PREGNANCY-BIRTH Messages for May, 2002: Re: 1/174 for Down's

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Re: 1/174 for Down's

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 21 May 2002 14:47:45 -0500 (CDT)

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In reply to: Robin: "1/174 for Down's"
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At Tue, 21 May 2002, Robin wrote: >
>My AFP results came back with a 1/174 ratio for Down's. I had an amnio
>last Wedneday (I had a regular ultrasound, not level II and everything
>looked good) and am waiting very impatiently for the results. My Doctor
>told me I have an 80% chance or better that I will have a healthy baby.
>That comment made me very nervous. Shouldn't it be a 99.4% chance that
>everything will be fine. He did not give me any specific #'s from the
>AFP other than 1/174. Also, I asked about finding out sooner through a
>procedure called FISH. He dismissed that pretty quickly. I was also
>suprised that I was not offered any genetic counseling and never even
>had the chance to sit down with him one on one. I know it doesn't sound
>like it right now, but I really do like my Doctor. What the odds
>everything is okay? Any advice?

I think that your doctor actually meant that he was able to rule out about 80% of your potential for having a Down's baby, that being the proportion of Down's that have U/S markers. That would make your risk about 1/800 or thereabouts. You don't really need the genetic counseling until the results of your amnio are available, though many of us do it first, to try and reassure the patient. I guess your sit down with him will be when the results are available.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

Next message: William McIntosh, MD: "Re: IVF is it covered by insurance?"
Previous message: William McIntosh, MD: "Re: 21 Weeks LMP"
In reply to: Robin: "1/174 for Down's"
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