Forums  •  Classifieds  •  Events  •  Directory

 
Page 1 of 7 123 ... LastLast
Like Tree3Likes

Downs result high risk

  1. #1
    birdster is offline Registered User
    Join Date
    Dec 2012
    Location
    HK
    Posts
    27

    Downs result high risk

    Hi Ladies

    I have just had a call from the Pamela Youde hospital to say I have been categorised as high risk for downs

    1 - 55 is the rating

    When I went there yesteday the back of the neck measurments was 1.3 which the scan guy said looked fine
    They took blood and the nurse said that was also fine
    But the nurse said it could be my age

    So my question is.. WTF does it all mean ?

    Do all women of my age 37 almost 38 get this sort of result because of age or should I be concerned ?

    Anyone been in a similiar situation ?

    Should I be doing this test again privately ?

  2. #2
    nicolejoy's Avatar
    nicolejoy is offline Registered User
    Join Date
    Oct 2007
    Location
    North Point
    Posts
    1,751
    How many weeks are you? And what are your thoughts about having an amnio?

    I believe that Dr Lam at HK prenatal diagnostics will do an ultrasound scan in which he will look for downs markers such as facial structure, limb length etc and if I were in your situation, I would go to him.

    With your test results, it could mean DS, it could mean nothing at all, or it could mean something else altogether. 1.3 is pretty average though, isn't it?

    Three years ago, I was pregnant with my 2nd child and we had a 1 in 7 risk for DS. My daughter's neck measurement was 4.5 or so! We decided to go ahead with the amnio just because we wanted to be prepared - we wouldn't have terminated regardless but felt that the knowledge would help us with the rest of the pregnancy. At the appointment for the amnio, however, the doc could see that instead of DS, my daughter had a form of dwarfism. We didn't end up getting the amnio because it likely would not have given us a definite diagnosis, however we did have a general idea because of ultrasound at least.

    Many women are very anti-tests because of exactly this reason - it can cause a whole lot of stress over nothing. I know my situation is different but I went through hell during my pregnancy and while it wasn't "nothing", my daughter is healthy, smart and a joy to our family.
    carang, Redestiny and starbucks2 like this.

  3. #3
    Aquarian is offline Registered User
    Join Date
    May 2012
    Location
    Hong kong
    Posts
    306
    Based on your age alone, your risk would be around 1-200, so something has increased your chances. A neck measurement of 1.3 is really good and if your blood work was ok I'm guessing it must be external factors, like a family history or something like that.

    I don't understand why the nurse would say it's your age: I'm 36 and after the test my risk came back as 1:38,000. Can you speak to a doctor at the hospital and get a better explanation? I think a second opinion would be a good idea if you can't get more information from them.

  4. #4
    birdster is offline Registered User
    Join Date
    Dec 2012
    Location
    HK
    Posts
    27
    Hey ladies, Thanks for your info

    Nicole would you mind to share with me the contact details for the doc you recommended as will consider going to him if necessary

    I'm 37 yo and only 11 + 4 so quite early on still. The nurse advised that we come in to discuss in more details with a doc which we will do next week as I want to understand where that stat actually came from if blood was normal and neck measurements

    Thanks ladies will keep you updated

  5. #5
    lesliefu is offline Registered User
    Join Date
    Dec 2008
    Location
    South District
    Posts
    1,055
    The doc Nicole is talking about is Dr Lam Yung Hang ..his number is 2877-3280. I had him for two pregnancies my second was a suspected DS like yours...I was 36 when I was carrying her. anyhow, he will give you a detailed scan and will probably tell you that blood tests are inaccurate....I did two..I was high risk, the other was borderline and he did his scan and was 99.9% sure that my baby didn't have DS. Anyhow, you will be in good hands. Be patient when you call as they have no answering machine and it takes a long time for people to pick up the phone. First thing (9am) is good or right before they close At 6pm worked the best when I was trying to make an appt. With him.

  6. #6
    Liquorice is offline Registered User
    Join Date
    Jan 2010
    Location
    Hong Kong
    Posts
    510
    I second Dr Lam. He is a fetal specialist at the Hong Kong Prenatal Diagnostic clinic, Henley Building in Central.

    I went to him about two months ago with high risk results for twins. He did a nuchal fold test again, but most importantly recommended I take the new NIFTY blood test. This new test almost makes the need to have an amino obsolete due to its accuracy.

    It's called: Non-invasive Prenatal Genetic Testing for Fetal Down Syndrome (the NIFTY test).

    The OSCAR test gives a 90% detection rate, but a 10% missed diagnosis rate and a 5-7% false positive rate (which could lead to potential loss of healthy baby through complications of amnioscentisis). Whereas the NIFTY test gives >99% detection rate, a <1% missed diagnosis rate and a <1% false positive rate. It is almost as accurate as an amnio (at 100% detection, 0% missed diagnosis and 0% false positive).

    It really saved us so much heartache over the whole thing - whether to do an amnio and risk losing one or both of them, or live with the worry for the next 6 months etc. etc.

    If you are concerned about the OSCAR results and are considering an amnio, definitely give him a call and do this test instead. It's quite expensive, but even if our insurance hadn't covered ours I would have gladly paid the expense to have that peace of mind and not have to take the risks of an amnio.

    Good luck with it all anyway.

  7. #7
    MommyTo3 is offline Registered User
    Join Date
    Feb 2008
    Location
    HK
    Posts
    485
    The combination of your blood (blood itself can look fine) and the nuchal fold have put you on an increased risk, 1:55 instead of 1:200 (or 242 what I found). As soon as the risk is higher than the expected risk, they'll ask you to consider further action IF it would change the continuation of the pregnancy.

    I had my last one done at age 33, and my chances came back 1:7200 so obviously no need to taken any further action. In case of 1:55 it would still mean that 54 children would be born healthy without Downs, and 1 might have it.

    Also amnio risks vary greatly. Some docs have a chance of 1:200, others can do as well as 1:400 or 1:600 miscarriage rates. You need to ask yourself would you want to know in advance? Would you end the pregnancy if it were the case?

    Twins like pp said is very hard. This test is known to be less accurate for twins in the first place, but I risked it, and said I would deal with it later), got my 1:7200 back and left it with that.

  8. #8
    Aquarian is offline Registered User
    Join Date
    May 2012
    Location
    Hong kong
    Posts
    306
    But 1.3mm (I'm assuming the OP was referring to the actual measurement) is a really good result. Mine was 1.2mm, and apparently no one gets less than 1mm. In fact from what I've read anything less than 2 is good - so the increased risk is strange if the blood test was good too.

    Sent from my GT-I9100 using GeoClicks Mobile

Page 1 of 7 123 ... LastLast

Similar Threads

  1. any high risk doctors in hong kong?
    By asalles in forum Hong Kong Pregnancy Forum
    Replies: 3
    Last Post: 03-18-2016, 04:40 PM
  2. Which hospital Dr. Cora Ngai working?- High risk Pregnancy
    By swinging in forum Hong Kong Pregnancy Forum
    Replies: 4
    Last Post: 04-03-2012, 03:30 PM
  3. High Risk result for Downs baby...Test different for Asians and Caucasians???
    By Shenzhennifer in forum Hong Kong Pregnancy Forum
    Replies: 12
    Last Post: 08-18-2008, 09:18 AM
  4. High Risk Unit at QMH
    By ShannonWagstaff in forum Hong Kong Pregnancy Forum
    Replies: 5
    Last Post: 04-28-2005, 08:22 AM
  5. Need best O & G for high risk pregnancy
    By Wand in forum Hong Kong Pregnancy Forum
    Replies: 15
    Last Post: 07-15-2004, 10:21 PM
Scroll to top