Quad Marker

posted by Mel

For those who have had to make this decision– Did you get the screening? Why or why not? We have to make this decision before our next OB appointment (two weeks). Vanessa has a strong opinion one way. I am struggling with it. I won’t explain how right now b/c I don’t want to influence anyone’s answer to the question. Judgement-free zone. Anonymous comments (unless rude) are welcome.

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20 Comments

Filed under Preggo

20 responses to “Quad Marker

  1. Personally I’d do it. I’m a “too much information” kind of gal.

    Even if, for example, you wouldn’t terminate for Down Syndrome, knowing that you’re going to have a DS kid could really change how you prepare over the ensuing months and turn the birth into a time of joy rather than a time of “oh shit there’s something wrong”.

    Just my $.02. I know this is tough for some people, but I feel pretty clear about it for me, personally.

  2. Jen

    I’m not sure what that is so I`ll just wish you luck in making your decision 🙂

  3. We didn’t do it. It was so close to our “big” u/s that we figured anything that would show up as a positive on the screen would show up on the u/s. We didn’t have any risk factors that worried us. Also, we were uncomfortable with the high false positive AND false negative rates–it just didn’t seem like a test that would give us a whole lot of usable information either way. I think I worried less than if we’d had it done, because I wasn’t worrying about a result being potentially right or wrong.

    Good luck making a decision–these are tough ones!

  4. Io

    Personally I would do it – If these is anything wrong I’d want time to prepare. (I would keep a baby w/ D.S.)

  5. Jen

    Oh now I know what it is! Sorry I’m not that stupid we just call it something different in Canada 🙂 Anyhooo, I had it and with my 3rd I got crazy results indicating that for my age the risk for this baby was very high. I had an amnio to confirm and was happy to find out he was 100% not at risk. I’m glad I did it though. I wouldn’t have terminated but I would have appreciated the time to research as much as I could.

  6. vee

    I’m more of an ignorance is bliss vote, I think – if I wasn’t going to terminate, then I wouldn’t want the stress, especially if the test is merely a screening test and not a diagnostic (I’m not familiar with the test). I’m not personally convinced that any preparing I could do beforehand would be valuable enough or would require so much time as to make the test worthwhile and outweight the stress caused. But that’s just me.

  7. Shae

    I don’t know how accurate this test is, but given your tendancy to ruminate over any minor anomoly (and I don’t mean that to be insulting, I do the same thing, and you have a lot invested in this), I’d lean toward “no”. Save yourself the stress, which isn’t good for you right now.

    Just the 2 cents of someone with no experience with pregnancy issues but lots of experience with anxiety.

  8. We didn’t for my first – in fact, we had no tests that would show something that we had no control over. We had no screenings whatsoever. For my second, we had a amnio, which I somewhat regret, because my son had a huge placenta and it wasn’t easy getting the needle in there. It really didn’t matter to me, because I wasn’t doing anything with the pregnancy, but I still felt compeled to do it. Hindsight being 20/20, if it had it to do over again I wouldn’t.

  9. I don’t know what it’s like to be in this particular pair of shoes but if I had to try and put myself in these shoes, I think the questions I would be asking myself would be:
    1.) What do I plan to do with this information if anything?
    2.) Can I appropriately deal with the potential inaccuracies of the test someone above mentioned and the questions it might open up rather than answer? Will this alleviate fear and anxiety or create more?

    Control is an illusion – not an easy lesson for us type A people. I second what Shae said – since I am also anxious a lot I might forgo the tests for my own mental health – particularly if I had no specific plans for dealing with the results.

  10. Angela

    I didn’t do it with either pregnancy and have no regrets since it’s not an accurate test. Negative test results often give people a false sense of security while positive test results leave people worried about their babies, who usually end up being perfectly normal. I would wait until the Level II ultrasound at 20 weeks to see if there are any detectable abnormalities.

  11. Hi Ladies! Absolutely, a great idea. We just had it done, with much trepidation. However, the initial screening gives you your odds, and then, you have the option to have the amnio. Although we knew we wouldnt terminate, we wanted to know so that we were as prepared as possible. We had also decided that the risks of an amnio were too high, so we would NOT have that test done if the first set came out positive. We were blessed that the first set came out great. It’s a stressful process though, so we wish you the best no matter what direction you go in. Just remember, knowing what’s coming helps you choose a direction. Lots of love! Jen and Michelle

  12. docgrumbles

    I didn’t get it. I have heard about so many false positives, plus I don’t know what I would do with the information – I can’t imagine terminating. So, we opted to stay in the dark.

  13. amy

    our clinic is offering sequential screenings now. i had a quad when i was pregnant 3+ years ago, was actually excited to get the extended peek at the little one. my partner is pregnant with our 2nd and the OB’s office hasen’t talked about a quad screening, instead we had the 1st part of the sequential at 12.5 weeks and have the 2nd part at 17 weeks. i think that’s instead of the quad. we really looked at it as an opportunity to see the wee one again, i guess that’s pretty naive but after the hell of the ttc fertilicoaster i guess we’re just assuming the worst is behind us.

  14. Matthew

    We are planning to have the tests. I’m not sure what we would do with any positive results. K and I have talked through this a dozen times and haven’t come up with an answer. But we are both pro choice for very pragmatic reasons and this decision is certainly among them.

  15. I had the triple screen 10 years ago w/my daughter, and the quad screen (an ‘improvement’ over the triple screen) with my son last fall. The 1st time around I wasn’t really given a choice, the OB just assumed everyone wants it, and I was young and naive and trusted EVERYTHING the docs told me.
    The 2nd time I chose to have it because I was in my 30’s, when you’re more likely to have a D/S baby. I looked at it as one more thing to check off on my list of worries (and it was a long list after 3 miscarriages and a battle with clomid, progesterone, etc!)

  16. I did not do the screening with my first in 2005, but did do the sequential screening with #2 in 2007 – mainly because I was at that point AMA (advanced maternity age) and thought it was a good idea to do it. I agree with wandering bella…you need to think seriously about what you would want this information for. To me, it was to prepare for the birthing process and what that might mean if there were special needs to the baby. It is really just initially an in-depth u/s and bloodwork. If they start to see markers from those tests, then I was told they would perform an amnio (I would not have done an amnio without seeing the markers in the initial tests though). Would I do it again? Yes.

  17. babymaker

    We did, with horrible results. . . 1/50 for a 24 year old! I would never do the test again, so much worry consumes this pregnancy now.

  18. Hi again ladies. I had to post one more comment on here. Suggestion: if you get the testing done, make sure you’re going to have a quality genetic counselor. We had our appt today with ours and it was really great. There was no pressure to go forward with an amnio, but she was very thorough about explaining what the process and risks were if we changed our minds at a future sonogram. She also explained everything and answered our questions regardless of the simplicity or complexity of them. Basically, wanted for us, what we wanted, which, we’re sure you know, isnt always the case in this process. So, as with all the other doctors, nurses etc, screen and find someone who fits what you need. Hope we’ve helped a little! Take care, Jen and Michelle 🙂

  19. My first visit, so let me say congratulations! How wonderful. The test is a tough call. I had it for both pregnancies. I’m in the ‘want to be as informed as possible camp.’ But, if you would not do the amnio if you got high odds for a screened disorder, it’s probably stress for nothing. If you would go on and do the amnio to know for sure, than it’s worth the initial screening in my opinion. Good luck with the decision! It’s whatevers right for you in the end.

  20. g

    We did it just for the info, and our risk of Down’s with Mater was 1/20. Extremely high for someone my age. We won’t be doing it again, though, because it wouldn’t have (and won’t in the future) changed our outcome of what we’d do with the pregnancy.

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