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NT Scan- High Risk For DS


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#1 MaryQR

Posted 11 October 2011 - 02:55 PM

Hello everybody,

I just had my NT test and received a high risk result (1:179). After I had the scan, the Dr. told me everything looked great and then backtracked when he saw my blood results (b-HCG: 3.480 and PAPPA-A: 0.520). I have no idea what these numbers mean but they have already caused a lot of tears.

Im trying to keep everything in perspective but hearing that it's high risk is a real shock. I watched my mum go through a pregnancy with a DS child a few years back and it scares the crap out of me.

Has anybody had a similar result? What was the outcome?

Thank you in advance  hhugs.gif

#2 PurpleNess

Posted 11 October 2011 - 03:17 PM

High risk ratio's do not mean that your baby will have DS or any other chromosomal abnormality.
What you & your DP need to decide now is do you wish to have further testing & find out for sure if your baby has DS etc.

My experience, due to my bloods & age I was given a 1:100 ration of DS. We chose to have a CVS procedure done at 13 weeks and received the all clear, our baby is chromosmally healthy, i'm now 31 weeks.

Ofcourse you also need to be realistic on how you would deal with the news should it be positive, no an easy call to make. My advice if it really worries you do your research & get extra testing. I'm not necessarily saying you would terminate but perhaps it would make it easier for you to deal with knowing the facts.

Talk to your GP or OB about a CVS vs an Amnio ( as you can have a CVS earlier) & then decide where to go next.

Hang in there, it's not all bad news! In all the people I know who've had similar ratio's not one has had a DS baby.  Good Luck

#3 Guest_chocmudcake_*

Posted 11 October 2011 - 03:21 PM

AprilBaby2012, I am in the same situation, I am terrified to say the least. Only thing I was the opposite, my bloods were ok, my NT measurement was huge. My risk is 1:61 and my T13 and T18 is double what it should be for my age.
It seems most people in our DIG have had fantastic results regarding their NT's, all I keep reading is congrats on all the great results and here we are (well speaking for myself, but guess you are the same) struggling to cope with horrible results. Let me know how you go original.gif

#4 CarlieB

Posted 11 October 2011 - 03:22 PM

I didn't have a similar result, but I had a number of people actually recommend against the NT scan for this very reason as there are plenty of people who get a high risk result and their babies turn out to be completely fine. I had tentatively agreed with DP that the risk would have to be higher than 1:150 for me to get the CVS as I've heard risk of miscarriage can be 1:100. Having said that, if it had have got the result you did, I don't know that I would have wanted to spend the next 6 months worrying, so would probably prefer to get the CVS or amnio just to know for certain and then at least you have the facts, not just a 'maybe'.

I feel for you, as at this stage you just want reassurance that everything is perfect. But don't be too concerned as if you do a search you'll find so many examples of people with high risk whose babies turned out perfect. I hope it does for you too.

#5 Kya

Posted 11 October 2011 - 03:22 PM

Hi AprilBaby

I really hope you don't mind me replying to your post. I am actually part of the Feb DIG but clicked on April by mistake (not so good using EB on my phone).

We have recently been through a similar situtation to you and thought I would reply.

We were 1:57 risk of DS for the same reason as you - high HCG hormones compared to lower PAPPA A (can't remember the exact levels now). This came as quite a shock as my age and the nuchal measurements were low risk.

I proceeded with having the CVS test done and while the procedure was not particulary nice and the 48 hour wait for the test results was tough thankfully everything came back fine.

High HCG compared to low PAPPA-A can be a possible indicator of a smaller baby or higher risk of pre-ecamplsia so I am having additional growth scans but given bub is measuring a week over my dates, so that all looks ok at this stage.

Not to sure where you are based but I had my CVS done at the Fetal Medicine unit at RPA, Sydney. The head of Fetal medicine acutally performed the test and everyone we saw - sonographers, OB, midwives and the genetic counselling they gave was very supportive.

I hope everything works out. Please ask your OB/Midwife as many questions as you can to make your decision on testing etc.

Again, I really hope you don`t mind me crashing in the April DIG and I wish you all the best.

Kya

Edited by Kya, 11 October 2011 - 03:25 PM.


#6 bbunny

Posted 11 October 2011 - 03:22 PM

Sorry to hear that. My friend has a DS baby, so we also know what it's like close up. Our results were low risk, but the doctor did say that even in high risk cases, most of the time, the result is that there is nothing wrong with the baby. It's just that they recommend testing CVS/Amnio if your results are less than 1:300 as that is the high risk cut off.
So, I would say don't be too distressed just yet and have a CVS so you know for sure and save yourself from unnecessary worrying. Am pretty sure your baby will be fine. I know someone who had a 1:10 risk and the CVS was all clear.

#7 Debs34

Posted 11 October 2011 - 04:17 PM

Hi AprilBaby I hope you don't mind me replying as I'm also not in your DIG, I'm in May. With DD2 we got a 1:60 risk of a chromosomal abnormality. We proceeded with CVS which was all clear and DD is now a gorgeous, healthy 11 month old. Personally in hindsight I wish we hadn't taken the risk of the CVS but we did and were lucky to not have any negative outcomes from it. But everyone has to make their own decision for their own reasons.

Did they check for a nasal bone? That is a very important factor when it comes to high risk results. If your bub has a nasal bone that is a very positive sign. I wish you all the best with whatever you decide to do.

#8 Crodka

Posted 11 October 2011 - 04:19 PM

I actually dont have my results - was told no news is good news so dont want to get a call this week.
If I do get told I do have a high risk then I will be going with the CVS.
As much as I'd hate to terminate if it was 100% confirmed, I dont think I or family could cope with a fully dependent child. I feel horrible saying that but its the truth.

Fingers crossed all you girls (and me) get the all clear.

#9 MaryQR

Posted 11 October 2011 - 04:37 PM

Hello again,

Thank you for all the support. Its been a tricky afternoon but Im managing:)

PurpleNess: Thank you for such a fast reply. Im waiting on my OB to call and talk me through all my options. I defiantly want to undergo further testing but know that it can be risky. Unfortunately my DH is not contactable for a while (due to his work) so all the decisions are mine to make sad.gif

chocmudcake: Its a horrible thing to be going through isnt it? So happy that everybody else is getting great results but it comes as a shock when you dont get one yourself. I am a year younger than you (24) so I thought I would be too young to get a potentially bad result. Please keep me updated with how things go with you.

CarlieB: There are so many decisions to make! I dont know what test I want to have yet. I have a really good OB so Im hoping he'll suggest/tell me what I should do. Amnio's scare me so much as I watched a dr stuff my mums up (resulting in my little sis been born at 24 weeks). I completely understand why people choose not to get the testing done, its a lot of stress for something that has a 178/179 chance of been ok.

Kya: Im so glad that you stumbled into the April DIG and very happy that everything worked out fine for you!! It's funny that you mention that the levels are a indicator of pre-ecamplisa, my mum was only telling me this morning that she had it when pregnant with my brother.

bbunny: I think having further testing will be the only thing that will put my mind at ease. Its nice to hear stories of people that had worse results than me and things worked out fine for them. Gives me hope biggrin.gif

#10 lou01

Posted 12 October 2011 - 10:15 AM

AprilBaby2012,
I totally understand where you are coming from… I had my 12week scan the day before going on holidays, thinking I would be able to relax and start to enjoy my pregnancy after receiving good results…I was wrong!!! Due to bloods (B.hCG 1.3300 PAPP-A 0.4100) and a thicker NT (2.87mm) I have been given a 1:16 chance of a baby with DS. We have already been through so many operations, procedures & miscarriages to get pregnant again and now this... I have just returned from our holiday (it was great to take my mind off things) and we are booked in for my Amnio next Thursday however we have been told it may still be too early to test. More waiting…and waiting…  sad.gif

Lou


#11 bbunny

Posted 12 October 2011 - 11:41 AM

Lou1: So sorry to hear. Could you do a CVS instead? It is done much earlier than an amnio.

#12 lou01

Posted 12 October 2011 - 12:13 PM

QUOTE (bbunny @ 12/10/2011, 11:41 AM) <{POST_SNAPBACK}>
Lou1: So sorry to hear. Could you do a CVS instead? It is done much earlier than an amnio.


It was too late for me to get the CVS done... The specialist looked over my scans and said they wouldn't be able to access the placenta to conduct that test. She is going to check next Thursday and apparently if the membranes are fused it's safe to do the Amnio at 15weeks. Will let you know how I go...

#13 bbunny

Posted 12 October 2011 - 12:19 PM

I see. Well, all the best anyway, and keep positive. Remember your odds are still in your favour that 15/16 , your baby is perfectly fine.

#14 lou01

Posted 12 October 2011 - 02:43 PM

Thanks Bbunny it's true if someone told me I had a 16:1 chance to win lotto I would be pretty excited wink.gif

#15 TVB R36

Posted 12 October 2011 - 03:27 PM

Lou sorry to hear about your results, are you the Lou on clexarn as well? If so how odd because I had my NT scan yesterday it came back 3.99 so nearly 4. My bloods were okay but we got a 1:16 result. So the same as you. my husband begged me to have the CVS today. I am so worried it will cause a misscaridge I stopped all my drugs last night which alone could cause one. Such a scary time.

The CVS my OB said the results take 48 hours to come back but the OB doing the CVS said we would have them in 24? Has anyone had results sooner than 48 hours?

PS my baby is a pink one I have two boys now! original.gif

#16 ttc3

Posted 12 October 2011 - 07:13 PM

lou01 - good luck for next thursday hope all goes smoothly.  Let us know how you get on.

TVB R36 - I had a CVS last Thursday and if I opted for FISH results they would have been back the next day they said.  I choose to wait (CVS for age based risk only)  Am hoping for results Friday but more likely will be Monday.  Got my fingers crossed for you.

#17 TVB R36

Posted 13 October 2011 - 06:33 AM

Thanks ttc3 I am so worried didn't sleep.

#18 TVB R36

Posted 13 October 2011 - 06:34 AM

Sorry ttc3 I should have said good luck with your results.

#19 tmaree07

Posted 13 October 2011 - 04:08 PM

Sorry your going through this i know how hard it can be as I was in the same situation last pg .
But   my risk was 1 in 80, I chose to have a CVS straight away..... I had   already decided in my mind if she did have DS it would not matter to me    but I needed to know either way to make the pg easier.

A cvs has   a slight increase of m/c but I rested for the following days and all   was good and I had a very healthy little girl who is now 20months original.gif

This   time around I chose to go straight for the cvs as I really didnt want   the stress of the waiting for bloods and ultra sound results.
My results once again came back all clear and we  are having another little boy so I can now enjoy my pg original.gif

I also got the FISH results within 24hours

Take care xx

#20 Loue

Posted 13 October 2011 - 08:48 PM

AprilBaby & Lou - thinking of you both, fingers crossed all is OK.  

I love bbunny's way of looking at things:

Remember your odds are still in your favour that 15/16 , your baby is perfectly fine.

#21 TVB R36

Posted 13 October 2011 - 10:50 PM

We got our results they are not good and the babys heart beat is up at 245 so not looking at all good. Her heart was too high a few weeks ago as well but at the time I didn't panic maybe I should have.

Take care all good luck with your results.

#22 bbunny

Posted 14 October 2011 - 06:38 AM

Am so sorry to hear TVB. All the best and good luck with everything.

#23 lou01

Posted 14 October 2011 - 10:17 AM

QUOTE (TVB R36 @ 13/10/2011, 10:50 PM) <{POST_SNAPBACK}>
We got our results they are not good and the babys heart beat is up at 245 so not looking at all good. Her heart was too high a few weeks ago as well but at the time I didn't panic maybe I should have.

Take care all good luck with your results.


I'm so sorry to hear your news... You have been through so much already it's just not fair  nno.gif

I'm the Lou that's on Clexane...I'm going off the drugs Tuesday for my Thursday Amnio (scared about that also). Having heaps of trouble sleeping from all the added stress - We just want to know either way so we can move forward. I wish there was something I could do to help you through this hard time...stay strong and give your two boys loads of extra cuddles (my poor Miss M is so over me asking for cuddles all the time but it does help me stay strong).  

Lou

#24 Loue

Posted 14 October 2011 - 12:59 PM

QUOTE (TVB R36 @ 13/10/2011, 11:50 PM) <{POST_SNAPBACK}>
We got our results they are not good and the babys heart beat is up at 245 so not looking at all good. Her heart was too high a few weeks ago as well but at the time I didn't panic maybe I should have.

Take care all good luck with your results.


Oh TVB, so sorry to hear.  Take care of yourself.

#25 ttc3

Posted 14 October 2011 - 02:43 PM

QUOTE (TVB R36 @ 13/10/2011, 11:50 PM) <{POST_SNAPBACK}>
We got our results they are not good and the babys heart beat is up at 245 so not looking at all good. Her heart was too high a few weeks ago as well but at the time I didn't panic maybe I should have.

Take care all good luck with your results.


So sorry to hear this sad.gif Will be thinking of you.




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