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Nuchal scan results 1.71? Very scared ๐Ÿ˜Ÿ


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#1 Babycakes2004

Posted 10 April 2019 - 10:02 AM

Itโ€™s me again :(
I had my Nuchal Scan last Friday - the ultrasound tech said my scan looked fine..
However I had a call from the hospital clinic today that said due to my age (nearly 40) and the slight increased thickness of the Nuchal fold that it gave me a 1.71 risk.. noted that their was a nasal bone present.
Iโ€™m terrified and Iโ€™ve nearly made myself sick :(
Iโ€™m now waiting for a specialist to call me re further testing.
We have a large family (9 children) and Iโ€™m just completely gutted..
What will they suggest? Iโ€™m nit sure what to do?

#2 cvbn

Posted 10 April 2019 - 11:05 AM

I have no advice, I am sorry, I am sending you positives vibes.

#3 just roses

Posted 10 April 2019 - 11:18 AM

Do you know what your age-based risk ratio alone is?

ETA: My point for mentioning that is that you a have a high risk based on age alone. But the fact that the ultrasound looked good should give you some added confidence. And while 1:71 seems high (and theoretically is), it's still just a risk ratio. Compare it to the other risks we live with every day: 1:4 pregnancies ending in miscarriage, 1:3 people getting cancer. When you think of it like that 1:71 is pretty low odds. I wouldn't bet on a horse with those odds!

I've been in this situation (1:134, and I was only 32) and can definitely relate to feeling devastated, especially at the very beginning as I was trying to process it. The harmony test etc didn't exist then so wasn't an option to me. So I chose to sit tight, learn all I could about down syndrome and book the very best specialist I could for my morphology scan. That scan, at 19 weeks, all but cleared my baby. It couldn't completely rule it out, but it was enough for us.

Edited by just roses, 10 April 2019 - 11:26 AM.


#4 AdelTwins

Posted 10 April 2019 - 12:02 PM

Harmony test could be a first step. Or you can look at a CVS or amino.

High NT results can also be due to heart conditions and other genetic issues - ones that the Harmony test wonโ€™t test for.

I had a CVS with DS3 after his measurement was 4.2 and my ratio was off the charts. After the CVS and microarray analysis was all clear we had a series of ultrasounds to check the heart.

Heโ€™s a completely healthy 1.5yo. I was 38 when he was born.

#5 Babycakes2004

Posted 10 April 2019 - 12:56 PM

I think my age based risk cut off was 1.87 just roses? Iโ€™m sure thatโ€™s what my GP said..
Theyโ€™ve booked me in tomorrow morning (we only have a visiting specialist once a month) I was researching harmony test and hoping that that might be our first option?
The OB said that the fact there was a nasal bone
Present was great and my Nuchal measurement was this .. see picAttached File  073A61D8-3D72-4905-9DA4-899E5861E2BD.png   597.13K   173 downloads

#6 magic_marker

Posted 10 April 2019 - 01:15 PM

Nasal bone present is very good news,
Your age is what has put it in the higher risk category.
Not sure how many weeks you are along, but the Harmony Test is done between 10-12weeks.
I think they like the NT to be under 2. But having a higher one doesn't not mean that it's an issue.
The way l look at these tests is, they are available for a reason and they are going through and ticking off all the boxes that need to be ticked. That helped me.
I wish you well.

#7 PhillipaCrawford

Posted 10 April 2019 - 02:15 PM

My now 18 year old was tested using a blood test - so long ago I don't even remember what it was - sorry.
Anyway the numbers of that one were brilliant.
The scan was awful.

Taken together  they negated each other and it made the numbers exactly what they would have been for someone of my age - nearly 37.

So I had an amnio and waited and waited.

It was all good in my case, so hopefully yours is similar.

For what it's worth we decided that had the result been not what we wanted we would have terminated, because of the effect on our older siblings. If you have to make a decision it comes down to what you both are wanting to do, no specialist will 'suggest' anything

#8 Caribou

Posted 10 April 2019 - 02:49 PM

I would get the NIPT. Itโ€™s basically the harmony test. I had an issue at 20 weeks where a heart condition was thought to be there, but I was able to avoid the amino test because I had the NIPT that ruled out Downโ€™s syndrome. Long story short, the NIPT said I didnโ€™t have a DS baby, so I didnโ€™t have any invasive test. Youโ€™re still in time frame to get a NIPT before 16 weeks. I highly recommend it.

#9 400

Posted 10 April 2019 - 09:02 PM

Iโ€™m pretty sure there is no late cutoff for NIPT, only an early one (around 10 weeks so that there is enough fetal DNA detectable), so itโ€™s never too late to get it.

#10 PizzaSteve

Posted 10 April 2019 - 09:13 PM

I had a 1:58 risk following the blood test and nuchal scan when I was 34 - for me it was the blood test that drove up the risk. I was too late for CVS (before Harmony) so had to wait for amnio, and it was really tough. It was all normal in the end though, so wishing you luck too x

#11 IamtheMumma

Posted 10 April 2019 - 09:42 PM

NIPT or Harmony is a screening test. It is not diagnostic, just like the nuchal. If you're planning to have further testing such as CVS or Amnio, don't waste your money on a NIPT test.

I know 1:71 seems scary but for your age, that is normalish. Please don't freak out. The odds are very much in your favour that bub is fine. 70/71. Try not to google. Try not to think worst case. A nasal bone being present is a good sign.

All the best tomorrow

#12 Babycakes2004

Posted 10 April 2019 - 09:44 PM

Thanks everyone, my appt is at 8.30 in the morning so Iโ€™m feeling better and armed with a bit more knowledge.
From what Iโ€™ve read my age (almost 40) will push the risk factor up on its own without taking other factors into account?
Iโ€™m hoping harmony is an option for me - amnio will be done at the nearest centre which is 3.5 hours away and quite frankly Iโ€™m terrified :(

#13 Manicmum

Posted 10 April 2019 - 10:02 PM

Good luck.

#14 400

Posted 11 April 2019 - 07:33 AM

View PostIamtheMumma, on 10 April 2019 - 09:42 PM, said:

NIPT or Harmony is a screening test. It is not diagnostic, just like the nuchal. If you're planning to have further testing such as CVS or Amnio, don't waste your money on a NIPT test.

I strongly disagree with this. If you can afford NIPT, I would do it, as it has zero risk of complications (eg miscarriage) because it is not invasive and is very, very accurate.

The diagnostic tests, whilst giving you a diagnosis rather than a risk ratio, have risks associated with them as they are invasive, and not exactly comfortable procedures either.

Obviously if your NIPT was high risk the invasive tests are worth the risk, but for $400 or so you can have peace of mind without having a giant needle near your baby.

#15 mskk86

Posted 11 April 2019 - 12:48 PM

I had a 1/51 chance given to me yesterday. My risk is simply due to the nuchal fold, all my other things combined were low until then. Baby also had a nasal bone present. Iโ€™ve had the harmony (had to really push for it though and cost $495) yesterday afternoon and booked for amnio on the 2nd (although will most likely on do the scan part and not the actual amnio). Iโ€™ll keep everything crossed that we both get good results x

#16 Babycakes2004

Posted 11 April 2019 - 02:12 PM

The specialist was amazing and kind which is exactly what we both needed.
So the Nuchal fold of 3.0 mm and my age (almost 40) is what pushed my risk factor up - as well as trisomys, she is concerned about cardiac issues.
She was really happy for us to have the NIPT test which apparently these days is 99 % accurate in giving risk factors for downs/trisomys..
I will have this done in the morning - if the results arenโ€™t great we will then have the amnio and see what we are dealing with then.
She also wants to have a Fetal Echo performed at 24 weeks to check babies heart even if harmony test comes back ok.
Iโ€™m feeling much more positive but it will be a long 5-10 days for results :(

#17 Babycakes2004

Posted 11 April 2019 - 02:13 PM

Mskk86, I have everything crossed for you, the waiting is the worst. Xxx

#18 mskk86

Posted 11 April 2019 - 03:17 PM

Sounds like you had a fantastic and supportive specialist, I also got told theyโ€™ll be doing a major check on bubs heart too.
I hope  everything is ok for the both of us x

#19 IamtheMumma

Posted 11 April 2019 - 06:06 PM

View Post400, on 11 April 2019 - 07:33 AM, said:

I strongly disagree with this. If you can afford NIPT, I would do it, as it has zero risk of complications (eg miscarriage) because it is not invasive and is very, very accurate.

The diagnostic tests, whilst giving you a diagnosis rather than a risk ratio, have risks associated with them as they are invasive, and not exactly comfortable procedures either.

Obviously if your NIPT was high risk the invasive tests are worth the risk, but for $400 or so you can have peace of mind without having a giant needle near your baby.

I suggest you re-read my post. I didn't say have further testing instead of the NIPT. I said if she was going to have further testing, there's no point having the NIPT test. It is money wasted. The OP's post mentioned specialist and further testing. A specialist isn't required for a NIPT.

Edited by IamtheMumma, 11 April 2019 - 06:07 PM.


#20 ksds

Posted 11 April 2019 - 08:18 PM

I have had lots of miscarriages and had my son at 42. My risk based on my age and miscarriages before I had the testing was 1:33. I think the age based risk alone around 40 is 1:100. I was told your risk increases from previous history like mine as well as weight (being too heavy or skinny). What I am saying is that the result may be normal for whatever your situation is, can you speak to an ob or genetic councillor if you are concerned?

I had an Nipt test prior to the nuchal scan and blood test so wasnโ€™t worried about the results so I do recommend an nipt.

My son is a very healthy 3year old now. I wish you well!

Edited by ksds, 11 April 2019 - 08:20 PM.


#21 400

Posted 11 April 2019 - 09:00 PM

View PostIamtheMumma, on 11 April 2019 - 06:06 PM, said:



I suggest you re-read my post. I didn't say have further testing instead of the NIPT. I said if she was going to have further testing, there's no point having the NIPT test. It is money wasted. The OP's post mentioned specialist and further testing. A specialist isn't required for a NIPT.

I see what you mean. What I meant (but didnโ€™t clearly say) is that I would encourage NIPT to be done to have the most non-invasive information possible in order to guide the decision to proceed with invasive testing or not. The difference in accuracy between FTCS and NIPT is so vast that I personally think it is money well spent, if you can afford it. I suppose that if you would 100% do the invasive testing regardless, then yes, it would be a waste of money.

I personally would be inclined to do everything possible to get as much information as I can before deciding whether to have invasive testing.

#22 Babycakes2004

Posted 12 April 2019 - 08:21 AM

400 Yes, and thatโ€™s exactly the decision we came to, my specialist said that the NIPT test is so good these days for Downs that it is almost nearly as good as an amnio anyway and that if the results came back clear we could be comfortable knowing that that is โ€˜almostโ€™ a definitive result.
We will however go down the amnio track if the result isnโ€™t great - but would strongly avoid invasive tests if we can.

#23 400

Posted 12 April 2019 - 03:06 PM

Good luck babycakes, I have my fingers crossed for lovely normal results for you ๐Ÿคž

#24 Babycakes2004

Posted 19 April 2019 - 12:24 PM

I just had the best Easter gift ever, my beautiful baby is perfect and I found out that we are having a girl.. thanks so much for hearing me and all of your advice x

#25 Etta

Posted 19 April 2019 - 12:39 PM

Congratulations. That is great news for you and such a relief before the long weekend!




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