Screening / test?

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ChristaM's picture
Joined: 01/11/04
Posts: 713
Screening / test?

Hi Ladies:

What screening / tests are you planning to have performed? I'm not sure yet, since I'm almost 40, I will have a deep discussion about this with my Doctor at my first appointment.

Thanks!
Christa

akpufa's picture
Joined: 01/31/08
Posts: 3078

Nothing other than the ~20 week scan for me unless we have reason to others. Oh and I guess blood glucose because I was borderline with my first plus I don't think my OB really let's us opt out of it.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

I have a step daughter with a genetic deletion. She is 15 but mentally she's 1.5 years old. For that reason we are having a CVS at 10 weeks. We had one with our daughter and everything was fine so I'm hoping for the same results this time. Obviously this is a very controversial topic and a lot of people have strong views on genetic testing. I'm already feeling a bit outcast because of our choice, but I have to do what's right for our family. Sigh. I wish life were simpler.

Momma Leah's picture
Joined: 05/13/12
Posts: 1047

I will be having my iron checked (I was anemic both times before), and I will have the glucose test, I was on the high end of normal last time. And ultrasounds of course! But barring any reason to, I will not be having any others tests done.

quonsetmom's picture
Joined: 10/10/12
Posts: 1559

Being a special education teacher I am choosing not to have any testing besides blood, ultrasounds, and urine. I believe that everyone has a reason for testing and don't judge anyone for making any decision. I fully support the decision any woman makes in their pregnancies.

.hilary.'s picture
Joined: 01/31/10
Posts: 1505

I will have my iron checked because I may still be anemic to start this pregnancy, which isn't great. Hoping to get an early ultrasound just to make sure things look good in there, and then of course the 20 week u/s. we won't do any genetic testing. I may decline the glucose testing because I was fine last time. And if I go overdue again I will consent to NST's again, and if I go REALLY overdue again I will consent to another ultrasound.

tink9702's picture
Joined: 09/28/08
Posts: 2977

I'll have an early u/s and the 20 week u/s and a glucose test. I think they are going to want to do the 24 hour test urine, but I might decline that - never had any issues whatsoever so they are going to have to explain something more than I'm overweight for me to agree to it this time! I don't do any genetic testing - no history and I would never terminate and I rather not know ahead of time! I have no issues with anyone getting it done, just not my decision!

MJDttc's picture
Joined: 08/12/12
Posts: 1118

I will just be having a scan and normal testing, unless the scan shows we need more testing. I don't disagree with testing, just don't have a reason to, our families our relatively healthy, and I am still pretty young. I would totally get something done if needed though.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

This thread makes me so sad. Sad It's already such a hard decision for me...but now I feel even worse about it all. Sigh.

tink9702's picture
Joined: 09/28/08
Posts: 2977

"Heatherbella" wrote:

This thread makes me so sad. Sad It's already such a hard decision for me...but now I feel even worse about it all. Sigh.

don't feel bad because most of us aren't doing the testing Heather! If we were in your position I'd bet the majority would get tested! I feel badly that you have to go through all the worry though. HUGS!

Clarkton's picture
Joined: 01/07/08
Posts: 1972

Don't feel bad Heather...you and DH have to make the best decision for your family and y'all live with a reality that many others will never know or understand. I pray the results of your testing bring nothing but piece of mind. Smile

AFM, I don't know yet. I have to see what my options are. I'm mostly doing the regular ultrasounds, glucose test, but I want to see if my provider offers the NT scan. I might do that of it's an option.

Momma Leah's picture
Joined: 05/13/12
Posts: 1047

"Heatherbella" wrote:

This thread makes me so sad. Sad It's already such a hard decision for me...but now I feel even worse about it all. Sigh.

You have to do what is best for you and your family. Noone can make that choice but you! I do not judge you for testing, I just don't feel that is right for me. Smile

PatienceW's picture
Joined: 08/06/08
Posts: 857

Heather if I was in your situation I would do the testing as well. I dont even remember what testing I had done the last time. I do know there was some testing that they wanted me to do but I refused. I think it was one of hte genetic ones. There was one the midwife told me often gave a false positive, and I did not want to have extra worry for nothing. I would prefer as little testing as possible- I'd love to skip the glucose one, but I am goign to a new office and I do not know what they require/do etc.

.hilary.'s picture
Joined: 01/31/10
Posts: 1505

"Heatherbella" wrote:

This thread makes me so sad. Sad It's already such a hard decision for me...but now I feel even worse about it all. Sigh.

Heather if I were in your shoes I would do the testing too. It is different when you face a known factor like you do. I know it is hard but you shouldn't feel badly at all!

ChristaM's picture
Joined: 01/11/04
Posts: 713

"Heatherbella" wrote:

This thread makes me so sad. Sad It's already such a hard decision for me...but now I feel even worse about it all. Sigh.

Heather absolutely do not feel bad. I'm struggling with which tests to take myself. I'm in a high risk category for genetic abnormalities and it's causing stress. I understand your struggle. I'm trying to educate myself so that I can make the best choices for me, but the more I read, the more apprehensive I get.

Can you tell me more about the CVS test?

Joined: 03/07/05
Posts: 1595

Heather, don't feel bad about your decision!! I think it's actually a hard decision either way. For us... no testing really. We will do the 20 week ultrasound. No glucose testing for me. I've never had bad results in the past, so my midwife had no problems with me skipping last time. I may end up having more ultrasounds done close to the end. My last baby was very small at birth, and we have no idea why, so we may "look a bit more into that" as we get closer to the end. Although, he was 100% healthy, so maybe it's not really an issue?!?!

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

Thanks everyone. It's just such an upsetting situation. I'm much less stressed this time as we have DD and she's fine...but the chance still exists.

I've noticed that the judgement come mainly from people who know nothing about our life and our DSD. Those I'm close to totally understand the situation, whether they are religiously opposed to genetic testing or not. They know the type of people we are and also know the specifics about DSD and her life. A lot of people who are opposed to the testing don't have a genetic pre-disposition to something this 'bad' nor do they already have ONE special needs child. One special needs child as low functioning as DSD is a lot of work and emotional stress...multiply that by two. Yikes. Also, DSD had a lot of medical testing and problems when she was young, which is no fun for children. Anyways, I guess I can't convince everyone and I just need to let it go. It's really hard for me.

"ChristaM" wrote:

Can you tell me more about the CVS test?

The CVS can be done between 10-13 weeks. Last time I had it at about 10.5 weeks. We had to go out of town for it as they don't do them here. What they do is take some of the baby's blood from the placenta for testing. With amnio testing they take amniotic fluid for testing but I *think* they can't do that this early because there isn't enough baby DNA in the fluid yet. (Correct me if I'm wrong). Anyways, they can do the CVS vaginally or through your stomach (like an amnio) it all depends on where your placenta is. We didn't know which type we'd have until we got to the hospital and they evaluated the placenta with an ultrasound (another chance to see baby! YAY!). With DD my placenta was low so they were able to do it vaginally. They use an ultrasound to navigate a needle in to get the sample. The procedure wasn't that much worse than a pap. A few months prior I had an HSG which was MUCH more painful than the CVS.

There is obviously a risk of miscarriage with the procedure. I'm pretty sure the risk is higher with CVS than Amnio but the timing of the CVS (10 weeks-ish) is a high risk m/c time anyways, so who knows if some of those losses would have happened regardless. Hard to say. As we are a ferry ride away from where the hospital is last time we rented a hotel room and I put myself on 24 hour bed rest. This wasn't mandatory, I just did it as an added caution. Everything was fine though. I had a bit of spotting from the cervical clamp they used, but that was all. This time we're going to try to do everything the same. I hope my mom can watch DD over night so we can stay over night.

Because we are in Canada and the geneticists can't guarantee that DSD's condition won't happen again the procedure is free for us. We even get a ferry voucher. The only thing we paid for last time was our hotel room.

The blood is then sent away to the DNA lab which takes a couple excruciating weeks for results. They test for all the 'counting' genetic conditions, like Downs. The ones that are obvious. That result came back first as it's the standard test. Then they went and looked at the exact spot that DSD has a problem in. She has a deletion in her 22nd chromosome in the 13th quadrant. So the scientists looked at DD's 22nd chromosomes and made sure they matched and nothing was missing. I'm not sure how many different sets they looked at. Anyways, all came back as fine.

The thing to remember is this doesn't test for everything. There are probably millions of variations of genetic conditions. It just checked for the counting ones and the one that DSD specifically has (which was our biggest concern). It all came back as normal though and we found out DD's sex to an accuracy of 100% at 13 weeks. That was a sort of bonus of the whole thing (if you can find a silver lining). Also, I was able to relax, enjoy the pregnancy and really bond with DD. For the years prior to getting the results DH and I had this cloud of doubt over TTC and whether he COULD even make a child without that conditions. See DSD was his only child and her mother had 2 other 'normal' children with 2 other different dads (but that's another story!).

So, ya, that's a CVS in a nut shell. I guess I'll be doing it again in a month or so. We won't get our appt date until after our dating ultrasound next Thursday. I'm hoping in the 10th week, not the 13th week, lol. It took about 3 weeks for results last time and I'd like to not be obviously showing before I get the results.

ChristaM's picture
Joined: 01/11/04
Posts: 713

Thank you! That is helpful information to know Smile