Reply to Any over 35 moms elect for CVS/Amnio after negative NIPT results?

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Reply to "Any over 35 moms elect for CVS/Amnio after negative NIPT results?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I'm the OP of this thread and I'm now 17 weeks along. my NT scan came back totally normal and both my MFM and OB recommended against CVS/amnio at this point, so I followed their rec. My MFM did say that if anything concerning comes up at the anatomy scan, we could revisit doing an amnio at that point. [/quote]

Thanks for the update. Glad you went with what the OB and MFM said (which is what several of us were telling you). [/quote]

NIPT/Nuchal are Screenings. They are in no way diagnostic. Had a friend under 35 have both and both looked good and gave birth to a baby with Down's syndrome.

But also they only screen for a couple of things. An amnio can catch much more. I don't understand why people are so afraid of amnios. The risk of a complication from it so absurdly low. And even lower with an extremely experienced doctor. The fear mongering over amnios really needs to stop. I had people tell me "the needle is so huge, it's so painful etc...). The needle is a regular size, the actual test lasts under a minute and the pain was extremely minimal (really not even pain-just weird/uncomfortable). And even with amnio and even with extended microarray you still can't test for EVERYTHING but I wanted to test for everything that I could.[/quote]

I am reviving this thread bc it’s an issue I expect I may be grappling w/ in a few short weeks.

First of all, I am really worried abt my OB trying to ‘talk me out of’ an amnio.  I am still waiting on my NIPT results, so all very premature right now (obvi if NIPT suggests something, I am sure my dr will recommend amnio). But assuming the NIPT suggest very low risk, I really want to have the confidence to demand I get the amnio. This is information I very much want and I agree that the discussions of the risks of the amnio are highly unscientific.  People cite “Risks” but w/ no data, context or anything.  Really don’t find the discussion of the risks compelling at all.

Second though, while i understand the NIPT is NOT diagnostic, why does my dr sheet on it say that it’s 99% accurate for Down syndrome?  How could that be?  Down syndrome is not the only thing I care about, so regardless of that, I want the amnio but I am curious given all the statements on this thread abt how the NIPT isn’t diagnostic.  If it’s right 99% of the time abt presence of Down’s syndrome, that’s pretty meaningful.  Again, does not change my view of amnio as I am not only interested in Down’s[/quote]

I don’t understand. Why does your doctor get a vote in this? Just tell her or him you want to do it and that’s it. 
Also, have a CVS, don’t wait for amnio.[/quote]

I understand it should be my decision, but as several others on the thread have suggested, some OBs do discourage it (when not suggested in view of other testing) and fine I will ignore my OB if she does that, but I like to work in harmony w my doctors when possible.[/quote]

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