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Ultrasound and additional examinations



Question:

Hi, I'm new here. Have just finished the first examination with the gynecologist behind me and I am now confirmed medically pregnant. ;-) We were very lucky, that it worked the first try. I am now in the 7th week. Now my gynecologist said that only three ultrasounds are taken over by the health insurance, but she does one for each examination. Is that the same with you? I have to ask at the next appointment in 2 weeks time, what that costs, I did not think about it today. And then she also thought that, since I was already 32, I should be thinking about additional investigations, if / what I want. Is somebody similar to you? I honestly have no idea what should be done at my age, I always thought it would be critical only from 35th What would you do? In my family, almost all women (at least those who are still alive, not my grandmothers or so, but mother, cousins, etc.) did not have their first child until the early thirties and everything was fine. Is it possible to judge such things about the family situation or is that not genetic at all? I'm grateful for every tip! :-)
Best regards, Jule

Reply:

  • reply - 1:

    Hello Jule. Congratulations on your pregnancy and have a nice time with you.

    I'm 34 years old and at least I did the nuchal translucency measurement because it's not invasive. Let your FÄ advise you well, if you explain it well, then you can decide whether you want it or not.

    This is a study in which the neck crease of the child is measured in the US. The smaller the factor (for me it was 1.4) the better.

    But my doctor also took blood and these two values ‚Äč‚Äčtogether gave a probability of trisomy 21/18/13, which was hardly worth mentioning, if one assumes that the likelihood of a 33-year-olds at 1: 330 o.so.

    With me came out 1: 3600, so all right ;-)

    So you're less worried about malformations.

    But every investigation and its result means that you have to deal with the consequences .... so, what if the result is not so clear?

    About these things you should inform yourself well and also get advice.

    If you have so much faith in God or trust in your genetics, then you will be told, leave it.

    But that's ultimately your and your partner's decision.

    Good luck with it,

    Sun.

  • reply - 2: Dear Jule, congratulations on your pregnancy!

    We will gladly try to answer your questions. As you already know, three so-called basic ultrasound examinations are part of general prenatal care. They are paid by the statutory health insurance. If you are healthy and the pregnancy is normal, no further ultrasound imaging is necessary. The number of ultrasound examinations is not decisive for the detection of abnormalities. The validity of the results rather depends on the experience of the doctor and the quality of the sound device.
    Only when the ultrasound shows abnormalities, it is useful to make further investigations, such as a puncture of the mother cake (chorionic villus sampling) or amniocentesis (amniocentesis). Your gynecologist must alert you to the possibility of additional examinations. Their age alone, however, gives no reason for additional investigations. It's not until the age of 35 that first-time mothers fall into the category of "high-risk pregnancy", which is one reason to monitor pregnancy with particular care. Many women get their first child of their age and most pregnancies are without complications.

  • reply - 3: Thank you for the previous answers. I have to confess, at the moment I tend to make nothing more than normal ultrasound examinations. How accurate / reliable is this nuchal translucency measurement in combination with the blood values?
  • reply - 4: The nuchal translucency measurement, also in connection with the blood test, always indicates only one probability. That even if the probability is very low, you can be just the one person in which the disability just happens. But it's the other way around. A complete one-hundred percent examination does not exist, but close to it (99.8%) is e.g. the amniotic fluid examination. This might be recommended if your likelihood is high in the neck cervical measurement that there is a disability. There is now also a non-invasive genetic test on the three most common trisomies in which only a little blood of the mother is needed (but you have to pay yourself and is not yet cheap). The accuracy is slightly lower than in amniocentesis.
    I am annoyed by the sentence, if no abnormalities are found a nuchal translucency measurement is not necessary. The nuchal translucency is measured in the 12th / 13th week of pregnancy and is just one of the abnormalities.
    If there are disabilities in the family, the likelihood is higher. As you correctly write, the risk increases significantly from 35, but that is not an assurance that younger mothers can not get a disabled child.
    As Sonne799 wrote, before deciding to investigate, you should think about what if. Although I personally think, if one decides for a disabled child, it is better to know this beforehand than after birth to mentally prepare for it and you can also research in advance what assistance / opportunities (money, self-help groups, ev Changes in the household, etc.) there are and how you can take them in order to allow the little dwarf the best possible environment.
    Incidentally, I'm not a fan of making an ultrasound every time. Yes, it is nice to see the belly dwarf regularly, but my two boys, after you could feel their kicking, have always been very specific on the ultrasonic sensors, or were awake at the ultrasound / CTG. That convinced me that the dwarfs are feeling something.Whether it's harmful or not is another question, but definitely they were not very excited about it. That's just on the edge. I'm sure others have different opinions and experiences.
  • reply - 5: Julebule, the nuchal translucency measurement in combination with the blood test is also only an estimate. It estimates the likelihood of a chromosomal abnormality. So it's just a probability. You do not get a guarantee for a healthy child. On the other hand, with a 1: 5000 probability, no one can tell you that your child is not the one who has the condition.
  • reply - 6: Hey I'm 35 and for the third time sw. I never wanted to have a special training because I would have kept the child in any case! Well then comb with a normal Blututduchung. Neck measurements out trisomy
    13/18 1:69 says :-( It was a shock and from then on we had to talk for a long time! I then made a placentauntersuchung and after three long days to get the result that everything was ok :-) This erreigniss has me very thought-provoking.

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