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Old 05-15-2010, 08:38 AM   #1
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any other moms over 35? questions...

i am 36 and will be 36 when i give birth. this is my first time being over 35 while pregnant. i'm trying to decide what extra tests to do. is anyone doing the special ultrasound that detects fluid at the back of the neck of the baby (to detect downs syndrome)? i might skip it but i have to decide soon...

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Old 05-15-2010, 08:52 AM   #2
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Re: any other moms over 35? questions...

I'm not over 35 but I did have the new integrated quad screen (with
U/S) with this baby and the results are much more accurate than the previous tests. I don't think I would ever get an amnio- I just think it's too risky.
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Old 05-15-2010, 12:23 PM   #3
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Re: any other moms over 35? questions...

I will be 35 when I deliver this baby. I will not be testing. The quad test and the like are only indicators of a possibility for consideration for further invasive testing.

According to the March of Dimes website:
"An abnormal screening test result simply means that additional testing is recommended. Out of every 100 women who take a screening test, about 5 (5 percent) have an abnormal result. However, only about 4 to 5 percent of women whose test results show an increased risk for Down syndrome actually have a baby with Down syndrome . Similarly, only a small number of women whose test results show an increased risk for spina bifida and related birth defects actually have an affected baby."

And like previous poster said, many people would not want to take the risk of amnio or CVS which would be used after preliminary testing to diagnose a birth defect considering the possibility of miscarriage.

In my circumstances, an ultrasound will be able to be an indicator of any possible scenario that would necessitate a change in my care or delivery plans (ie. abdominal wall defects, NTD, etc.)

I know that this is a very complicated and difficult decision for many women. I pray for wisdom for all of us to do what is best for our families.
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Old 05-15-2010, 06:06 PM   #4
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Re: any other moms over 35? questions...

I will be 43 next month. I will probably have an u/s and let them do the nuchal fold screening but I will not have any of the blood testing nor an amnio. I had an amnio during my 3rd pregnancy because of those stupid blood tests coming back as potential Down's Syndrome and I will NEVER do that again. They will want to do an echocardiogram on this baby in utero because my almost 5 year old was born with a hole in his heart (that fortunately corrected itself without surgery).
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Old 05-15-2010, 07:37 PM   #5
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Re: any other moms over 35? questions...

I'm not over 35, but personally, I think if you would not have the amnio, or if the results will not change the course of the pregnancy, then the initial tests may not be worth the stress. My understanding is that as a pp said, they only show the need for aditional testing, such as Amnio, which I would never do.
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Old 05-16-2010, 11:13 AM   #6
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Re: any other moms over 35? questions...

I will be 36 when this baby is born and I too have thought about some extra tests but haven't decided on what I will do either.
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Old 06-24-2010, 02:00 PM   #7
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Re: any other moms over 35? questions...

I am 35 now, will be 36 tomorrow - due in October. Because of my age, they did a quad blood screen, which came back at an increased risk for Down syndrome, but didn't tell me any specific numbers. So they sent me for a level 2 ultrasound. After the ultrasound, the specialist told me that the blood test had brought my risk down to 1:16. After the ultrasound, my risk was 1:4 (due to increased fluid on the brain and the long bones of the legs and arms measuring 9 days behind). I asked what the risk for an amnio was (since I have had two previous miscarriages and don't want to lose this baby). The specialist said it increased my miscarriage risk by 1/4 to 1/2 of one percent, so I went ahead and did it. It would not influence whether or not we kept the baby, because we'd definitely keep it either way, but it would affect my level of stress about knowing ahead of time (I'm one who needs to know and plan for things and likes to have lots of information ahead of time because I don't make decisions well on the spot). The amnio came back positive for Down Syndrome. I'm so glad I know now and if I had to do it all over again, I'd made the same choices again.

Phooey on the stress of having to wonder
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Old 06-25-2010, 07:06 AM   #8
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Re: any other moms over 35? questions...

Kim,

Thank you so sharing your story anout Kaylen, I know the news must still be hard sometimes. I know your kids will be blessed with this baby sister. That is a wonderful story of a mother's love, some would never consider keeping a baby with any problems. I am so glad Kaylen is being born to your family, she will be so well cared for!!! I think knowing is great, you can plan ahead, have everything at her birth you need too, special Dr, etc...if needed and you can even prepair to breastfeed you precious baby, ( if you breastfeed).
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Old 06-25-2010, 12:55 PM   #9
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Re: any other moms over 35? questions...

I am 35 and had dd when I was 35 and will have this one at 36 - we did have the blood tests done - it is more just to be prepared - as Kim did (Kim you that is such an awesome story of a mothers love - your children are so blessed to have a mom like you )

We figured it is better to know and be ready - I would rather take the time emotionally before hand and be prepared for him/her.
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Old 06-26-2010, 06:52 PM   #10
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Re: any other moms over 35? questions...

I am and will be 39 when I deliver. My NT scan went fine, good measurements, able to see the nasal bone. Still, I am opting for an amnio at 17 weeks, because I feel the need for answers more definitive than screenings risks. The 1 in 300 risks so often quoted for potential mc due to amnio are so outdated (based on old research) that I'm not terribly concerned about a mc due to the amnio.

Ultimately, there are a lot more serious conditions that can be identified with amnio than DS (which is NOT to negate the gravity of DS). In my line of work (disability), I have seen the spectrum and I need to know as much as possible as early as possible.

Best of luck whatever each of us decides and may our pregnancies be uneventful other than our joy!
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