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Re: Positive test for Down's

From: anneminke (anonymous@obgyn.net)
Sat, 10 Apr 1999 16:30:44 -0500 (CDT)


Jim,

I could'nt agree more with Dr. Hill. We had a chance of 1/30 of a child with Down's. (Not as a result of a triple screening test, but because of my age, 43 then and 44 at delivery). Still the doctor told us to just view the amnio as a reassurance that everything was OK. I had the amnio (and it was'nt a bit as terrible as I had expected it to be!) and after three weeks we got the news that the baby was a healthy girl! Ever since I have been able to enjoy my pregnancy even more, it really takes a load off your shoulders.

Good luck to you and your wife, and I hope you will both enjoy this pregnancy!

--
Anneminke (due April 27th)

At Fri, 9 Apr 1999, D. Ashley Hill, M.D. wrote: > >At Wed, 7 Apr 1999, Jim wrote: >> >>My wife and I found out today that our baby has a 1/90 chance of Down's. >>The doctor's office didn't tell us the exact values, just the odds. >>What could be the causes behind the positive result (besides actual >>Down's)? What will the ultrasound tell us specifically? Can we rest easy >>if the ultrasound disproves the positive result? > >The triple screen test for Down syndrome (and spina bifida) is, as you >suggest, a screening test. All screening tests have the potential for >turning out false-positive, where the test is positive, but the baby is >fine. In fact, such tests tend to "lean" towards more false-positive >results because they do not want to miss any babies with a problem. >Fortunately, most women with an abnormal triple screen actually have a >normal baby, but unfortunately they have to worry until the ultrasound >and amniocentesis results arrive. > >While an expert sonographer (ie perinatologist or very experienced >radiologist) can give you excellent odds that the baby is fine, an >amniocentesis is the best test we have. Even that's not 100% perfect, >although it's close. The risk of losing the baby after an amnio is >probably somewhere between 1:100- 1:300. Thus, after doing the >ultrasound, your doctor will need to sit down with you and discuss the >risks vs benefits of having an amnio. > >Best of luck. I bet your baby is fine, but I'll keep my fingers crossed >for you. > >-- >Ashley Hill >David Ashley Hill, M.D. >Associate Director >Department of Obstetrics and Gynecology >Florida Hospital Family Practice Residency >Orlando, FL >http://home.mpinet.net/dahmd > >The above is intended for general medical education, >and is not for specific medical advice. >I apologize, but I am unable to answer personal e-mail >due to time constraints. >




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