Sunday 3 April 2011

12 weeks 3 day pregnant - low papp-a and hcg nuchal fold 1.6

Well I had my 12 weeks scan and tests on Friday 1st April.  It wasnt great.  The scan of the baby looked really good.  The nuchal fold was 1.6mm which is okay.  Apparently they like to see 1mm according to the sonographer.  (Have you ever felt that one of these health professionals doesnt like you?)  I have read lots of people that have a similar measurement who are considered to have a low risk.  The baby also had a nasal bone - all good.  The sonographer said that everything she saw looked normal. 

Then the bloods came back.  My papp-a (which I believe is the protein from the baby) was .34 which is LOW and my hcg came back as .67 which is also low.  Apparently they are looking for at least 1 again.   Low papp-a can cause other problems as, from my understanding, it measures the protein from the baby that enters into the mothers blood system.  It can mean problems with the placenta if only low levels can get through, which leads to low birth weight, still birth, preclampsia, hypertension, etc. 

Altogether it means I have a 1 in 67 chance of having a baby with down syndrome.  When I remembered that the embryo was from an earlier cycle my chance went to 1 in 83.  Its all so hard.  Under 1 in 250 is considered bad odds.

DH and I had an earnest conversation at the hospital and eventually it got down to this, could he take me for an abortion, could I go for an abortion.  The answer was no.  The baby is living, growing and kicking.  I dont know if we would cope with a disabled child - we are older and long term we wouldnt be able to provide the care.  Oh and to deal with the lose of a child.  I dont know.

For now we have opted for no more testing.  Ive been the 1 percent before (when they cut my bladder when I had my fibroids removed).  We might change out minds.

The ivf drugs can affect the readings but we shall see.  Im going to ring them today. 

On a positive note Ive stopped taking the pessaries and am weaning myself off the steriods, aspirin and ostradiol.  One more day for ostradiol and two more weeks of the steriods.

Symptoms = headaches

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