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NT and double marker prenatal screening
Hi, please help me understand my risks of downs syndrome in the report attached. I am 24 weeks pregnant and I did not have a proper counselling after the 1 at trimester scan. I see that my risk is quite high 1:132 ( I am 39 yes old). My mid preg ultrasound was normal. Please advice if any further screening could be done to confirm any anomaly. I did not go for ameniocentesis, can it be done now. All the hospitals are closed now hence consulting online. An early response will be greatly appreciated. Thanks
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Age risk for down syndrome is bound to be high at 39 years. But if u see the combined risk of age, NT Scan and biochemical markers..it is 1:1456 something. Which is way above the cutoff.. So I don't think there is any requirement of NIPS or amniocentesis. Hoping that your anomaly scan was also normal...that u mentioned a mid pregnancy scan..
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The high risk is due to your age. Other reports are normal. Take an Anomaly scan to clear your doubts. Further test like amniocentesis and NIPT are not required in my opinion.
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Ur report is absolutely and according to ur age so better reconfirm anomlalies at 5 months scan
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Your adjusted risk is 1 in 619 on the FMF report, which factors in age, NT, nasal bone, and even lower (1 in 1400+) on including serum double marker findings. This makes it low risk overall for downs syndrome. Amniocentesis is not recommended. If you are still worried, you may go for NIPT using cell free DNA as that gives 99% assurance.  All these tests give you an answer it terms of probability, eg 99% probability of downs syndrome being ruled out. Amniocentesis is the only 100% assurance test , i e an answer in yes or no.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.