Doctor insights on:
Tests During Pregnancy For Downs Syndrome
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Screening for DS, : offered to all pregnant women, is done after 10 weeks' gestational age, usually at 11-13 weeks. Both the 1st trimester comprehensive screen & the 1st & 2nd trimester integrated screen use fetal ultrasounds, blood tests for specific proteins & hormones & maternal age at delivery to calculate risk of DS. (If 36, risk us 1:294; if 37, 1:227). Diagnostic tests are offered if calculated risk is high. ...Read more
Screening for Down : Syndrome is offered to all pregnant women in the US, regardless of age. If screening test results + maternal age reveal a high risk for DS, diagnostic tests are offered. Risk for DS becomes significantly higher & increases yearly in women wil be 35 or older at the time of full-term delivery. Though screening for DS is highly recommended, pregnant women can choose not to have it done. ...Read moreSee 1 more doctor answer
My first baby is down syndrome, what is the test must my wife doing during the first trimester of second pregnancy?
Depends: Your risk of a second ds birth is about 1% plus any age factor risk if the first baby was a 21 trisomy.The most specific tests would be chorionic villus sampling or amniocentesis for chromosomal analysis. Cvs can be done in early pregnancy and amniocentesis around 16 wks.Both procedures have some risk to mom and the baby.There are some less invasive but less definitive tests.Ask ur doc. ...Read more
Separate study: If you are having the one study done it is simple enough to arrange for the other study at the same time. They are separate tests and often done at a separate lab. ...Read more
Chromosome analysis : obtained by amniocentesis or Chorionic Villous Sampling is diagnostic for Trisomy 21, other trisomies & monosomies. It is offered if the calculated statistical risk of DS from screening by blood tests & fetal ultrasounds + maternal age at EDD & family history reaches a cut-off point, often 1:270. This calculated risk method has an 80% detection rate & a 5% false-positive rate. ...Read moreSee 2 more doctor answers
I have gilbert's syndrome & my wife is pregnant, is there any risk of pregnancy& baby and is there any medications must be addressed during pregnancy?
Gilbert syndrome: You neednt worry gilberts is more of a medical oddity and poses no problem. ...Read more
Chromosome defect: Ds is one of the more common chromosome(c) defects that can survive pregnancy (many others miscarry). It usually happens when an egg with an extra 21c combines with a normal sperm ; creates a baby with the extra 21c in all tissues.Risks vary with age and are lowest in the early 20's(1/2000), rising to 1/100 at about 40 ; 1/12 at 49.Various prenatal tests can pick up signs early on. ...Read more
Yes: There is increased swelling associated with pregnancy and as a result, carpal tunnel syndrome may also get worse. Hand braces may help alleviate symptoms. If you work with your hands, take frequent breaks. Also, avoid excessive salt intake to prevent any further swelling. The symptoms should improve after delivery. ...Read moreSee 2 more doctor answers
No: Hellp syndrome is a complex af elevated blood pressure, protein in the urine and abnormal lab results. Headaches can be part if this picture. A person can have migraine headaches or other type headaches while pregnant that are not associated with blood pressure changes and therefore not hellp syndrome. ...Read moreSee 1 more doctor answer
What are the typical prenatal tests to check for down syndrome? What week of pregnancy do they typically test for this?
Integrated Prenatal: Screening determines risk of Down Syndrome or other Trisomies, calculated from findings on 1st & , often, 2nd trimester Fetal Ultrasounds, 1st & 2nd trimester specific maternal blood tests + gestational & maternal age, so parents can decide if they want a diagnostic test for analysis of fetal chromosomes. See http://www.womenandinfants.org/pdc/integrated-screening-test for specific markers. ...Read more
Not always, but...: Alcohol can damage a baby's brain causing cognitive, learning, emotional and behavior problems. We don't know how much alcohol it takes, but we do know that drinking too much on just a few occasions can cause FAS even if you don't drink at all during the rest of the pregnancy! best option—no drinking while pregnant. Next best—stop drinking as early as possible in pregnancy. ...Read moreSee 3 more doctor answers
Tricky.: Hlhs should be blatantly obvious in the third trimester, if one looks. However, most fetal anatomical surveys are performed at 18-21 weeks, and the full picture of this syndrome may not be esily appreciable at that early point in fetal development. So, in direct answer to your question, hlhs can be missed in over half the cases, unless a late third trimester cardiac evaluation is performed. ...Read more
Several things: Have your doctor check on whether you might be iron deficient, or have certain vitamin deficiencies (folic acid), both of which can increase RLS symptoms. Avoid caffeine, esp after noon. It is usually transient in pregnancy. Meds used in treatment are cat. C, which means while they have not been proven safe, they haven't been proven harmful in human beings in usual doses. Hot packs may help. ...Read moreSee 2 more doctor answers
If cushing's syndrome is undiagnosed during pregnancy what problems could the baby be born with? Could this cause pituitary dwarfism?
Not really.: Cushing's doe not appear to be terribly damaging to the fetus. Most complications seen from cushing's in pregnancy result from effects on the health of the mother, which can in turn affect the health of the developing fetus. Common maternal complication is high blood pressure, which can lead to pre-eclampsia, can also predispose to diabetes during pregnancy. Once born, babies are usually normal. ...Read more