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Re: Dr. Montgomery- Re: Still worried about nuchal fold and Down's risk -Dr's opinions?

From: Abby (anonymous@obgyn.net)
Wed, 26 Dec 2001 19:00:02 -0600 (CST)

At Wed, 26 Dec 2001, Abbey wrote: >
>Dr. Montgomery- since you're a perinatologist, if you get a chance to
>respond, I'd be very appreciative. Have you seen a fair number of
>babies with nuchal folds this big turn out to be normal? The specialist
>I saw said it was ultimately up to me whether or not to get an amnio,
>but that he thought the risk from amnio was greater than the risk of my
>baby having Down's. Any opinions or insights much appreciated- thanks!
>
>>At Sun, 23 Dec 2001, Abbey wrote:
>>>
>>>After finding a 5.6 mm nuchal fold on my 19 week U/S, my OB sent me to a
>>>specialist for Level II U/S. On the level II at 20 weeks, the nuchal
>>>fold only measured 3.6 mm, so the perinatologist didn't recommend an
>>>amnio- told me to relax and not worry about it. However, I'm still
>>>concerned, because I know that nuchal folds can diminish over time.
>>>Also, I had a high HCG (2.2 MOM) in my triple screen, which I understand
>>>can also indicate Down's (though the overall screen was negative- I'm 31
>>>BTW). I'm going crazy with worry. Should I insist on having an amnio,
>>>or is everything really ok? Any opinions much appreciated!
>>Abbey
>>
>>The perinatologist is the best word on this. I would have to defer to
>>his advice.
>>
>>--
>>William F. von Almen, II, MD, FACOG
>>Chairman, Editorial Advisory Board
>>Pregnancy and Birth Section
>>Private Practice
>>New Orleans, La.

--
I'm not a doctor, but noone including a doctor can ever tell you that everything is ok
unless you have an amnio. These tests are screens and even testing negative on
both the nuchal fold and the triple screen never guarantees for sure that they
baby doesn't have downs. If you know for sure that you would not have a downs baby
and you are that worried, you should go for the amnio if you live somewhere where
the doctors do it on a regular basis.



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