PREGNANCY-BIRTH Messages for December, 2001: Re: Dr. Montgomery- Re: Still worried about nuchal fold and Down's risk -Dr's opinions?

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

From: anonymous@obgyn.net
Wed, 26 Dec 2001 22:22:26 -0600 (CST)

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In reply to: Abby: "Re: Dr. Montgomery- Re: Still worried about nuchal fold and Down's risk -Dr's opinions?"
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However, the risk of loss is 1 in 200..is it worth it? Besides downs babies are incredible :) >
>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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