Should I ask for more detail after a high-risk quad test?

[ooopsupsideyourhead]

Last week I received a call from the midwife team to tell me that my quad test had come back as 1/5 - this followed my 12 week scan where it wasn’t possible to measure the Nuchal fold due to baby’s position. I have since had an NIPT and am awaiting results. T21 wouldn’t change my intention to have this baby - but of course, now the NIPT has opened new anxieties about T18 and T13.

I have had none of the information other women seem to share such as HCG levels etc. is this normal?

I know, I know, that having the numbers won’t change anything (I’m also 41, and have a high BMI and Hypermeis Gravidarum so probably have high HCG) but I’m very much someone that likes to have all the information available - it helps me feel like I’m in control/better understand a situation. Should I ask for it? Or just wait a couple more days for the NIPT results and go from there?

1/5 is so very much higher than so many women on here report - even women the same age as me. I admit, I’m spiralling a bit.

Morning

Have you had your NIPT results yet? I think that's the perfect time to have a bigger discussion with your Screening Midwife. If anything shows up on your NIPT, you can follow that up. If nothing shows up, you can ask your midwife for the other info and discuss the risks/likelihood of any other conditions.

I had a very high NT measurement of 8mm at our 12 week scan, NIPT came back high risk of T18. I was 38 and overweight. Baby was clearly very unwell on the scans so the Fetal Medicine Consultant supported our decision to TFMR without diagnostic testing (CVS or amnio). It had already been 2 weeks from 12 week scan by that point and I just couldn't live in that limbo any longer.

new baby mentioned
I was heartbroken but concentrated on TTC again and we went on to fall pregnant again within 4 cycles. It was nerve wracking but once I got a clear NIPT at 10 weeks, I felt more at ease, and had some extra scans plus my 20 week scan with a Doctor. Baby arrived a few days before my 40th, all well.

No results yet, no. Good advice though, I’ll wait and see.

I’m 17 weeks with a pregnancy that took four years to come, I’m so very, very, aware that this is probably our last chance.

For people, like me, who will be searching mumsnet for advice and reassurance

My NIPT results have come back as low risk for all three tested trisonomies, the results came back four working days after the bloods were taken. Whilst I know low is not no risk, low seems a lot more positive than 1/5.

The midwife I spoke to on the phone was very reassuring. She gave me extra details which could have affected my initial very high screening result, although not the actual figures. My age, my husband’s age, my rare blood group (as there’s less comparable data) AND the fact that on the 12 week scan both the NT measurement couldn’t be taken and the nasal bone wasn’t clear - although both of these were due to baby’s position. She said that my BMI wasn’t a factor in the algorithm, nor was a previous miscarriage at 16 weeks nearly twenty years ago. I didn’t think to ask specifics about hormone levels due to HG.

My best wishes to anyone reading this, looking for hope and reassurance after their own results.

Thank you for sharing this. I find myself in a similar position. I had my 12 week scan and blood test yesterday and it has come back as 1 in 20 for Downs. The NT was within normal range at 2.4mm and there was a nasal bone structure visible in scan, but my age (36) and the hCG and PAPP.A score plus reversed flow in ductus venosus has knocked me into high risk category. I went back for the NIPT blood test and now it’s a (very painful) waiting game for results…