neuchal fold 3.4 and no nasal bone detected at scan...help

[AngryBeaver]

This is a much longed for baby after a mmc at 14 weeks. I had a scan at 12 weeks and my mdwf just came round with the report.
She said the range for neauchal fold is 1mm-3mm...my baby's was 3.4 and as I said,no nasal bone was detected.
I am having bloods tomorrow to give us a pecerntage for Downs.
I am just terrified. It is evening here,my dh at work won't be home til midnight.
After a bit of hand holding and reassurance,please.

Haven't been in your situation and haven't got anything wise to say, but I'm very happy to hold your hand. Have you and your DH ever discussed the what-ifs of a scan detecting abnormalities?

It's tricky to know because sometimes people have bad results and all is fine. Tbh that's the case more often than not. The bloods aren't accurate, my nuchal was fine but bloods gave me a 1:25 chance of Downs. I had an amino. All fine
Have you thought about what you would do worst case? Would you have an amino even just to know and be prepared?
The trouble is even if you bloods are 'normal' the nuchal will still give you a high risk for downs. But they are ALl just indicators nothing conclusive without amino or CVS. Big hugs and good luck

Thanks. We never choose to have the neuchal fold tests.This was done and reported to me in error.
We have always said it wouldn't matter if there was anything wrong...but now there's a chance...I don't know

What's a CVS please?

My hospital's range is up to 3.5 so although high, you'd fall into the normal range. Of course there's nothing I can do or say to stop you worrying, but you might be pleasantly surprised by the bloods (I was). I hope this is the case. Good luck and let us all know how you get on. Hands are here for holding.

I'm a long way from home...and suddenly feel very very alone. No family, no friends (well,there are some lovely people I have met, but only known 6 months,noone I could burden with supporting me through this)

blonder really? That's good to know.

Hello I don't usually post bit wanted to share about the nasal bone. The same thing happened to a friend of mine at her 12 wk scan. She then spoke to a consultant as she was so worried, he told her that the nasal bone doesn't usually show until 18/20 weeks on a scan as the bone is still transparent until then.
Please try not to panic and good luck with all your tests

Oh my god,really,honestly? I have googled and one person said that in usa they don't check for nasal bone at 12 week.But my mdwf arrived just after and said that they do,and here that is one of the indications on the list.
I am really grasping at straws here. For 10 weeks I have been waiting for that scan,praying for a heartbeat.When I saw it I cried with relief and have been on cloud 9 ever since. Then I get the phonecall.

A CVS is chorionic villus sampling. Instead of amniotic fluid I think they take placenta sample? Can be done earlier than amino. As I said before in the vast majority of cases all is well even if your results give 1:20 it's still 95% likely to be fine. Which country are you in OP? X

Ok thanks.I'm in New Zealand. I sgould be in Liverpool

Just wanted to add that the normal nuchal meAsurement increases through the weeks so 3.4mm can be very high at 10weeks but normal at 13, so its not that simple. There are charts on the web you can have a look at if you want.

Try not to worry, though. And the nose is just a marker, doesn't mean much.

Good luck!

Well this sounds really hopeful...but the midwife was stroking my leg saying "I'm so sorry" and "when I saw the results I just thought,nooo!"
She was practically crying? She did say she couldn't tell me either way,but didn't offer any hope. I asked about the nose and she said "no,we check that here it's one of the indicators" I also asked if 3.4 was way high,she said she'd seen higher,but still gave the impression it was bad

I got a 3.1mm measurement at 12 weeks giving me a risk of 11 to 1. I had a CVS the next day, waited five days for the result. We planned to terminate if the news was bad, but all was well and I now have a healthy ten year old. I know its not easy, but try not to worry.

The nasel bone is a soft marker that can indicate a chromosome issue. How was the heart? as that is another soft marker.

I had a cvs with my 1st pregnancy. One of the things to bear in mind is that for the vast majority of people who have further testing the results come back as clear.

On another forum I go on we have just done a poll and 80% of people who needed further testing got the all clear so even if it seems bad the odds are definitely in your favour.

However the test is not just for down syndrome. In many ways DS is the "best" bad result you can get as you could bring home a baby, the other chromosome issues that may be picked up are terminal either prior to birth or very soon after birth.

We had a bad nuchal meaurement, a bad cvs & had to terminate (baby would not have survived.) It was a horrible horrible time BUT I am so glad I knew at 14 weeks rather than not finding out until later. xxx

The heart was 160 I think she said. The sonographer said it was fine. She didn't tell me anything else. She asked me to go for a wee and come back,then asked me to cough as she couldn't get everything she needed.
I was just savouring the extra time to look at my baby. I should have known there was something not right.

I had an amnio ( great nuchal measurement crap bloods overall risk of ds 1:36) and at the amnio had quite a long chat with the consultant. I asked him about the nasal bone and he pointed it out but said that it's notoriously difficult to be conclusive about it being there or not at 12 weeks. He told me that There are several soft markets they can look at including the length of the femur (long keg bone) but none is enough to be sure on it's own. Your NT measurement doesn't look too high to me there are loads of posts on this subject on the ante natal tests and choices board and you'll find plenty of posters on there who've been terrified of measurements larger than those and have gone on to have the all clear with an amnio. I always thought I'd do nothing but when I got my high odds I just had to find out for sure thats why I went for an amnio - I'm happy to say I got the all clear but the waiting was agony. Keep positive as has been said most get the all clear when they have an amnio. X

Really sorry Angry i have also been through this and it's horrible.

Like Helter we had a CVS which revealed a condition the baby wouldn't have survived so we terminated. However you don't know anything until you have the bloods and most people get the all clear from CVS too. Hoping this is the case for you.

I would suggest you try posting in Antenatal tests and choices section as people there have been through the same thing and will have much more knowledge. From what i know the higher NT the higher the risk and as some people have said up to 3.5 in some cases is considered normal, albeit on the high side.

Lots of love and best wishes x

Thank you all.I'm sorry,I couldn't get back online for some reason. Then I had to go to bed as I'm feeling so rough.
We have been up a few hours as we had to call St.John's out...our 4 year old was struggling to breathe and paniking. He has croup and is fine now..but just what I needed - not!

Had bloods done first thing,so hopefully I will know more this time tomorrow

Just to say I had a similar result with my child (now 4), when the bloods came back it was 1:10, I went on to have a CVS. They didn't detect a nasal bone either, but I am of mixed parentage and my father is a black Cuban, and one sonographer told me sometimes with this heritage (black/African) a nasal bone doesn't show up until later.
Hope everything goes well for you.

Thank you. I have read a similar thing about a lady who was black. She said her consultant (also black) told her it was normal in their race.
Unfotrunately, nothing in my race that would say the same. But it's a comfort to read about people saying sometimes the nasal bone isn't visible until 18/19 weeks. Am praying this is the case.

Any news OP?