The Clean Slate Part 66

217 Replies
ChattyKathy - December 15

Welcome, ladies, to another thread with a fresh start!

 

ChattyKathy - December 15

Cynn, you have the cutest belly! I love the pictures! --- I, too, have been trying to decide on what testing to be done. In two weeks i'll have my next OB appointment and I have to decide if I want the tripple/quad screen or not. I really can't decide! Given my history, I feel like I should know if there is anything to look out for, but at the same time I don't want to freak myself out. I wouldn't get amnio done and I know that my mom got a positive result for downs with me and I'm fine, so I don't knwo what to do! Now I'm feeling completely unprepared. Is there an option just to do the NT scan instead of bloodwork? Is an NT scan different from a regular scan, like what i'll get with the gender ultrasound? I guess its too late for me now that I'm almost 17 weeks, but I feel so confused!

 

cynnababy - December 15

Kathy, I can't believe you are almost 17 weeks!!! Seems like it was only yesterday when you announced your BFP! I am so happy for you that eveything is going so well for you. You are definitely too late for NT scan now. With NT scan, that's the Blood test, and also the ultrasound. Yes, it's like your regular u/s, but very high resolution. Higher resolution that level II, i think. The scan measure for the fluid behind the neck. If the fluid is too much, then the risk gets higher. They also check the nasal bone of the baby. Once you pa__sed first trimester, the fluid level measurement is not accurate anymore. You are see everything very clearly on the u/s. If you don't want to do Amnio, the other option you have is AFP, right? It's really up to you whether to take the test or not. For me, I want to know so that we can be prepare for it.

 

ROBYN - December 15

Hey girls, KRISTIN - thank you so much for your wisdom after you mentioned the going to have my b/p checked we left immediately and went to our local pharmacy and it was 149/78 so its still high. We then went to Costco and purchased a b/p monitoring kit for like 40 bucks. STEF - i did have a negative blood test or a scan before we declined the additional testing we met with the genetic counselor she went over our family history and told us about what the scan and b/w would tell us. My OB actually recommended that i decline it he said if something is bad we will see about doing an amnio later but we didnt want to chance anything in the end everything was normal for both screenings and bloodwork. KATHY - yeah you are too far for any of the testing. I am like CYNN i wanted to know everything though we were petrified to do the testing we personally wanted to weigh out our options if things werent right. But we have done all the testing the AFP also and everything has come back negative and normal. Like Cynn mentioned the NT is much more involved its like 35-40 min u/s abdominal and transv____al they check every single part of the baby measure everything look for all the organs and the four chambers of the heart, look for abnormalities on the face etc. check the brain all the important stuff.

 

ChattyKathy - December 15

I don't really know why I wasn't informed about this sooner given my history, but its too late to worry about that now. I'm thinking about getting the bloodwork results but taking it with a grain of salt. I'm just worried that I would stress over the results too much, but if everything came back fine then that'd be great! I guess I could always go in for the blood work and then decide whether I want to know the results or not. lol

 

Tory1980 - December 15

I think we are lucky - our NT scan is done as a routine scan and then re-checked at around 20weeks when they will also tell the gender but they will only tell you the s_x if you ask them directly to do so - they check but they aren't allowed to tell you unless asked. We also only have abdominal scans (I a__sume if IVF etc then they will do TV/US) throughout the pregnancy. Theya re really funny over here about not aggravating the cervix for any reason unless absolutly necessary. Even whe I go for induction next week they will check my cervix, place to the gel and leave me for 4-6hours before even thinking of checking again unless I start having regular contractions and feel things are moving on. They don't check dilation and effacement as standard - that is generally only done during a labour or if they suspect pre-term labour. It still amazes me at the difference in care between here and there and even in the different areas you are all in. Kathy, amazing sweetheart that you are so far on and all is well!!!! Time just seems to be flying at the minute - we even have a load of testers coming up soon! Robyn, I am no longer your friend! What is it with you and I? You get sick, I get sick! Telepathic? Jinxed? What? My foot was tingling earlier and when I looked my feet are swollen badly - like huge enormous swollen type of thing! I have NEVER had that!!!! Seriously, if I could reach you I would thump you! LOL!

 

stefkay - December 15

Thanks girls for all of your help on this! It is soooo confusing! I have had a couple of friends ask me why it is such a big deal and why I want to do it and I just feel it is a personal decision. I'm not getting all freaked out about this anymore. Personally I won't enjoy the rest of my pregnancy if I am worrying about having a shock in the delivery room. Due to my age, etc. I think my risk is pretty low and I don't want an amnio, but will cross that bridge when I come to it. I hear so much about false positives with the blood though that it is rea__suring to know there is a scan that can be done too before having to go straight to amnio or CVS. I feel like an ugrateful child in a way by getting a gift I sooooo badly always wanted, then saying "let's see what's wrong with it!" ugh, that makes me cringe. But there is just more to it, I guess. I am going to schedule this testing with the dr. in Columbia to alleviate some of the stress on me. My work will just have to understand. Monday I will call and hopefully get the ball rolling. The holidays are NOT a good time to be hitting the 12 week mark I'm finding with all these things to be done. Each of my dr's is out for a week, but luckily not the same week! ***KATHY, I would say NOT to get the blood test because I don't even know if it is accurate at this point and the blood test alone gives a lot of false positives. That would be awful to get a false positive and then not be able to do anything else (scan) and worry the whole time. You are so young that I guarantee your chance is so slim.

 

MPear - December 15

KATHY: I wouldn't stress too much on missing the NT. Its still very new and a lot of insurance companies aren't even covering it yet. I, like Robyn, had to call ahead to insure coverage and get the referral from my OB. You still have Quad/AFP options, no? These are quite reliable and well recommended. Don't rely only on your age! BE SURE you really want to know those results though. The NT and subsequent Quad screen are not for ladies who will stress with the information or who aren't prepared to make tough decisions. It can open a whole other can of worms if you aren't prepared for dealing with bad news. Once we made the choice for our own reasons to move forward, it was a great relief when I got my results back. I'm not electing to get my 2nd tri Quad screen because my NT results were so great. Remember, Its all elective screening and VERY new. Don't worry about it, plenty of women have gone without!!

 

ROBYN - December 15

MAGGIE - you said it perfectly i couldnt have worded it better myself. I didnt have to call my insurance company it was all done for me when we arrived at the peris office. KATHY - i cannot believe how far along you are all of us are just flying thru which is a good thing. I will be 29 weeks tomorrow. TORY - I LOVE YOU!!! LOL. I cannot believe next week your having the baby is hubby or someone gonna be able to update us on how everything went? STEF - like u said dont stress about it if you can get it done then do it if you want to if you cant then dont. I didnt do it with Anthony i was way too far along and didnt even know it exsisted hes perfectly fine.

 

FrancesM - December 15

Hey girls, hope everyone is enjoying their weekend. Busy day for me...shopped, made rice krispie treats, decorated a gingerbread house with my 2 yo nephew...1 candy on the house, 1 in his mouth, 1 in my mouth! It was fun. I am worn out. Had a couple of terrible bouts with ms today. Thought I was going to have to hit the toilet at my niece's house...Sounds like you guys are coming up with some great names! I just wanted to check in and say hi to everyone. I will check in tomorrow! Have a great night!!

 

stefkay - December 15

Hi Frances! Kathy and Lori, goodness I can't believe how far along you girls are!!! Really, it just hit me today--wow, are you guys going to be finding out the s_x soon? I thought 16 weeks was when that's done? I have no clue.... ROBYN, ok one last question, now I'm confused as to what an AFP and Quad is? Can you list each of the tests in the 1st tri that are available and then list each of the ones in the 2nd tri? then I can write them down and have that info here when I call the nurse on Monday. I'd like to just get it over with and I like how Maggie explained the process, although I don't think anyone deals with this kind of bad news "well" and at least for me the not knowing and worrying about something that might or might not happen is almost nearly as bad. Kathy, just do what makes you feel more comfortable for the long haul...not sure if that helps :( Hugs, Stef

 

stefkay - December 15

Frances, is your ultrasound this next week?

 

ROBYN - December 15

STEF - 1st trimester tests Blood type, Rh factor, and antibody screening Complete blood count Rubella (German measles) immunity Hepat_tis B testing Syphilis screening HIV testing 2nd trimester testing: AFP (Alpha-Fetal Protein) or Serum Triple Test Ultrasound or Sonogram Amniocentesis Glucose Tolerance Test AFP (Alpha-Fetal Protein) or Serum Triple Test The AFP blood test is done at 15 to 20 weeks of pregnancy. It is designed as a risk estimate for Down syndrome and certain chromosomal abnormalities, such as neural tube defects, spina bifida, trisomy 21 and trisomy 18. AFP does not detect all cases of these birth defects. Down syndrome detection rate is age-dependent. Most women with a positive test are carrying a healthy baby. The following tests are performed in the maternal serum triple test: Alpha-fetoprotein (AFP) Unconjugated estriol (uEST) Human chorionic gonadotropin (hCG)

 

ROBYN - December 15

STEF - The screening is based on studies showing that women with pregnancies affected by Down syndrome have lower serum levels of AFP and uEST and higher levels of hCG than women with unaffected pregnancies. The tests are done on a small blood sample from the mother between 15 and 20 weeks of pregnancy. If the results are abnormal, further testing, such as an amniocentesis, may be suggested.

 

ROBYN - December 15

STEF - the Quad Screen - The quad screen test is a maternal blood screening test that looks for four specific substances: AFP, hCG, Estriol, and Inhibin-A. AFP: alpha-fetoprotein is a protein that is produced by the fetus hCG: human chorionic gonadotropin is a hormone produced within the placenta Estriol: estriol is an estrogen produced by both the fetus and the placenta Inhibin-A: inhibin-A is a protein produced by the placenta and ovaries The quad screen is a maternal blood screening test that is similar to the Triple Screen Test (also know as AFP Plus and the Multiple Marker Screening). However, the quad screen looks for not only the three specific substances evaluated in those tests (AFP, hCG, and Estriol) but also a fourth substance known as Inhibin-A.

 

stefkay - December 15

Aye, ok I think I may have it although I was confused in the first post as to if those were all the same thing, but different ways of saying them or all different things? I'm only concerned about getting a list of the genetic type tests (the rest I know my doc will do). I also have MTHFR which ups the risk of neural tube defects, so that is my main concern. I had a cousin who had a baby that had encephaly (or something like that) and died at birth. So this is what I am guessing is the list *NT blood work *NT Scan * AFP * Serum Triple Test *Quad Screen ? Are those all of the available tests for chromosmal problems, etc.? And the NT Scan and bloodwork are the only ones done in the first trimester, correct? The rest are in the 2nd tri? ROBYN, thanks for your help on this!

 

oncemore - December 15

Wow... there are more tests than I knew of! I only was told about the AFP test and we get that done at 16 weeks... so I will get mine done this friday. I never heard about the NT scan until coming on this thread. I am past the time I can get that... tried to, but didnt really push for it though. STEF- where I am, a normal routine u/s for when they check measurements and find out the gender is done at 20 weeks or between 18 and 22 weeks. I will have another u/s at my 20 week appt for this more involved u/s... but I had already scheduled my u/s for the 16 week when I scheduled the 14 week scan to watch the sch thing... and that is what the dr told me to do... so I never told the u/s tech about the u/s appt I had for the 16 wk... she probably would have canceled it since the sch were reabsorbed at 14 weeks.... but I soooo want to see my baby as much as i can... so I didnt tell them that it was scheduled... I am gonna just tell them when I go in on the 21st that we wanted to make sure the sch was gone and all was ok with baby before my dr. appt right after the scan... LOL... I am being a little stinker/cheater! LOL... so hopefully they will be able to tell us the gender this coming Friday (it's early in the morning too) and I will share with you girls! I can tell my dh is starting to get "into" this pg now... he has been asking me all sorts of questions... how far along am I? when do we find out the s_x? When did we lose Joey, and are we past that? He was mad that I didnt tell him how nervous I was this past week because of it being the time frame we lost Joey... he said I should have said something to him... he didn't realize it had come and gone so quickly on the time. He also said I am starting to "look" pg...ugh... fat is more like it! LOL! But it makes me happy that he is more involved now. If I were you Stef, I would get what testing I could get done (without risking m/c) just so I could be prepared or ready by educating myself of anything that needed special attention or care after the baby was born. I think you are being very wise! ROBYN- watch that bp of yours. Take it easy and get yourself pampered! That can bring down the stress! Tory... woo hoo! You are gonna have a baby in your arms one week from today!!!!!!! Looks like it's been kind of slow today on the thread... we must all be pretty busy. I am pooped and am feeling VERY old... we ran all over and did so much with so many different people, that I am plum tired and it's only 8pm here! I am off to bed... I sure hope it's just this pg that is making me feel so old right now...lol! Have a great sleep ladies!

 

ADD A COMMENT:


You must log in to reply.

Are you New to the forum? Sign Up Here! Already a member? Please login below.

Forgot your password?
Need Help?
New to the forum?

Sign Up Here!


Already a member?
Please login below.





Forgot your password?
Need Help?