Early Risk Assessment -- what to expect?

  1. You have chosen to ignore posts from GC1016. Show GC1016's posts

    Early Risk Assessment -- what to expect?

    Hi ladies! I go for my ERA at MGH on Friday ... just curious about what to expect, basic info ... starting to get excited/nervous so that means it's time to kick into research mode.  :)  I've basically been told it's a 2.5 hour appointment, and there's an ultrasound (yay!) and bloodwork. 
    Not sure what, if anything, we'll know on Friday, what to expect ... you know, the basics.  This will be our first ultrasound, so it's sort of a double-whammy in terms of anticipation, both the good and the nerve-wracking, since I'm in that 35+ group. 

    Thanks! 
     
  2. You have chosen to ignore posts from kiwigal. Show kiwigal's posts

    Re: Early Risk Assessment -- what to expect?

    My ERA started off with the blood draws from my fingertips--ouch. That was definitely the worst part. Then we did the ultrasound. I would guess it was close to 30 minutes with the ultrasound. The tech had to take lots of pictures and measurements. Luckily, everything looked good, so she made sure to say that as she was going along. (Anytime there was silence I got worried.) Then the OB came in and went over the images/measurements with us indicating that all *looked* good on the ultrasound. He did make clear, though, that CVS or amnio are the only tests that can give definitive answers. We decided to wait until we got our results back before deciding on further testing. Our odds came back at 1:3223, so that was good enough for us to decline further testing. I can't remember--I think it took a week to get those results. fwiw, I was 37 at the time.

    Oh, and I had already had an ultrasound at 8 weeks to date the pregnancy, so this was my second u/s. I ended up with lots of u/s because of my AMA status (the procedure in my practice, not necessarily in others). It is always exciting (and somewhat nerve-wracking) everytime you get to see the baby.

    Good luck!
     
  3. You have chosen to ignore posts from austengirl. Show austengirl's posts

    Re: Early Risk Assessment -- what to expect?

    My ERA was a long ultrasound  by the tech then the Maternal and Fetal Medicine specialist came in looked at the images and did his own ultrasound then I had blood drawn - a few vials of it from the arm.  I am 30 so my risk was low to begin with but then I had to go back for more blood work I think it was 2 weeks later.  They said they would only call me with my results from the first day if the risk was very high.  I then got my second results back with a very good number so did not proceed with any of the diagnosis tests.  It was very painless for me and hubby got to see his first ultrasound.  I think that was the best part.
    I had mine at NWH hope that helps. 
     
  4. You have chosen to ignore posts from ml2620-2. Show ml2620-2's posts

    Re: Early Risk Assessment -- what to expect?

    Did anyone else NOT do this?

    I was so sick with my morning sickness, that it seems the doctor's neglected to mention this test to me, and now at 14 weeks 4 days it's too late.

    I am doing the Downs test at 16 weeks. Will this mean we will need to do an amnio?
     
  5. You have chosen to ignore posts from nene72. Show nene72's posts

    Re: Early Risk Assessment -- what to expect?

    GC-I went to a diagnostic ultrasound clinic to have my u/s.  It took about a half an hour and I couldn't go to the bathroom an hour before the ultrasound.  The reasoning behind this is that the fetus is so small at that point, that its easier to detect.  After a preliminary scan, I was allowed to go to the bathroom.  I MD came in after the initial u/s for a few minutes and confirmed that visually things looked OK but qualified everything by saying that we needed both rounds of bloodwork to come in before he could reach a conclusion.  I went to my doctor's office for my bloodwork and went for another round of blood tests a few weeks after the u/s.  When we received the tests, the odds were low enough that we decided not to proceed with either CVS or amino.

    ML-I'm not sure if you'll do an amnio or a CVS.  (One is earlier than the other). 
     
  6. You have chosen to ignore posts from GC1016. Show GC1016's posts

    Re: Early Risk Assessment -- what to expect?

    ML, I think at 16 weeks you're out of the CVS window, so my guess would be amnio, but I'm not 100% on that.  I'd call your OB and ask. 


    Thanks for the info, ladies!  No one has mentioned anything about not going to the bathroom, so I may call and ask.  Nor has a second round of blood tests been mentioned, so it's good to know that's a possibility; I'm sure I would have assumed it was a Bad Sign. 

     
  7. You have chosen to ignore posts from nene72. Show nene72's posts

    Re: Early Risk Assessment -- what to expect?

    If it helps, I had the sequential series testing (SST). I'm not sure if its different than an ERA.

     
  8. You have chosen to ignore posts from GC1016. Show GC1016's posts

    Re: Early Risk Assessment -- what to expect?

    Hmmm ... possibly.  Regardless, the possibility is filed away! 
     
  9. You have chosen to ignore posts from amy-lynn. Show amy-lynn's posts

    Re: Early Risk Assessment -- what to expect?

    There are several different options to test for trisomy 18 or 23. The non-invasive tests are the ones with ultrasound alone or ultrasound plus blood tests (the sequential series testing). The ultrasound looks for nuchal fold thickness - if it is outside of normal range that could indicate Downs. The blood tests measure the ratios of certain markers in the blood, you get two at different time points to see if the ratio changes as it should. I'm pretty sure that you get both blood draws, I don't think there is a test with just a single draw. The ultrasound alone is less sensitive, and even with the blood draws, I think there is only an 85% sensitivity, but I could be wrong. Your doctor should have lots of information on the tests, I got several handouts when I got the SST.
    Chorionic vili sampling (CVS) and amniocentiesis are invasive (they use a needle to sample fluid from the uterus), but they can give a much more definitive answer. The amnio can also be done later if you missed the window for the ultrasound based tests. If there is still a high risk after the ultrasound, your doctor might recommend the more invasive test. Remember, though, that you don't HAVE to have any testing done. If it would give you peace of mind, then do it.

    Oh, and for the peeing/not peeing thing, I think it depends on the clinic. I was told I didn't have to refrain from peeing, but I'd call and ask if you aren't sure.
     
  10. You have chosen to ignore posts from canukgrl. Show canukgrl's posts

    Re: Early Risk Assessment -- what to expect?

    ML, I was 36 when I had my first, and will be 38 when my second is born an opted out of all genetic testing both times, so it's definitely not 'neccessary', and will certainly not affect the end result, I just decided that knowing odds wasn't helpful to me, and I'd rather wait and see.

    That said, if you WANT the tests. I'd call your doc ASAP and get it scheduled.  Best of luck.
     

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