Pregnant 8 months after TFMR T21

[k8lim]

I made the awful decision last June to terminate my 3rd pregnancy at 16 weeks after t21 diagnosis. Now almost 6 weeks pregnant (my 4th) age almost 39. I’m petrified lightning is going to strike twice. We have early scan at 7 and half weeks then meet with foetal team. Anyone had similar pregnancy after t21 termination and can share what to expect? I’m a mess.
2 DD, age 5 and 8 would love this rainbow to complete our puzzle

I'm sorry for your loss

Congrats! I had TFMR for trisomy 18, patau syndrome with my 1st pregnancy. I don't know if they do the same for T21, but DH and I had karyotyping blood tests and saw a genetic counsellor. In our case, it was a one off event and not a translocation from us, so were told the chance of a reoccurrence were the same as others. I sadly MC my next 2 pregnancies. The 3rd had genetic testing also and it was a different genetic issue which was blamed on 'my old eggs'. Sadly we have no living children.

Are you planning on having the NIPT at 10 weeks? Have they offered any additional testing? Wishing you all the best x

So sorry to hear about your pregnancies. No-one can prepare you for it. I’m in Scotland, hoping get NIPT offered. I’m sure the bereavement midwife talked me through it on the day but it’s all a blur. She said that wouldn’t bother with karotyping as both previous children had no chromosomal abnormalities. Do you think I will be offered it? Last pregnancy I had 1:4 after screening, confirmed by NIPT then amnio. Xx

She said that wouldn’t bother with karotyping as both previous children had no chromosomal abnormalities.

I assume because it had been my 1st pregnancy, after 4yrs TTC and a useless GP who refused to refer to infertility clinic (another story!) that is what we had karyotyping done.

I don't know about Scotland, but I paid for the NIPT privately at 10 weeks- this was 10yrs ago though. Maybe its offered there on the NHS now? I've read that some people have only had the NIPT offered on the NHS after their 12 week scan and bloods and by that stage they could be 14-16 weeks! I realise its not considered diagnostic though. Wishing you all the best x

My 1st pregnancy in 2023 had confirmed diagnosis of T21 and I had a surgical TFMR at just nder 14 weeks, just an awful thing to go through, sorry you have too. We were told it was a random occurrence, try again, and that we should be offered a NIPT

Complications meant we struggled to conceive again, ended up doing ivf, and genetically tested the embryos. When I was pregnant again, I was surprised nit to be able to get early NHS scan but they did me an early 12 week scan, did the combined test and as that was low risk, said I didn't need a NIPT. I argued I had a letter from the Fetal Medicine unit director saying I should get one, but no dice and I let it go as we'd already done embryo screening, otherwise I'd have paid privately. They did offer me an extra 16 week early anomaly scan though. It seems to vary how much extra support hospitals offer, so be pushy!

Best of luck with your new pregnancy, pregnancy after loss is hard and until we'd passed the point of the previous loss, I was very anxious thankfully mine resulted in my 2 week old little boy who has been keeping me awake all night xx

I'm so sorry for your loss and congratulations on your pregnancy. I had a tfmr for patau syndrome at 17 weeks. I'm in Scotland too and in my next pregnancy was given the early scan and then chat with fetal medicine to find out whether I wanted the NIPT or CVS. I went for NIPT, so I imagine it will be the same options for you. I ended up miscarrying that pregnancy and didn't know, before I even took the NIPT test. I am now pregnant again and went through the same process, and all is going well at 21 weeks. I am a bit older than you though at 42. Most people go on to have a healthy pregnancy. I wish you the best of luck for a healthy pregnancy.