Published
I am so very scared my daughter went in for blood testing she is four months pregnant and tested positive for downs syndrome. The doctor called yesterday and gave her the news she wants her to go into hospital for a ultra sound to see if the dates are correct. Does this mean the baby has a very good posibility of being downs? Thank you for any help, I should say she is 25 years old.
Let us know how the ultrasound comes out. They can sometimes rule out downs based on infant long bone length, heart structure, etc. But like Deb said, the difinitive answer is the amniocentesis.
I chose to decline the triple screen with all of my pregnancies just due to the fact I was high risk already, and the Level 2 ultrasound by a perinatologist was a given.
I would have declined anyway, just because I remember from nursing school that there are alot of false positives.
Good luck to you and your wife!
Don't specifically worry if the AFP is elevated...There are so many benign reasons for that...As others have posted.....I refused to have that lab work done since as an older mom it probably would have been elevated anyway. Take a deep breath and help your daughter enjoy the rest of her pregnancy.....{{{{}}}
With my daughter, the triple screen was positive as was a Level 2 u/s, showing she had a shorter than normal femur, which CAN be associated with Down's Syndrome. She came out just fine, no problems or chromosomal problems whatsoever. I declined amnio because I did not think the information would change what I would do once the baby came.
Please have faith, be strong and ask LOTS of questions. And please let us know things are ok???? Like I said, unless you had amniopcentesis or chorionic villus sampling, the test is not absolute for Down's or any other chromosomal anomy. You need these tests to be sure. HUGS!!!!
As others have said, it's just a screening test, and tells whether there is an increased likelihood of the baby having Down syndrome -- it doesn't by any means mean that the baby for sure has it. Did they give her any numbers on what the risk was?
Here's my experience, FWIW. With my first pregnancy, the doctor told me that based on my numbers, there was a 1 in 113 (I think that was the number) chance that the baby had Down syndrome. I remember how scary it is, wondering and waiting. In my case, I went in for a Level II ultrasound, and not only were no markers for Down's found, but they found the real reason for the low AFP levels: my son was a couple of weeks younger than we had thought based on my LMP. I had just ovulated late (which explains the surprise conception, too :chuckle). With my new due date, my numbers were within the normal range.
He was born at 32 weeks, which is a whole different story, but he is now a totally healthy and typical 2 year old.
I hope everything works out for your daughter and grandchild.
This test has too many variables to factor in to be an accurate diagnostic test.If the date of conception is off it will throw the whole result out of wack.If anything such as height,for instance ,of the mom is not listed on the req. form,the tech will guesstimate one based on weight.Accurate? I think not. This blood test is only a first step in determining down's and spina bifida. In my 20 years as an OBGYN office nurse,I have seen very few positive results of the triple screen blood test actually turn out to produce a baby with abnormalities. It does a number on the worries of parents ,tho,which is a real shame.At this happy time in your life it is not fair to have to be freaked out about this until you have a level 2 ultrasound or an amnio done .They are much more accurate in finding fetal anolalies than a simple blood test.
So sorry that the test has you worried. But as others have mentioned, there is a very high false positive rate with the triple screen.
I chose not to have that test when I was pregnant based on that alone. I wasn't a nurse then, but I still didn't want it.
Hopefully, everything will turn out ok. Keeping you in my thoughts.
jnette, ASN, EMT-I
4,388 Posts
Extending warmest wishes of comfort and courage regardless of the outcome. (((HUGS)))