Prenatal Testing Miscarriage

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					                                  Prenatal Testing
                                                                             Making the Decision
                 Review the medical facts. Consider your                     That Is Right for You.
                 personal values. Weigh the pros and cons.

Deciding whether or not to have testing during your pregnancy or which test is right for you can be confusing.
There are several things you can do to make the best decision for your pregnancy.

   Be informed. Talk to your doctor, nurse practitioner, or nurse midwife about your testing options. Read
   about the tests that are available. Ask questions.

   Consider your values. Think about whether or not information from prenatal testing would be helpful to you.

   Weigh the pros and cons. What are reasons to choose testing? What are reasons not to choose testing?
   What are the risks of the test?

                The following decision tree can help you decide which test, if any, is right for you.
                                   CONSIDER THE FOLLOWING QUESTIONS:
    Would knowing that my baby has a birth defect help me prepare for having a baby with special needs?
                   Would I consider ending my pregnancy if the baby had a birth defect?


        If you answered NO to both                          If you answered YES to either
      questions, you may decide not to                         question you may want to
        have any prenatal testing for                       consider having some type of
                birth defects.                                      prenatal testing.


Do I want to know whether my pregnancy is at                        Do I want to know for certain if my baby has a
     higher risk for certain birth defects?                                  chromosome abnormality?
                                                       OR
  Am I willing to accept a test that might miss                     Am I willing to accept a test that has a risk for
              these birth defects?                                                   miscarriage?

 If you answered YES to these questions you may                  If you answered YES to these questions you may
   want to consider having a SCREENING TEST.                      want to consider having a DIAGNOSTIC TEST.
Serum Integrated Screening:                                  Chorionic villus sampling (CVS):
• Testing starts between 10 to 13 weeks                      • Done between 10 to 13+ weeks
• Combines two separate blood tests                          • Less than 1/300 risk for miscarriage
• Blood tests can be done at any Kaiser laboratory.          • Detects >99% of chromosome abnormalities
• Result available in the second trimester. There is no      • Does not test for neural tube defects
  preliminary result.                                        • Follow-up testing needed in about 3-5% of CVS
• Amniocentesis can be done when result is complete.           procedures
• Detects 85% of babies with Down syndrome
                        OR                                                    OR
Full Integrated Screening:                                   Amniocentesis:
• Testing starts between 10 to 13 weeks                      • Done between 15-20+ weeks in pregnancy
• Combines two separate blood tests plus a special           • Less than 1/300 risk for miscarriage
  ultrasound, called NT ultrasound.                          • Detects >99% of chromosome abnormalities
• NT ultrasound available at a limited number of             • Procedure includes testing for neural tube defects
  facilities, which may require travel.                      • Follow-up testing is rarely needed
• Preliminary result available in the first trimester.
  Final result available in the second trimester
• Preliminary result allows consideration of CVS.
• Detects 90% of babies with Down syndrome

				
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Description: Prenatal Testing Miscarriage