My feed
Premium

Please
or
to access all these features

Get updates on how your baby develops, your body changes, and what you can expect during each week of your pregnancy by signing up to the Mumsnet Pregnancy Newsletters.

Antenatal tests

Confined placental mosaicism

33 replies

Trying2stayhopefull · 09/04/2021 17:41

Currently going through hell and wondered if anyone has experienced something similar to me with a positive outcome.

  • We have had high risk harmony (due to high hCG and low PAPP-A)
  • Slow increase NT highest being 3.2
  • CVS test showing 60% Mosaic Downs in the placenta
  • In the wait (3 weeks) for amino
  • Baby heart has been checked and is almost perfect
  • Baby has a nasal bone


Has anyone been through similar and got the result of Confined placental mosaicism?

Thanks in advance for any advice
X
OP posts:
Report
SarahD19 · 09/04/2021 17:45

In my case I did have a diagnosis of Confined Placental Mosaicism briefly - then specialist opinion leaned towards low level mosaicism. We had tests and investigations for about 5 months of the pregnancy 🤰 x

Report
SarahD19 · 09/04/2021 17:45

Really hope you’re ok x

Report
jmm499 · 09/04/2021 21:40

Hi @Trying2stayhopefull not to promote another forum but I did find the babycentre antenatal scans and tests support group helpful when I was in turmoil in my pregnancy. The search function was really helpful in being able to find people who had been in a similar position to me (not confined placental mosaicism in my case but I’m sure you’ll find some results) Sending you love at this most difficult time xxx

Report
Sixtyorforty · 10/04/2021 22:26

My NT measurement was also 3.2 x

Report
Trying2stayhopefull · 11/04/2021 08:19

@Sixtyorforty oh sorry to hear. When did you get the measurement? How was everything else. It could all be ok.

OP posts:
Report
Sixtyorforty · 11/04/2021 14:28

The measurement was at around 13 weeks. My downs risk was 1 in 166. Baby was born completely healthy x

Report
NoCallerID · 12/04/2021 13:00

@Trying2stayhopefull no experience as ours was not mosaic but a full copy, I just didn't want to read and run. The wait for results is the worst and I really hope the weeks pass quickly for you and that you'll get the confined result. 🤞🏼

Report
Trying2stayhopefull · 12/04/2021 22:07

@NoCallerID oh so sorry to here that. Was that a CVS or Amnio? I hope that you are ok x

OP posts:
Report
NoCallerID · 13/04/2021 21:16

@Trying2stayhopefull thank you, we decided to TFMR, there were physical issues too. It's been over a year and we've had further heartbreak since but are now expecting again (very early still). It was the CVS. But we had been told if it came back mosaic we'd need the Amnio. Has anyone pointed you towards the ARC? They're really helpful and a really good ear to listen to. X

Report
SarahD19 · 13/04/2021 21:21

@NoCallerID I’m unsure if ARC has improved, however my experience was that they had little understanding of mosaic results when I sought support around my situation. It may have been a one off however.

Report
NoCallerID · 13/04/2021 21:47

@SarahD19 I have no experience with mosaic myself but found the ARC helpful. Not only to talk through results or anything but simply an ear listen to. I don't think anyone would expect them to know more than doctors and consultants tell parents?

Report
Trying2stayhopefull · 13/04/2021 22:07

@NoCallerID thank you for sharing your story with me. I wish you all the best with your pregnancy. Xx

OP posts:
Report
SarahD19 · 14/04/2021 06:18

@NoCallerID I am really glad you found the support helpful. As I say, not meaning any criticism but my expectation was that ARC was a service to support parents to be in making informed choices around prenatal tests - so expected a sound knowledge around mosaicism. This may or not be realistic...

My experience was a lot of emotional labour went into having to explain the mixed test results I got to so many people - at a time when I was experiencing profound confusion and disbelief about those tests myself. I got so tired of having to explain it all to everyone, including the majority of professionals who were in supportive roles around me. This added another layer to the stress of the experience in many respects.

I really hope you’re well and wishing you good outcomes moving forward x

Report
JoAska · 16/06/2021 08:24

@SarahD19 - if you don’t mind me asking, what was the final result of your pregnancy after all these tests confusion? Is your child a mosaic? I saw you responding in many threads but I am not sure how things turned out for you

Report
SarahD19 · 16/06/2021 08:46

@JoAska the tests indicate that in all likelihood our daughter has low level mosaic trisomy 18. However she is pretty much in perfect health from what we can tell at 14 months old. Obviously things could still come up, but we currently feel very blessed and grateful. Hope you’re ok x

Report
JoAska · 16/06/2021 08:59

Thank you @SarahD19
I might be in a similar situation.
I did 2 NIPT tests. Both came back high risk for trisomy 18. I couldn’t believe it as in all scans the child is looking perfect. No heart failure, normal growth, no clenched fists and I have seen 10 specialists in 2 countries.
I did an amniocentesis. The rapid test came back with 15% mosaic but the cultured test showed 60 normal cells. We’re your results similar?

Report
SarahD19 · 16/06/2021 09:02

@JoAska yes this sounds very similar to us. We had CVS and amniocentesis all with varying results. Initial CVS was thought to be full Edwards. But a normal scan and mosaic long term culture indicated possible Confined Placental Mosaicism. Initial amniocentesis was “normal” but then we were just informed it was because the percentage was below 20% x

Report
JoAska · 16/06/2021 09:28

@SarahD19 - have you done any blood tests for your little one after birth?
What do you mean by saying ‘initial’ amniocentesis?
My route was:

  • NIPT 1,
  • scan at 12 weeks - perfect baby
  • results of Nipt 1 - high risk for trisomy 18,
  • scan at 13 weeks - different country, different doctor, the same perfect baby,
  • scan at 14 weeks - different doctor, still perfect baby,
  • NIPT 2,
  • result of NIPT 2 - 95% risk of Edwards syndrome,
  • amniocentesis
  • after 4 days, results of PCR test, potential 15% mosaic, results were saying that might be confined in the ectoderm and not the baby,
  • another scan with the Consultant - potential rocker bottom feet
  • another scan with a different doctor - rocker bottom feet not confirmed, FL a bit short but still ok
  • cardiac scan, potential VSD
  • results from long cultured amniocentesis - 60 normal cells
  • another scan with a different doctor - perfect baby, no signs of VSD,
  • scan with a consultant - all ok with the baby but rocker bottom feet still in sight by this doctor (she can’t unsee what she saw before),
  • another cardiac scan, no sign of VSD or any heart problems,

I am currently 22 weeks pregnant and I have been in hell and back soooo many times.
I am not sure what I am standing on and I am terrified.
Report
happygolucky20 · 14/07/2021 10:16

@JoAska I just wondered how you got on?
We had a harmony test done at 12 weeks and were given 1:10000 chance for T21,18 and 13. Thought we were in the clear and then yesterday we had our 20 week scan to be told we had rocker feet and clentched fists - babies hands are open at 12 weeks. They did an amnio there and then but I’m utterly lost and currently googling the pants off it when it all points to T18 but other than hands and feet, baby is completely fine 🤷🏻‍♀️

Report
JoAska · 14/07/2021 11:16

Hi @happygolucky20
I am soo sorry to hear that you are in similar shoes. I am not a doctor but for the last 3+ months I have been looking for answers about my pregnancy so maybe I will be able to lessen your stress just a bit.

What I have gathered so far is that a risk of a false negative NIPT result is very, very low 0,03%. It’s a bit higher for a false positive (and this is what my case is, hopefully). You have received a low risk result for a child to be trisomic. Were your pappa levels low?

What I have also learned so far is that the most certain result (99%) you will only get after the FULL amnio result. You should receive a rapid result first but there are cases that rapid result is different than a full result. I am such case.

You need to hold on tight as for the full result you might need to wait for as long as we did - full 4 weeks. This has undoubtfully been the worst 1 month of my life.

As you saw in my above description in this chat we got the first rapid result saying that our child is a t18 mosaic 15%. We were devastated because a mosaic can mean nothing to the child or can result in a child being fully affected with t18. But we continued waiting. The full karyotype came back with 60 normal cells. We couldn’t believe our luck. We still can’t and I keep going to private consultations every 2 weeks.

Our girl is almost 1kg now (i am 26 weeks in) and so far No markers of T18 have been confirmed.
The rocker bottom feet are No longer in the picture. We have never had clenched fists in any USG scan. The heart looked Ok on a scan in week 21. We are having a repeat scan in 2 weeks.

If I can advise you on something, book yourself an appointment with The Fetal Medicine Clinic in Harley Street, London (I don’t know where you are from, but I can only say positive things about my appointment there). It is costly but people who work there are world class experts in prenatal testing.
I would do it while you wait for a full amnio result because maybe it will take some of your uncertanity away. It really helped me and my husband go through the darkest of times.

Saying this we are still not sure if our girl is healthy but we have 99% chance that she is and the t18 is just in the placenta.
I read 5000 pages of a forum in my home country. It gave me a lot of currage as women there were explaining faults that have been found in their growing babies. Some of these faults have been really severe (cysts in brains, kidneys, and what not) and very frequently the kids were born healthy! Sometimes it is because of of knowledge on the doctors side, or the equipment was not of the highest quality.

Your harmony test result looks reasuring, I really hope you are not within this 0.03% of false negatives. I wish you this from the bottom of my heart.

I chose to monitor our baby regularly and I hope No markers are going to be seen. I have 14 weeks to go unless the baby stops growing (which is likely if the placenta is affected). Please pm me if i can help further.

Report
happygolucky20 · 14/07/2021 21:06

@JoAska thank your for responding.

We actually went to the FMC and had the harmony with two scans and then the 20 week. We had one twenty week on Friday and then asked if we wanted to come back as she suspected club feet. We went back on Tuesday and our world crumbled and all the positive measurements we were given on Friday were amended and we left being told to expect the worst from the amnio which was done there and then. I honestly can’t understand how a) the harmony and NHS screening is so wrong b) the difference in measurements from Friday to Tuesday 🤷🏻‍♀️

My midwife read the FMC notes from Tuesday today and said with the hands and feet plus a slight strawberry head, we should expect the worst and to start discussing terminating on medical grounds. The NHS are doing a follow up scan tomorrow but she said they expect the FMC scan to be more accurate, my concern is which one is the accurate one? The Friday or Tuesday one? Friday there was zero concerns, Tuesday I’m told to plan for the worst as she was certain something was wrong. God only knows where we will be by the end of this week.

Thank you again for taking the time to write back. I am so please your daughter is in the clear!

Report
JoAska · 14/07/2021 21:48

@happygolucky20
I have been seen by 15 doctors over the last 3 months and I am not overexegerating this number. We have been offered termination on medical reasons and I have spoken with BPAS about it. I have been in your shoes.
I fully understand you and your stress. I really do. What I would like to tell you is don’t loose hope while you are waiting for the full karyotype as this is the most diagnostic result that you are going to receive. This is the only result that you should consider relevant. I hope it is going to come back as all clear.
At the same time you will probably need to have this dreadful discussion about what if and I am really sorry that life brought this on you. Only a person who has been through this will ever understand you.
I am keeping my fingers crossed for you. I promissed myself that No matter what my result is going to be I will post the continuation of my story here and on other forums that helped me during my wait.
There are a lot of stories with t18 and t13 online and I am almost sure I read the majority of them. There have been positive stories from the UK and the USA that kept me going. I wish you all the best. Please don’t hesitate to write to me if this helps you cope with anxiety.

Report

Don’t want to miss threads like this?

Weekly

Sign up to our weekly round up and get all the best threads sent straight to your inbox!

Log in to update your newsletter preferences.

You've subscribed!

happygolucky20 · 15/07/2021 08:07

I’ve just never known a pain like this and I don’t know how to keep the hope alive. I feel so guilty, I never properly bonded with her because we had a miscarriage last year and now she might be gone.

Report
JoAska · 15/07/2021 19:23

@happygolucky20 we have a lot in common. How did your appointment go today?

Report
happygolucky20 · 16/07/2021 07:12

@JoAska, thank you for asking. they went back to the same opinion of the scan from Friday - baby opened her hands, her head was fine, no fluid on the brain. She does have bilateral talipes but no other markers. I just don’t know who to believe 🤷🏻‍♀️ Two sonographers have given good news and one consultant has given us horrific news so surely we should go with the lady who said she had 22 years experience? But I saw my daughter open her hands more than once and so did my husband 🤷🏻‍♀️ It’s just so heartbreakingly confusing. The initial amnio comes back today, I don’t think we could wait until Monday so I pray it’s on time!

Report
Please create an account

To comment on this thread you need to create a Mumsnet account.