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Re: Triple screen and a wreck

From: Claudia Twisdale RN (anonymous@obgyn.net)
Thu, 20 Jul 2000 17:16:09 -0500 (CDT)


The triple screen needs many things to be accurate. It needs an accurate dating of gestation, and Mom's weight, it is al figured by numbers, and there is a great deal of variance. I would not be concerned at this point. Hang in there!

At Thu, 20 Jul 2000, Mary wrote: >
>I went in for a 31 week check up and the Dr. gave me the bad news that
>the triple screen came back with an increased risk for Down's a 1 in 250
>chance. I am 29. Many people had messed up because I had called a week
>after the test was done at 16 weeks and 5 days and the nurse said that
>the test came back fine. I don't know what happened ,maybe she was
>reading onother person's chart. As a result, I hadn't asked to see the
>chart on the following visit and something prompted the nurse to look
>for it at the past check up and they found it. The Dr. sent me to have
>an ultrasound and see a genetic counselor. The ultrasound was not able
>to check the length of the arms and legs because they said that babies
>vary too much at 31 weeks and at 17 most babies are the same size. They
>checked the head, the back of the neck, the heart and stomach and found
>no problems. Oh and the femur bone was in normal range. However my
>current son had very long legs when we did an ultrasound on him so I
>thought this baby should too. My husband and I are tall.
>What causes the numbers to put you at greater risk? I know my due date
>is correct becasue I know when I conceived. I also had a miscarriage in
>October, could that be a sign that something is wrong with eggs or
>sperm.
>Was there anything else they shoud have checked for to determine if I
>had a chance of a Down's baby? I didn't want the Amnio because there is
>nothing that I can do at this point and I didn't want to risk the chance
>of going into premature labor. I know that there are false positives
>with this test however I know that with the triple screen it is only 5%.
>I am sorry this is so long but I am in tears as I write this. I am such
>a worrier and I haven't been able to eator sleep well in days. I just
>want to get all of the facts so I can be prepared or try to ease my
>mind.




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