rate that I might not be opposed to taking it. He said, “The question isn’t whether you would take the AFP, it’s whether you would do an amnio based on the results.” Wow, now that was a thinker. I said, “Well, does the amnio or test tell you anything that you can correct in utero?” He said no. “I said, then basically I’m taking the test to decide based on the results, whether or not I would terminate.” He said yes – and that the other reason is that some people like to prepare, but that since there’s nothing you can do about the results, if you don’t NEED to know, you don’t need the test. I loved how he stated that.</span></span></span><br><br><span style="font-family:Arial;"><span style="font-size:small;"><span style="font-family:Arial;">The other thing we discussed was the amnio itself. I told him that I’d read in an article recently talking about amnio about how now with ‘better technology and mores killed practitioners’ that the risk of amnio is less than 1:200. He said that this is absolutely true, and he explained why. (I love this guy, I really do.) The 1:200 ratio comes from a group of studies done in 1977. At the time, ultrasound was new and amnio did not have standards the way it does now. He said that sometimes amnio was done with large bore needles, without ultrasound, etc. I don’t think I have this all right but I’ll write it as I remember it…. He said that in the American and Canadian studies that ‘no risk was shown’ (I’m not sure what he means by that…), but that in the British study that there was a 1:200 risk of miscarriage with amnio. Remembering the rudimentary way this procedure was performed and comparing it to the experience and tools we have now, that naturally the risks are FAR smaller. I would be absolutely inclined to agree. He said that a repeat study would never be done, it would be too huge and expensive and not worth the data when a 1:200 risk is small enough.</span></span></span><br><br><span style="font-family:Arial;"><span style="font-size:small;"><span style="font-family:Arial;">He went on to say (and this was very enlightening to me) that the advanced maternal age is NOT based on some arbitrary age where women get long in the tooth. He said that if we started saying that the risk of amnio was 1:300, or 1:380, etc., the maternal age where the risk of amnio was less than the risk of miscarriage would go lower, and lower, say now, 29 is the advanced maternal age because at 29 you have a 1:200 chance of miscarriage but amnio is a lower risk at 1:300. (Those aren't real stats, just giving an example).</span></span></span></div>
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